Bóle głowy u dzieci
Charakterystyka, pielęgnacja i opieka

Bóle głowy u dzieci i młodzieży są powszechnym problemem, dotykającym do 75% dzieci w wieku szkolnym, z wyższą częstością u nastolatków. Najczęstsze przyczyny to bóle pierwotne, takie jak migrena i bóle głowy typu napięciowego (TTH), oraz bóle wtórne związane z infekcjami lub urazami głowy. Migrena charakteryzuje się epizodycznym, pulsującym bólem, często z aurą, nudnościami i nadwrażliwością na światło i dźwięk, natomiast TTH objawia się tępnym, obustronnym bólem o umiarkowanym nasileniu. Diagnostyka opiera się na szczegółowym wywiadzie i badaniu neurologicznym, a obrazowanie mózgu (CT lub MRI) jest wskazane przy podejrzeniu poważnych patologii. Sygnały alarmowe obejmują m.in. bóle po urazie, poranne bóle z wymiotami, gorączkę ze sztywnością karku oraz narastające nasilenie i częstotliwość bólów głowy.

Bóle głowy u dzieci – charakterystyka i przyczyny

Bóle głowy są powszechnym objawem występującym u dzieci i młodzieży, dotykającym nawet 75% dzieci w wieku szkolnym. Częstotliwość bólów głowy jest większa u nastolatków niż u młodszych dzieci. 1 Według danych epidemiologicznych, do 11% dzieci i 28% nastolatków doświadcza nawracających bólów głowy, a objawy te mogą wystąpić u dzieci w każdym wieku, bez względu na płeć czy rasę. 2

Przyczyny bólów głowy u dzieci są różnorodne – od powszechnych i nieszkodliwych do rzadszych, ale poważnych stanów. Najczęstsze przyczyny obejmują: migreny, bóle głowy typu napięciowego, objawy towarzyszące infekcjom wirusowym lub infekcjom górnych dróg oddechowych (w tym zapalenie ucha, przeziębienie, alergie, zapalenie zatok, angina paciorkowcowa) oraz konsekwencje mniejszych lub umiarkowanych urazów głowy. 34

Warto podkreślić, że tylko niewielka część dzieci z bólami głowy ma poważną chorobę podstawową, taką jak guz mózgu czy zagrażająca życiu infekcja. 5 Większość bólów głowy u dzieci nie jest objawem poważnego problemu zdrowotnego, ale mogą one być niepokojące dla dziecka i mieć wpływ na naukę, sport i aktywności zabawowe. 6

Typy bólów głowy u dzieci

Bóle głowy u dzieci są zwykle klasyfikowane jako pierwotne (tzn. sam ból głowy jest chorobą lub zaburzeniem) lub wtórne (tzn. ból głowy jest objawem odrębnej choroby lub zaburzenia podstawowego). 7 Najczęstszymi rodzajami pierwotnych bólów głowy w dzieciństwie są migreny i bóle głowy typu napięciowego, podczas gdy najczęstsze wtórne bóle głowy są związane z chorobą zakaźną lub powstają w wyniku urazu głowy. 8

  • Bóle głowy typu napięciowego (TTH) – powodują uczucie uciskającego napięcia rozproszonego po obu stronach głowy lub szyi. Charakteryzują się bólem, który zaczyna się powoli, obejmuje obie strony głowy, jest tępy, przypomina opaskę wokół głowy, występuje w tylnej części głowy lub szyi, ma nasilenie od łagodnego do umiarkowanego (ale nie ciężkiego), może towarzyszyć mu zmiana nawyków snu dziecka. 910
  • Migreny – to zaburzenie epizodycznych ataków, gdzie ból głowy jest jednym z objawów. Objawy i oznaki migren mogą obejmować: objawy poprzedzające migrenę (aura), takie jak widzenie błysków światła, zmiana widzenia lub dziwne zapachy, ból po jednej lub obu stronach głowy, ból, który może być pulsujący lub tętniący, wrażliwość na światło lub dźwięk, nudności i wymioty, dyskomfort brzuszny, pocenie się, dziecko wygląda na blade i jest ciche. 1112
  • Bóle głowy klasterowe – charakteryzują się silnym bólem po jednej stronie głowy, zwykle za jednym okiem. Oko, którego to dotyczy, może mieć opadniętą powiekę, małą źrenicę lub zaczerwienienie i obrzęk powieki. Może również wystąpić katar lub przekrwienie oraz obrzęk czoła. 13

Objawy i rozpoznanie u dzieci

Objawy bólów głowy zależą od wieku dziecka, rodzaju bólu głowy i chorób podstawowych. 14 Ze względu na młody wiek dzieci mogą nie wiedzieć, jak opisać ból. Objawy bólów głowy obejmują cichsze lub bardziej kapryśne zachowanie niż normalne oraz spadek aktywności dziecka. 15

U młodszych dzieci, które często nie potrafią opisać swoich objawów, można zaobserwować następujące oznaki bólu głowy: 16

  • Są cichsze lub w gorszym nastroju niż zwykle
  • Są mniej aktywne niż zwykle
  • Nie chcą oglądać telewizji ani bawić się zabawkami
  • Wolą odpoczywać zamiast się bawić
  • Chcą więcej spać w ciągu dnia
  • Skarżą się na ból brzucha, wymiotują lub mają utratę apetytu
  • Przeszkadza im światło i hałas
  • Szukają ciemnego i cichego miejsca

W celu rozpoznania charakteru bólu głowy dziecka, lekarz prawdopodobnie skupi się na: szczegółowym opisie bólów głowy przez dziecko i rodzica, aby zobaczyć, czy istnieje wzorzec lub wspólny czynnik wyzwalający. Jeśli dziecko jest poza tym zdrowe, a bóle głowy są jedynym objawem, zwykle nie są potrzebne dalsze badania. 17

