I'm joined by Dr Charlie Powell to discuss abdominal migraine and associated syndromes - cyclical vomiting and benign paroxysmal vertigo. Debilitating, recurrent abdominal pain which is central, associated with pallor and being withdrawn in an otherwise well, thriving child. Associated with poor school attendance. Once red flags have been ruled out (see what0-18.nhs.uk) explore the history and consider this diagnosis. Charlie discusses excluding trigger foods such as chocolate, cheese, citrus and marmite, as these contain vasoactive amines. Moving on to medical management, consider pizotifen and propranolol for prophylaxis or tryptans for acute episodes in older children. Ondansetron can be used in cyclical vomiting. For cyclical vomiting support, Charlie recommends visiting cvsa.org.uk Please subscribe, leave a review🌟🌟🌟🌟🌟on iTunes and share with your colleagues. Any suggestions please to me, Caroline Storey at [email protected] or on twitter @fontanellepod Thanks for listening!