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Migraine Headaches in Children

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  • Vomiting
  • Neck pain or stiffness
  • Double vision or changes in vision
  • Confusion
  • Loss of balance
  • Fever of 100.4 � �F (38 � �C) or higher

  • You should also take your child to see a doctor or nurse if he or she has a headache and: � �
    • Gets headaches more than once a month
    • Is younger than 3 years old

    Are there tests my child should have? " � Probably not. Your child's doctor or nurse will probably be able to tell what is causing your child's headaches by doing an exam and by learning about his or her symptoms. But if your child's doctor or nurse thinks your child has a serious problem, he or she might order an imaging test such as an MRI or a CT scan. Imaging tests create pictures of the inside of the body. � �
    What can I do to help when my child has a migraine? " � When your child's migraine starts: � �
    • Have your child rest in a quiet dark room with a cool cloth on his or her forehead.
    • Encourage him or her to sleep.
    • Give your child only the medicine or medicines that you have talked to your doctor about.

    How are migraines treated in children? " � There are lots of prescription and non-prescription medicines that can ease the pain of migraines. There are also prescription medicines that can help prevent migraines from happening in the first place. The right medicine for your child will depend on how often he or she gets migraines and how severe they are. If your child gets migraines often, work with his or her doctor to find a treatment that helps. � �
    If your child has headaches often, do not try to manage them on your own with non-prescription pain medicines. Giving non-prescription pain medicines too often can cause more headaches later. � �
    Is there anything I can do to keep my child from getting a migraine? " � Maybe. In some cases, migraines can be "triggered " � or set off by certain foods or things that children do. Some possible headache triggers are: � �
    • Skipping meals
    • Not drinking enough fluids
    • Having too little or too much caffeine
    • Sleeping too much or too little
    • Stress
    • Certain foods containing nitrates, such as bologna or hot dogs

    If you can figure out what is triggering your child's headaches, you might be able to help your child avoid those triggers. To find possible triggers, keep a headache diary for your child. In the diary, write down every time your child has a headache along with the following information: � �
    • The times it started and ended
    • Where in the head the headache was, for example left side, right side, both sides or behind the eyes
    • How the headache felt, for example, "pounding " � or "sharp " �
    • What your child ate and did before the headache started
    • How bad the headache was " � Using the FACES pain scale can help
    • What you did to try to help, for example having your child rest in a dark room
    • What, if any, medicine you gave, including the name of the medicine and how much you gave
    • Any other symptoms your child had with the headache, for example numbness in his or her lips

    After you have been keeping a diary for a while, check to see if there are any foods or events that seem to bring on a headache. Then, try avoiding those triggers to see if headaches happen less. Share the diary with your child's doctor or nurse. It can help him or her understand your child's headaches and choose the best treatment for your child. � �
    All topics are updated as new evidence becomes available and our peer review process is complete. � �
    This topic retrieved from UpToDate on: Nov 04, 2014. � �
    Topic 83061 Version 2.0 � �
    Release: 22.8 - C22.208 � �
    � � 2014 UpToDate, Inc. All rights reserved. � �

    Consumer Information Use and Disclaimer


    This information is not specific medical advice and does not replace information you receive from your health care provider. This is only a brief summary of general information. It does NOT include all information about conditions, illnesses, injuries, tests, procedures, treatments, therapies, discharge instructions or life-style choices that may apply to you. You must talk with your health care provider for complete information about your health and treatment options. This information should not be used to decide whether or not to accept your health care providers advice, instructions or recommendations. Only your health care provider has the knowledge and training to provide advice that is right for you.The use of UpToDate content is governed by the UpToDate Terms of Use. � �2014 UpToDate, Inc. All rights reserved. � �

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