Diagnostyka i ocena bólów głowy u dzieci

Przy ocenie bólów głowy u dzieci kluczowe jest szczegółowe zbieranie wywiadu oraz przeprowadzenie dokładnego badania fizykalnego. 18 Lekarz porozmawia zarówno z rodzicem, jak i z dzieckiem, aby ustalić, czy ból głowy ma podłoże emocjonalne. Przeprowadzi również kompletne badanie fizykalne wraz z badaniem neurologicznym. 19

W niektórych przypadkach dziecko może potrzebować obrazowania mózgu w postaci tomografii komputerowej (CT) lub rezonansu magnetycznego (MRI). Lekarz doradzi, kiedy konieczne jest wykonanie obrazowania mózgu i które badanie jest najlepsze dla dziecka. 20

Bóle głowy typu napięciowego są prawie zawsze związane ze stresującymi sytuacjami w szkole, rywalizacją, tarciami rodzinnymi lub zbyt wieloma wymaganiami ze strony rodziców. Lekarz musi również ustalić, czy może występować lęk lub depresja. 21

Kiedy należy zgłosić się do lekarza

Większość bólów głowy u dzieci nie wymaga natychmiastowej interwencji medycznej, jednak istnieją sytuacje, w których należy pilnie skonsultować się z lekarzem. Oto sygnały ostrzegawcze: 2223

  • Dziecko ma bóle głowy po niedawnym upadku lub uderzeniu w głowę
  • Dziecko ma gorączkę i sztywny kark
  • Dziecko ma nowe nudności i wymioty lub nie może utrzymać pokarmów lub płynów
  • Dziecko budzi się rano z bólem głowy i wymiotami, a zdarza się to więcej niż kilka razy
  • Światło boli oczy dziecka
  • Ból głowy dziecka nie ustępuje w ciągu 1 lub 2 dni
  • Bóle głowy dziecka nasilają się lub występują częściej
  • Dziecko często opuszcza szkołę, zajęcia sportowe lub inne aktywności z powodu bólów głowy

Należy również zwrócić uwagę na następujące objawy, które mogą towarzyszyć bólom głowy: obniżona czujność lub splątanie, gorączka, wymioty, zmiany widzenia, osłabienie, wysypka skórna, ból lub sztywność karku. 24

Leczenie bólów głowy u dzieci

Leczenie bólów głowy zależy od wieku dziecka, rodzaju i częstotliwości bólów głowy oraz innych czynników. 25 Cele terapeutyczne obejmują zatrzymanie występowania bólu głowy, a metody leczenia mogą obejmować: 26

  • Odpoczynek w cichym, ciemnym otoczeniu
  • Przyjmowanie leków zalecanych przez lekarza
  • Nauka radzenia sobie ze stresem
  • Unikanie pokarmów i napojów wyzwalających bóle głowy
  • Zapewnienie odpowiedniej ilości snu
  • Regularne spożywanie posiłków
  • Wprowadzenie zmian w diecie dziecka
  • Podejmowanie aktywności fizycznej

Farmakoterapia

W przypadku sporadycznych bólów głowy typu napięciowego (TTH) definiowanych jako występujące rzadziej niż raz w miesiącu, dzieci mogą być leczone dostępnymi bez recepty lekami przeciwbólowymi, takimi jak acetaminofen (Tylenol) lub ibuprofen (Advil, Motrin). 27 Nadużywanie leków jest jednak czynnikiem przyczyniającym się do powstawania bólów głowy (ból głowy z nadużywania leków). 28

Jeśli dziecko ma częste lub przewlekłe TTH (tzn. ≥15 dni z bólami głowy w miesiącu), pierwszą linią leczenia jest lek przeciwbólowy dostępny bez recepty. Jeśli bóle głowy nie ustępują po podaniu leku doraźnego, lekarz może zalecić, aby dziecko zostało zbadane przez specjalistę (np. neurologa). 29

W przypadku migren zwykle stosuje się dwa podejścia do leczenia: leki doraźne w celu przerwania ostrego napadu migreny oraz leki profilaktyczne zapobiegające częstym napadom. 30 Podstawą postępowania w dziecięcej migrenie jest sporadyczne stosowanie doustnych leków przeciwbólowych i przeciwwymiotnych oraz, w niektórych przypadkach, codziennych środków profilaktycznych. 31

Leki przeciwbólowe, takie jak acetaminofen, ibuprofen i naproksen sodu (Anaprox), przyjmowane jak najwcześniej w przebiegu bólu głowy, są zwykle skuteczne. 32 Stosowanie naproksenu sodu (230 do 500 mg dwa razy dziennie) nie jest ogólnie związane z bólem głowy z odbicia, a środek ten nie ma potencjału uzależniającego. 33

Rodzaj bólu głowy Rekomendowane leczenie Uwagi
Sporadyczny ból głowy typu napięciowego Acetaminofen, ibuprofen Ograniczone stosowanie, aby uniknąć bólu głowy z nadużywania leków
Przewlekły ból głowy typu napięciowego Leki przeciwbólowe OTC, konsultacja z neurologiem ≥15 dni z bólem głowy w miesiącu
Migrena – leczenie doraźne Acetaminofen, ibuprofen, naproksen sodu, tryptany (dla dzieci >5 lat) Podawać jak najwcześniej w przebiegu bólu głowy
Migrena – leczenie profilaktyczne Leki przeciwpadaczkowe, beta-blokery, trójcykliczne leki przeciwdepresyjne Dla dzieci z częstymi lub ciężkimi atakami
Bóle głowy wtórne Leczenie choroby podstawowej Np. infekcja, uraz głowy

Podejście niefarmakologiczne

Oprócz leków przeciwbólowych dostępnych bez recepty, następujące działania mogą pomóc złagodzić ból głowy dziecka: 34

