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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