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HEADACHE

A migraine in kids is a type of severe headache that can be accompanied by various symptoms, including nausea, vomiting, and sensitivity to light or sound. While migraines are often associated with adults, they can also occur in children and adolescents.

Key Features of Migraines in Kids:

  1. Symptoms:
    • Headache: Typically moderate to severe, often described as throbbing or pulsing. It may affect one side of the head but can also be bilateral.
    • Nausea and Vomiting: Many children experience stomach upset during a migraine.
    • Sensitivity: Increased sensitivity to light (photophobia) and sound (phonophobia).
    • Aura: Some children may experience visual disturbances or other sensory changes (e.g., seeing flashes of light, difficulty speaking) before the headache starts.
  2. Triggers:
    • Dietary Factors: Certain foods (e.g., chocolate, aged cheese, processed meats) and beverages (e.g., caffeine, alcohol) can trigger migraines.
    • Environmental Factors: Changes in weather, bright lights, strong odors, or loud noises may provoke an attack.
    • Stress: Emotional stress and anxiety are common triggers.
    • Hormonal Changes: For some girls, hormonal fluctuations related to menstrual cycles can be a factor.
    • Sleep Issues: Changes in sleep patterns, such as lack of sleep or oversleeping, can trigger migraines.
  3. Diagnosis:
    • Medical History: A thorough history of symptoms, frequency, and duration of headaches, as well as any potential triggers.
    • Physical Examination: A pediatrician will conduct a neurological examination to rule out other conditions.
    • Headache Diary: Keeping track of headache occurrences, duration, and potential triggers can help with diagnosis and management.
  4. Management:
    • Medication:
      • Acute Treatment: Over-the-counter pain relievers (e.g., ibuprofen, acetaminophen) may help alleviate symptoms. In some cases, prescription medications may be necessary.
      • Preventive Treatment: For frequent migraines, a pediatrician may prescribe daily preventive medications, such as certain anticonvulsants or beta-blockers.
    • Lifestyle Modifications: Identifying and avoiding triggers, maintaining a regular sleep schedule, and managing stress can help reduce migraine frequency.
    • Alternative Therapies: Some families find relief through relaxation techniques, biofeedback, or acupuncture.
  5. When to Seek Help:
    • If a child experiences frequent, severe headaches that interfere with daily activities, or if there are concerning symptoms (e.g., sudden changes in vision, confusion, or neurological symptoms), it’s important to consult a pediatrician or neurologist.

Conclusion

Migraines can significantly impact a child’s quality of life, but with proper management and lifestyle adjustments, many children can find relief from their symptoms. Early identification of triggers and effective treatment strategies are essential for helping children cope with migraines. If you have specific questions or concerns about migraines in children, feel free to ask!

https://www.healthlinkbc.ca/health-topics/migraine-headaches

Help for your Child

Referral Form

Eustace, Dominique Muire

MSP 28502
Registration status: Practising
Registration class: Full
Practice type: Specialty practice – pediatrics

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