  • Odpoczynek i relaksacja – zachęcanie dziecka do odpoczynku w ciemnym, cichym pokoju. Sen często rozwiązuje problem bólów głowy u dzieci. 35
  • Stosowanie chłodnego, mokrego kompresu na czoło dziecka
  • Oferowanie zdrowej przekąski – czasami bóle głowy mogą być spowodowane głodem lub odwodnieniem

Wiele dzieci może osiągnąć dobrą kontrolę nad bólami głowy poprzez praktykowanie zdrowych nawyków każdego dnia. Te zdrowe nawyki obejmują picie dużych ilości wody i innych płynów. 36

Kilka alternatywnych terapii może być również pomocnych w przypadku bólów głowy u dzieci, w tym: 37

  • Akupunktura – praktycy akupunktury używają bardzo cienkich, jednorazowych igieł, które zwykle nie powodują bólu ani dyskomfortu
  • Masaż – może pomóc zredukować stres i złagodzić napięcie, a także złagodzić bóle głowy
  • Suplementy takie jak: ryboflawina, magnez, koenzym Q10, witamina D

Pielęgnacja i opieka nad dzieckiem z bólem głowy

Rodzice i opiekunowie odgrywają kluczową rolę we wspieraniu dzieci z bólami głowy. Oto kilka wskazówek dotyczących opieki: 3839

  • Zapewnij dziecku odpoczynek w cichym, ciemnym pokoju, dopóki ból głowy nie ustąpi. Najlepiej, aby dziecko zamknęło oczy i próbowało się zrelaksować lub zasnąć. Powiedz dziecku, aby nie oglądało telewizji ani nie czytało.
  • Zadbaj o bezpieczeństwo przy stosowaniu leków. Podawaj leki przeciwbólowe dokładnie według zaleceń. Nie ignoruj nowych objawów, które występują wraz z bólem głowy.
  • Aby zapobiec migrenom i bólom głowy typu napięciowego u dziecka, prowadź dziennik bólów głowy, który może pomóc znaleźć związek między bólami głowy dziecka a czynnikami, które je wyzwalają.
  • Pomóż dziecku unikać czynników wyzwalających ból głowy. Dziecko może zapobiegać bólom głowy, unikając tych czynników.

Zalecenia dla personelu medycznego

Pielęgniarki i inni pracownicy ochrony zdrowia powinni pamiętać o następujących aspektach opieki nad dzieckiem z bólem głowy: 4041

  • W przypadku dzieci z pierwotnym bólem głowy pożądane efekty obejmują prawidłowe rozpoznanie rodzaju bólu głowy, odpowiednie badania diagnostyczne oraz opanowanie bólu głowy w domu, szkole i podczas zajęć pozalekcyjnych.
  • Stosowanie ścieżek klinicznych powinno poprawić przestrzeganie wytycznych dotyczących bólu głowy, co prowadzi do lepszych wyników dla pacjentów.
  • Ból głowy u dzieci jest częstym i narastającym problemem. Pediatrzy mają do dyspozycji wiele metod leczenia, które można wypróbować przed skierowaniem do specjalisty.
  • Znajomość objawów ostrzegawczych i zebranie dobrego wywiadu ma kluczowe znaczenie dla segregacji tych pacjentów.
  • Leczenie, w tym leki przeciwzapalne niesteroidowe (NLPZ) i tryptany, stanowi podstawę pierwotnego leczenia ostrego bólu głowy.
  • Leczenie zapobiegawcze jest częściej stosowane przez specjalistów, jednak pediatrzy mogą rozpocząć leczenie, jeśli czują się komfortowo.

Wsparcie psychologiczne i edukacyjne

Dziecko z bólami głowy może potrzebować wsparcia psychologicznego i edukacyjnego. Oto kilka wskazówek: 4243

  • Istnieje wiele różnych typów bólów głowy, a także potencjalnych przyczyn. Dlatego pomocne może być sprawdzenie, czy rozwija się jakiś wzorzec. Dostępnych jest wiele aplikacji i narzędzi online, które mogą pomóc tobie i/lub twojemu dziecku.
  • Każdy rodzaj bólu głowy może być leczony inaczej. Szczegółowy wywiad i badanie fizykalne pomagają pediatrze ustalić, jaki rodzaj bólu głowy ma twoje dziecko. Na podstawie diagnozy twojego dziecka, pediatra stworzy wraz z tobą plan, jak najlepiej złagodzić ból dziecka.
  • W przypadku bardzo częstych lub ciężkich bólów głowy pediatra może: zaoferować poradnictwo w zakresie stylu życia związanego z bólem głowy, dotyczącego diety, snu i innych codziennych nawyków, przepisać leki łagodzące ból głowy, zalecić zabiegi medyczne, które pomogą zablokować sygnały nerwowe powodujące ból.

Zapobieganie bólom głowy u dzieci

Zapobieganie bólom głowy u dzieci obejmuje kilka strategii: 4445

  • Praktykowanie zdrowych zachowań – zachowania promujące ogólne dobre zdrowie mogą również pomóc zapobiegać bólom głowy u dziecka. Obejmują one regularne i wystarczające spanie, aktywność fizyczną, zdrowe posiłki i przekąski, picie do ośmiu szklanek wody dziennie oraz ograniczenie kofeiny.
  • Redukcja stresu – stres i niepokój, być może wywołane problemami z rówieśnikami, nauczycielami lub rodzicami, mogą odgrywać rolę w bólach głowy u dzieci.
  • Prowadzenie dziennika bólów głowy – może to pomóc zidentyfikować czynniki wyzwalające bóle głowy.
  • Unikanie czynników wyzwalających ból głowy – czynniki te mogą obejmować: brak snu, określone pokarmy, napoje zawierające kofeinę (herbata, kawa, gazowane napoje), czekoladę, azotany (mięsa obiadowe, szynka, bekon, kiełbasa, pepperoni, hot dogi), dojrzałe sery (pokarmy zawierające tyraminę, jak pizza), pokarmy zawierające MSG. 46
  • Przestrzeganie planu lekarza – lekarz może zalecić leki zapobiegawcze, jeśli bóle głowy są ciężkie, występują codziennie i zakłócają normalny styl życia dziecka. Pewne leki przyjmowane w regularnych odstępach czasu, takie jak niektóre leki przeciwdepresyjne, leki przeciwpadaczkowe lub beta-blokery, mogą zmniejszyć częstotliwość i nasilenie bólów głowy. 47

