Headaches in Children
What is a headache?
A headache is a discomfort in the head area from the forehead to the top of the head that has not been caused by a head injury.
Causes of headaches
- Viral illness - headache is related to fever and usually lasts several days.
- Headache caused by hunger - 30% of people gets headaches when they are hungry. It goes away within 30 minutes after they eat.
- Non-hazardous headaches: exercising, playing a wind instrument, chewing gum, coughing, eating or drinking cold food or drinks.
- Head trauma.
- Infection of the frontal sinuses - pain is felt in the forehead above the eyebrows. Other symptoms include a stuffy nose or runny nose. It rarely occurs in children under ten because the frontal sinus is not yet developed. Infection of the other sinuses causes facial pain, not a headache.
- Meningitis is an inflammation of the membranes of the brain and spinal cord. Other symptoms include tension in the neck, high fever and loss of consciousness.
Causes of intermittent headaches
- Tension headache - causes a tightness around the head, often accompanied by tension and pain in the neck muscles. It may be caused by prolonged standing, sitting and reading at a computer for long periods, stress or nervousness.
- A migraine is a severe headache that prevents the child from doing everyday activities. It often develops on one side and starts suddenly. 80% of people with migraine experience nausea and vomiting. Light and noise increase the pain. Most children prefer to sleep in a dark and quiet room. Migraine is often genetically conditioned.
Severity of pain
- Mild: The child feels and complains of a headache, but it does not interfere with regular activity. Sleep, play and going to school does not change.
- Moderate: The pain interferes with child's everyday activities. The child may wake up in pain.
- Severe: Severe, unbearable pain that prevents normal activities.
Contact a doctor immediately in the following situations
- You cannot wake the child, or the child becomes unconscious
- The child is behaving unknowingly or speaking incoherently
- The limpness of arm or leg is pronounced on one side
- The child is unable to walk or loses r balance
- There is tension in the neck, and the child is unable to rest their chin on the chest
- Severe and persistent headaches (the child has lost the ability to do anything)
- Severe migraine attack that persists despite taking migraine
- Vomiting
- Loss of sight or double vision
- You think the child has a life-threatening or urgent condition.
- The child does not look well.
Speak to your family doctor in the following situations
- Headache and fever
- Pain in the frontal sinuses
- Swelling around eye
- Headache without other symptoms lasting more than 24 hours
- Probable migraine, but not diagnosed
- Sore throat for more than 48 hours
- Headache of any kind lasting more than 3 days
- Frequent headaches
How to behave during a headache?
- You cannot wake the child, or the child becomes unconscious
- The child is behaving unknowingly or speaking incoherently
- The limpness of arm or leg is pronounced on one side
- The child is unable to walk or loses r balance
- There is tension in the neck, and the child is unable to rest their chin on the chest
- Severe and persistent headaches (the child has lost the ability to do anything)
- Severe migraine attack that persists despite taking migraine
How do I deal with a tension headache?
- Try to distract the child by talking.
- Give them a break and relax if they are busy studying.
- Explain the importance of good night sleep.
What should you do during a migraine attack?
- Make sure that the headache attack is as intense as before.
- Give your child a prescribed migraine medication as soon as the episode begins.
- If no medicine is prescribed, give ibuprofen as quickly as possible. Repeat if necessary after 6 hours.
- Lay the child in a quiet and dark room and let them try to sleep.
- Give plenty of fluids to drink.
- Do not allow the child to skip meals; give food on time.
- Try to put the child to bed on time.
What to expect
- The pain usually goes away in 2-6 hours
- Most people get 3 or 4 migraine episodes a year.
Speak to a doctor if
- Headache is more severe than in previous attacks
- Headache lasts longer than previous attacks