Hi, thanks for asking form HCM. I can understand your concern. It could be any of above - gastrointestinal or migraine. It can be differentiated by : If pain in abdomen first then gastrointestinal : If headache with no nausea but vomiting only, it might be Migraine : If abdominal cramps then gastrointestinal (GI) : If fear from light/headcahe in half of skull/visual blurring, it might be Migraine. As you have mentioned, she first had pain abdomen, it appears she is having GI problem. The cause could be : Food poisoning : Gastritis : Gastroenteritis You can provide her relief by following few tips : Avoid fatty/spicy food : Eat light food : Drink plenty of fluids : Bed rest : You can give her tab Pantoprazole-domperidone after proper prescription : If cramps, you can give her tab Drotaverine after proper prescription : Avoid high finer diet if cramps are occurring : If still no relief or she is having fever/loose stools with blood, consult doctor. Hope it will help her. Thanks. Take care. Dr Ishu Bishnoi