Rola rodziców i opiekunów

Rodzice i opiekunowie mogą podjąć konkretne działania, aby pomóc zapobiegać i łagodzić bóle głowy u swoich dzieci: 4849

  • Prowadzenie dziennika bólów głowy jest dobrym sposobem na próbę zidentyfikowania czynników wyzwalających (przyczynowych) bóle głowy dziecka.
  • Zachęcanie dziecka do picia dużej ilości wody, odpoczynku i relaksu w przypadku bólu głowy.
  • Regularne, zdrowe posiłki oraz wystarczająca ilość snu i ćwiczeń są ważne, aby pomóc zapobiegać bólom głowy.
  • Jeśli obawiasz się, że stres powoduje bóle głowy twojego dziecka, ale nie możesz sobie z tym poradzić bez dalszej pomocy, skonsultuj się z lekarzem.
  • Niektóre dziewczęta w wieku dojrzewania mają migrenowe bóle głowy w okresie miesiączki.

Styl życia i modyfikacje środowiskowe

Modyfikacje stylu życia mogą znacząco poprawić zarządzanie bólami głowy u dzieci. Według ekspertów, zachowanie dobrej „higieny bólu głowy” może wyeliminować bóle głowy u dzieci. 50 Kluczowe aspekty to: 51

  • Regularna aktywność fizyczna i ruch są ważne i poprawiają: siłę, sprawność, energię, nastrój, sen, poziomy stresu.
  • Niektóre dzieci mogą zauważyć, że ich bóle głowy mogą się nasilić, jeśli przestaną się ruszać i angażować w codzienne aktywności.
  • Przewlekłe bóle głowy mogą być bardzo stresujące dla dziecka i całej rodziny. Stres i lęk mogą pogorszyć ból głowy. Codzienne stosowanie strategii relaksacyjnych może pomóc zmniejszyć ból.
  • Uzyskanie wystarczającej ilości snu w nocy jest również ważne dla radzenia sobie z bólami głowy.
  • Ważne jest, aby dziecko nadal chodziło do szkoły, nawet z przewlekłymi bólami głowy. Szkoła może być dobrym rozproszeniem uwagi i zapewnić wsparcie społeczne.

Powikłania i rokowanie

Bóle głowy jakiegokolwiek typu, które wracają wielokrotnie (nawracające), mogą powodować: 52

  • Problemy z zachowaniem
  • Problemy z ocenami w szkole
  • Depresję

Dzieci z migrenami opuszczają więcej zajęć szkolnych niż ich rówieśnicy i mają pogorszone wyniki w szkole oraz obniżoną jakość życia, podobną do jakości życia dzieci z reumatoidalnym zapaleniem stawów lub rakiem. 53 Migrena jest główną przyczyną niepełnosprawności na całym świecie wśród starszych nastolatków i młodych dorosłych. 54

Badania wykazały, że niekorzystne doświadczenia w dzieciństwie (stres finansowy; fizyczne, emocjonalne lub seksualne wykorzystywanie; rozwód rodziców; śmierć; choroba psychiczna lub uzależnienie) predysponują do bólu głowy w dzieciństwie, a także później w życiu. 55

Większość bólów głowy nie ma poważnego wpływu na funkcjonowanie dziecka w szkole lub podczas zabawy. Bóle głowy typu napięciowego zwykle wpływają na funkcjonowanie mniej niż migreny. Ale jeśli którykolwiek rodzaj bólu głowy jest bardzo częsty lub ciężki, może zacząć powodować problemy. 56

Dzieci z nawracającymi bólami głowy mają około dwukrotnie większe prawdopodobieństwo nawracających bólów głowy w dorosłości, a także zwiększone prawdopodobieństwo wystąpienia innych objawów fizycznych i chorób współistniejących psychiatrycznych. 57

Długoterminowe perspektywy dla dzieci z bólami głowy różnią się w zależności od rodzaju bólu głowy, jego nasilenia, przyczyny i skuteczności leczenia. Większość dzieci z bólami głowy może prowadzić zdrowe, aktywne życie przy odpowiednim leczeniu. 58

Kiedy potrzebna jest specjalistyczna opieka

Specjalistyczna opieka neurologiczna może być wymagana w następujących przypadkach: 59

  • Niejasna diagnoza
  • Nieadekwatna odpowiedź na leczenie
  • Nasilenie objawów bólu głowy
  • Nowe lub zmieniające się objawy

Dziecko lub nastolatek może potrzebować specjalistycznej pomocy, jeśli ich bóle głowy utrzymują się pomimo uwzględnienia typowych czynników wyzwalających (jak brak snu, jedzenia lub wody) oraz przyjmowania odpowiedniej dawki środków przeciwbólowych, gdy zaczyna się ból głowy. 60

Specjalistyczne wsparcie i leczenie

W przypadku dzieci wymagających specjalistycznej opieki dostępne są różne opcje leczenia: 6162

