Because of the frequent absence of headache, the condition can be difficult to diagnose, especially during the first episode. There is no specific test that can establish the diagnosis of abdominal migraine, so the diagnosis is based on exclusion of other conditions. Laboratory tests and imaging studies are usually directed to rule out other conditions that could be responsible for the symptoms. Electroencephalography (EEG) is sometimes done to rule out a seizure disorder as the cause of the symptoms.

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