  • Dzieciom z częstymi bólami głowy mogą być przepisane codzienne leki na ból głowy, aby zmniejszyć nasilenie i częstotliwość bólów głowy. Przepisywane są również leki epizodyczne do leczenia bólów głowy, gdy się pojawiają, aby złagodzić ból i inne objawy związane z bólem głowy.
  • Leczenie toksyną botulinową typu A (Botox) może być zalecane dla dzieci w wieku 12 lat i starszych, które mają przewlekłe migreny, które nie reagowały na inne leczenie. Chociaż powody, dla których Botox działa, nie są dobrze zrozumiane, istnieją silne dowody na to, że może skutecznie zmniejszyć liczbę i nasilenie bólów głowy migrenowych.
  • Witaminy i suplementy mogą odgrywać rolę w zmniejszaniu nasilenia i częstotliwości bólów głowy. Biofeedback, akupunktura, joga, fizjoterapia i trening uważności również mogą być zalecane.
  • Nowsze metody leczenia migren obejmują urządzenia wykorzystujące impulsy elektryczne lub magnetyczne do wpływania na reakcję układu nerwowego na sygnały bólowe.
  • Terapia biofeedback pomaga dzieciom, nastolatkom i młodym dorosłym nauczyć się kontrolować reakcję organizmu na ból i stres.

Zespoły specjalistów zajmujących się bólami głowy mogą również pomóc w uzyskaniu ułatwień dla dziecka lub nastolatka w szkole, aby zmniejszyć wpływ bólów głowy na ich sukces w nauce. 63

Podsumowując, bóle głowy u dzieci są powszechnym problemem, który może mieć znaczący wpływ na ich codzienne życie. Jednak przy odpowiednim rozpoznaniu, leczeniu i wsparciu większość dzieci może skutecznie radzić sobie z bólami głowy i prowadzić normalne, aktywne życie.

Kolejne rozdziały

Zapraszamy do dalszego czytania naszego leksykonu.

Wybierz kolejny rozdział z menu poniżej, aby otworzyć nową podstronę kompedium wiedzy i uzyskać szczegółowe informację o leku, substancji lub chorobie.

  1. 10.04.2026
  2. www.leksykon.com.pl

Materiały źródłowe

  • #1 Patient education: Headache in children (Beyond the Basics) – UpToDate
    https://www.uptodate.com/contents/headache-in-children-beyond-the-basics
    Headaches are a common complaint in children and adolescents, occurring in up to 75 percent of school-aged children. The frequency of headaches is greater in adolescents than in younger children. There are many possible causes of headaches, from common and nonharmful to rare but serious conditions. […] This topic reviews the causes, evaluation, and treatment of headaches in children and adolescents. […] Headache is a symptom and not a disease or disorder itself. Thus, there can be numerous possible causes of headaches in children. The most common causes include the following: Migraine, Tension-type headache, As a symptom associated with viral or upper respiratory infections (including ear infections, the common cold, allergies, sinus infections, strep throat), As a consequence of a minor or moderate head injury. Only a small minority of children with headaches have a serious underlying cause, such as a brain tumor or life-threatening infection.
  • #2 Headaches In Children | Children’s Hospital Colorado
    https://www.childrenscolorado.org/conditions-and-advice/conditions-and-symptoms/conditions/headaches/
    Kids arent just mini adults. In fact, theyre incredibly different. Thats why they need incredibly different care. […] If your child is complaining of headaches, certain characteristics (such as the onset, duration, pain, severity and location of the headache) can help doctors at Children’s Hospital Colorado determine the cause. […] Associated symptoms such as nausea, vomiting, sensitivity to light or sounds and triggers also help our team distinguish between different causes of headaches. […] Headaches can be a common problem in children. Up to 11% of children and 28% of adolescents have reoccurring headaches. Children of both genders and all races can get headaches. […] The signs and symptoms of headaches vary from child to child and can depend on the type of headache. The two most common types of childhood headaches are migraine and tension-type headaches.
  • #3 Patient education: Headache in children (Beyond the Basics) – UpToDate
    https://www.uptodate.com/contents/headache-in-children-beyond-the-basics/print
    Headaches are a common complaint in children and adolescents, occurring in up to 75 percent of school-aged children. The frequency of headaches is greater in adolescents than in younger children. There are many possible causes of headaches, from common and nonharmful to rare but serious conditions. […] This topic reviews the causes, evaluation, and treatment of headaches in children and adolescents. […] The most common causes include the following: Migraine, Tension-type headache, As a symptom associated with viral or upper respiratory infections (including ear infections, the common cold, allergies, sinus infections, strep throat), As a consequence of a minor or moderate head injury. […] Only a small minority of children with headaches have a serious underlying cause, such as a brain tumor or life-threatening infection.
  • #4 Headaches in Kids and Teens: Overview, Causes, Symptoms and Diagnosis
    https://www.nationwidechildrens.org/conditions/headaches
    Most headaches in children are benign. Childrens headaches are very rarely from serious diseases or physical problems. The most common physical causes for acute headaches include: Sinus infections, TMJ (jaw dysfunction), Seasonal allergies, Dental problems, Teeth grinding, Ear infections, Viral infections (like the flu or common cold), Strep throat, Mononucleosis (Mono). […] Headaches are common in children and teens. There are many types of headaches. Each type has their own treatment.
  • #5 Patient education: Headache in children (Beyond the Basics) – UpToDate
    https://www.uptodate.com/contents/headache-in-children-beyond-the-basics/print
    Headaches are a common complaint in children and adolescents, occurring in up to 75 percent of school-aged children. The frequency of headaches is greater in adolescents than in younger children. There are many possible causes of headaches, from common and nonharmful to rare but serious conditions. […] This topic reviews the causes, evaluation, and treatment of headaches in children and adolescents. […] The most common causes include the following: Migraine, Tension-type headache, As a symptom associated with viral or upper respiratory infections (including ear infections, the common cold, allergies, sinus infections, strep throat), As a consequence of a minor or moderate head injury. […] Only a small minority of children with headaches have a serious underlying cause, such as a brain tumor or life-threatening infection.
  • #6 Headaches
    https://www.rch.org.au/kidsinfo/fact_sheets/Headaches/
    A headache is a symptom of pain in the area of the head or neck. Headaches are common in children and adolescents. […] Most headaches in children are not due to a serious underlying problem, but they can be upsetting for the child and have an impact on schooling, sport and play activities. […] If your child’s headaches are severe and persistent, and cause them to miss school or activities more often than once a month, they should be checked by their GP. […] Treating an occasional headache can be as simple as having something to eat and drink, and a lie down to rest and relax. […] If these strategies dont work, it may help to give your child some non-prescription pain medicine, such as paracetamol or ibuprofen. […] To try to prevent headaches, make sure your child is getting enough sleep and rest, regular exercise and balanced nutrition.
  • #7 Patient education: Headache in children (Beyond the Basics) – UpToDate
    https://www.uptodate.com/contents/headache-in-children-beyond-the-basics/print
    The symptoms in a child depend upon the child’s age, the type of headache, and the underlying disorders. Headaches are generally classified as primary (ie, the headache symptom itself is the disease or disorder) or secondary (ie, the headache is a symptom of a separate underlying disease or disorder). […] Headaches may be an associated symptom of a systemic infection or may be directly due to a localized infection of the brain or surrounding tissues. […] If the headache persists after all other symptoms of a head injury have resolved, the child may have a primary headache disorder. […] Tension-type headaches (TTH) cause a pressing tightness that is diffuse and located around both sides of the head or neck. […] Migraine is a disorder of episodic attacks, with headache being one of the symptoms.
  • #8 Patient education: Headache in children (Beyond the Basics) – UpToDate
    https://www.uptodate.com/contents/headache-in-children-beyond-the-basics
    The symptoms in a child depend upon the child’s age, the type of headache, and the underlying disorders. Headaches are generally classified as primary (ie, the headache symptom itself is the disease or disorder) or secondary (ie, the headache is a symptom of a separate underlying disease or disorder). The most common types of primary headaches in childhood are migraine and tension-type headaches, while the most common secondary headaches are associated with an infectious illness or are related to head injury. […] Head injuries (eg, concussion), which can occur at home, school, or while playing sports, are a common cause of headaches. Typically, these headaches last a few hours, with 80 percent getting better within 7 to 10 days. Children who have a head injury and who also have nausea, vomiting, loss of consciousness, or other worrisome signs or symptoms should be evaluated by a health care provider.
  • #9 Patient education: Headache in children (Beyond the Basics) – UpToDate
    https://www.uptodate.com/contents/headache-in-children-beyond-the-basics/print
    The symptoms in a child depend upon the child’s age, the type of headache, and the underlying disorders. Headaches are generally classified as primary (ie, the headache symptom itself is the disease or disorder) or secondary (ie, the headache is a symptom of a separate underlying disease or disorder). […] Headaches may be an associated symptom of a systemic infection or may be directly due to a localized infection of the brain or surrounding tissues. […] If the headache persists after all other symptoms of a head injury have resolved, the child may have a primary headache disorder. […] Tension-type headaches (TTH) cause a pressing tightness that is diffuse and located around both sides of the head or neck. […] Migraine is a disorder of episodic attacks, with headache being one of the symptoms.
  • #10 Headaches in Children – Stanford Medicine Children’s Health
    https://www.stanfordchildrens.org/en/topic/default?id=headaches-in-children-90-P02603
    A headache is pain or discomfort in one or more areas of the head or face. Headaches can happen once in a while. Or they may happen often. […] Headaches are often divided into 2 groups, based on what causes them: […] Primary headaches are not linked to another health condition. They are usually caused by tight muscles, widened (dilated) blood vessels, changes in nerve signals, or swelling (inflammation) in parts of the brain. […] Secondary headaches are the least common type of headaches. They are caused by a problem in the brain, or another health condition or disease. […] Symptoms of tension headaches can include: Pain that starts slowly, Head hurting on both sides, Pain that is dull, Pain that feels like a band around the head, Pain in the back part of the head or neck, Pain mild to moderate, but not severe, Change in the child’s sleep habits.
  • #11 Patient education: Headache in children (Beyond the Basics) – UpToDate
    https://www.uptodate.com/contents/headache-in-children-beyond-the-basics/print
    The symptoms in a child depend upon the child’s age, the type of headache, and the underlying disorders. Headaches are generally classified as primary (ie, the headache symptom itself is the disease or disorder) or secondary (ie, the headache is a symptom of a separate underlying disease or disorder). […] Headaches may be an associated symptom of a systemic infection or may be directly due to a localized infection of the brain or surrounding tissues. […] If the headache persists after all other symptoms of a head injury have resolved, the child may have a primary headache disorder. […] Tension-type headaches (TTH) cause a pressing tightness that is diffuse and located around both sides of the head or neck. […] Migraine is a disorder of episodic attacks, with headache being one of the symptoms.
  • #12 Headaches in Children – Stanford Medicine Children’s Health
    https://www.stanfordchildrens.org/en/topic/default?id=headaches-in-children-90-P02603
    Signs and symptoms of migraines can include: Premigraine symptoms (an aura) such as seeing flashing lights, a change in vision, or funny smells, Pain on one or both sides of the head, Pain that may be throbbing or pounding, Sensitivity to light or sound, Nausea and vomiting, Belly pain discomfort, Sweating, Child looking pale and being quiet. […] Symptoms of cluster headaches can include: Severe pain on one side of the head, usually behind one eye, The eye that is affected may have a droopy lid, small pupil, or redness and swelling of the eyelid, Runny nose or congestion, Swelling of the forehead. […] Treatment will depend on your child’s symptoms, age, and general health. It will also depend on what type of headache your child has and how severe it is. […] The goal of treatment is to stop the headache from occurring. Treatment may include: Resting in a quiet, dark environment, Taking medicines recommended by your child’s healthcare provider, Learning how to manage stress, Staying away from foods and drinks that trigger headaches, Getting enough sleep, Not skipping meals, Making changes to your child’s diet, Getting exercise.
  • #13 Headaches in Children – Stanford Medicine Children’s Health
    https://www.stanfordchildrens.org/en/topic/default?id=headaches-in-children-90-P02603
    Signs and symptoms of migraines can include: Premigraine symptoms (an aura) such as seeing flashing lights, a change in vision, or funny smells, Pain on one or both sides of the head, Pain that may be throbbing or pounding, Sensitivity to light or sound, Nausea and vomiting, Belly pain discomfort, Sweating, Child looking pale and being quiet. […] Symptoms of cluster headaches can include: Severe pain on one side of the head, usually behind one eye, The eye that is affected may have a droopy lid, small pupil, or redness and swelling of the eyelid, Runny nose or congestion, Swelling of the forehead. […] Treatment will depend on your child’s symptoms, age, and general health. It will also depend on what type of headache your child has and how severe it is. […] The goal of treatment is to stop the headache from occurring. Treatment may include: Resting in a quiet, dark environment, Taking medicines recommended by your child’s healthcare provider, Learning how to manage stress, Staying away from foods and drinks that trigger headaches, Getting enough sleep, Not skipping meals, Making changes to your child’s diet, Getting exercise.
  • #14 Patient education: Headache in children (Beyond the Basics) – UpToDate
    https://www.uptodate.com/contents/headache-in-children-beyond-the-basics/print
    The symptoms in a child depend upon the child’s age, the type of headache, and the underlying disorders. Headaches are generally classified as primary (ie, the headache symptom itself is the disease or disorder) or secondary (ie, the headache is a symptom of a separate underlying disease or disorder). […] Headaches may be an associated symptom of a systemic infection or may be directly due to a localized infection of the brain or surrounding tissues. […] If the headache persists after all other symptoms of a head injury have resolved, the child may have a primary headache disorder. […] Tension-type headaches (TTH) cause a pressing tightness that is diffuse and located around both sides of the head or neck. […] Migraine is a disorder of episodic attacks, with headache being one of the symptoms.
  • #15 Headaches in Children: Types, Home Treatments and Prevention | Nationwide Children’s Hospital
    https://www.nationwidechildrens.org/conditions/headaches-in-children
    Headaches are common in children and teens. Learn more about the types and how they are treated. […] Headaches are common in children and teens. There are many types of headaches. Each type has their own treatment. Your childs doctor or health care provider will review their history and do a physical exam to see what type(s) of headache they have. […] Most headaches in children are not serious. Childrens headaches are very rarely from serious diseases or physical problems. Because of their young age, children may not know how to describe pain. Symptoms of headaches include acting quieter or moodier than normal and a drop in their activity.
  • #16 Headaches in Kids and Teens: Overview, Causes, Symptoms and Diagnosis
    https://www.nationwidechildrens.org/conditions/headaches
    Most headaches in children are benign. Childrens headaches are very rarely from serious diseases or physical problems. […] A child with sudden, severe and changing headaches should be seen in the emergency room. […] Younger children often cannot describe their symptoms. Here are some signs that they are having headaches: They are quieter or moodier than usual. They are less active than usual. They do not want to watch TV or play with toys. They want to rest instead of play. They want to sleep more during the day. They complain of belly pain, vomit or have a loss of appetite. Light and noise bother them. They go to a dark and quiet place. […] We take a complete medical history and examine all patients when we evaluate headaches. It is important to talk about all your childs health concerns. Other health problems can cause headaches or make them worse.
  • #17 Headaches in children – Diagnosis & treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/headaches-in-children/diagnosis-treatment/drc-20352104
    To learn about the nature of your child’s headache, your doctor will likely look to: […] Your doctor asks you and your child to describe the headaches in detail, to see if there’s a pattern or a common trigger. […] If your child is otherwise healthy and headaches are the only symptom, no further testing usually is needed. […] Usually you can treat your child’s headache at home with rest, decreased noise, plenty of fluids, balanced meals and over-the-counter (OTC) pain relievers. […] Overuse of medications is itself a contributing factor to headaches (medication overuse headache). […] While stress doesn’t appear to cause headaches, it can act as a trigger for headaches or make a headache worse. […] Encourage your child to rest in a dark, quiet room. Sleeping often resolves headaches in children.
  • #18 Headache in Children and Adolescents
    https://pmc.ncbi.nlm.nih.gov/articles/PMC9455826/
    Headache is a common symptom in children, and it is important to take a detailed history and perform a thorough physical examination to make the diagnosis. […] Nearly 1 in 10 children experience recurrent headaches due to migraine, which cause significant impairment in school performance and quality of life. […] Headaches are a very common and disabling problem for children and adolescents. Globally, nearly 60% of children and adolescents experience significant headache, and 7.7% to 9.1% have migraine. […] Children with migraine miss more school than their peers and have impaired school performance and impaired quality of life, similar to that of children with rheumatoid arthritis or cancer. […] Migraine is the leading cause of disability worldwide for older adolescents and young adults.
  • #19 Content – Health Encyclopedia – University of Rochester Medical Center
    https://www.urmc.rochester.edu/encyclopedia/content?contenttypeid=1&contentid=615
    Headaches aren’t only for adults. Kids get them, too. By the time children reach high school age, most have had some type of headache. […] Your child’s healthcare provider can determine what kind of headache your child has. They will need to talk to both you and your child to see if the headache has an emotional side to it. They will also do a complete physical exam. This will be done along with a neurological exam. Sometimes your child will need brain imaging in the form of either a CT scan or MRI. Your child’s healthcare provider will advise you when it’s necessary to do brain imaging and which test is best for your child. […] Tension headaches are almost always linked to stressful situations at school, competition, family friction, or too many demands by parents. The healthcare provider needs to also find out whether anxiety or depression may be present.
  • #20 Content – Health Encyclopedia – University of Rochester Medical Center
    https://www.urmc.rochester.edu/encyclopedia/content?contenttypeid=1&contentid=615
    Headaches aren’t only for adults. Kids get them, too. By the time children reach high school age, most have had some type of headache. […] Your child’s healthcare provider can determine what kind of headache your child has. They will need to talk to both you and your child to see if the headache has an emotional side to it. They will also do a complete physical exam. This will be done along with a neurological exam. Sometimes your child will need brain imaging in the form of either a CT scan or MRI. Your child’s healthcare provider will advise you when it’s necessary to do brain imaging and which test is best for your child. […] Tension headaches are almost always linked to stressful situations at school, competition, family friction, or too many demands by parents. The healthcare provider needs to also find out whether anxiety or depression may be present.
  • #21 Content – Health Encyclopedia – University of Rochester Medical Center
    https://www.urmc.rochester.edu/encyclopedia/content?contenttypeid=1&contentid=615
    Headaches aren’t only for adults. Kids get them, too. By the time children reach high school age, most have had some type of headache. […] Your child’s healthcare provider can determine what kind of headache your child has. They will need to talk to both you and your child to see if the headache has an emotional side to it. They will also do a complete physical exam. This will be done along with a neurological exam. Sometimes your child will need brain imaging in the form of either a CT scan or MRI. Your child’s healthcare provider will advise you when it’s necessary to do brain imaging and which test is best for your child. […] Tension headaches are almost always linked to stressful situations at school, competition, family friction, or too many demands by parents. The healthcare provider needs to also find out whether anxiety or depression may be present.
  • #22
    https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=ug5372
    If your child is having problems with schoolwork, talk to your child’s teachers. Make sure that the level and amount of schoolwork is appropriate for your child. […] Call your doctor or nurse advice line now or seek immediate medical care if: Your child has headaches after a recent fall or blow to the head. Your child has a fever and a stiff neck. Your child has new nausea and vomiting, or they cannot keep down food or fluids. […] Watch closely for changes in your child’s health, and be sure to contact your doctor or nurse advice line if: Your child wakes up in the morning with a headache and vomiting, and this happens more than a few times. Light hurts your child’s eyes. Your child has a headache that does not get better within 1 or 2 days. Your child’s headaches get worse or happen more often. Your child is often missing school, sports, or other activities because of their headaches.
  • #23 Headache in Children: Care Instructions | Kaiser Permanente
    https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.headache-in-children-care-instructions.ug5372
    Be safe with medicines. Give pain medicines exactly as directed. […] Do not ignore new symptoms that occur with a headache, such as a fever, weakness or numbness, vision changes, vomiting (especially if it happens in the morning), or confusion. These may be signs of a more serious problem. […] To prevent migraines and tension headaches in your child, try these tips. […] If your doctor has prescribed a medicine to prevent headaches, have your child take it as prescribed. Your child may need to take it even when they don’t have a headache. […] Call 911 anytime you think your child may need emergency care. For example, call if: Your child has a very painful, sudden headache that’s different from any they have had before. […] Watch closely for changes in your child’s health, and be sure to contact your doctor if: Your child wakes up in the morning with a headache and vomiting, and this happens more than a few times. […] Your child’s headaches get worse or happen more often.
  • #24 Headache in Children: Care Instructions | Kaiser Permanente
    https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.headache-in-children-care-instructions.ug5372
    Be safe with medicines. Give pain medicines exactly as directed. […] Do not ignore new symptoms that occur with a headache, such as a fever, weakness or numbness, vision changes, vomiting (especially if it happens in the morning), or confusion. These may be signs of a more serious problem. […] To prevent migraines and tension headaches in your child, try these tips. […] If your doctor has prescribed a medicine to prevent headaches, have your child take it as prescribed. Your child may need to take it even when they don’t have a headache. […] Call 911 anytime you think your child may need emergency care. For example, call if: Your child has a very painful, sudden headache that’s different from any they have had before. […] Watch closely for changes in your child’s health, and be sure to contact your doctor if: Your child wakes up in the morning with a headache and vomiting, and this happens more than a few times. […] Your child’s headaches get worse or happen more often.
  • #25 Patient education: Headache in children (Beyond the Basics) – UpToDate
    https://www.uptodate.com/contents/headache-in-children-beyond-the-basics/print
    The treatment of headaches depends upon the child’s age, the type and frequency of headaches, and other factors. […] A child who has a headache caused by an underlying illness or minor head injury should have the underlying illness treated. […] Infrequent tension-type headache (TTH) is defined as occurring less than once per month. […] Children with infrequent tension-type headaches may be treated with an over-the-counter (OTC) pain medication, such as children’s acetaminophen or ibuprofen. […] If a child has frequent or chronic TTH (ie, ≥15 headache days per month), the first line of treatment is an OTC rescue pain medication. […] If the headaches do not improve with rescue medication, the health care provider may recommend that the child be evaluated by a specialist (eg, neurologist).
  • #26 Headaches in Children – Stanford Medicine Children’s Health
    https://www.stanfordchildrens.org/en/topic/default?id=headaches-in-children-90-P02603
    Signs and symptoms of migraines can include: Premigraine symptoms (an aura) such as seeing flashing lights, a change in vision, or funny smells, Pain on one or both sides of the head, Pain that may be throbbing or pounding, Sensitivity to light or sound, Nausea and vomiting, Belly pain discomfort, Sweating, Child looking pale and being quiet. […] Symptoms of cluster headaches can include: Severe pain on one side of the head, usually behind one eye, The eye that is affected may have a droopy lid, small pupil, or redness and swelling of the eyelid, Runny nose or congestion, Swelling of the forehead. […] Treatment will depend on your child’s symptoms, age, and general health. It will also depend on what type of headache your child has and how severe it is. […] The goal of treatment is to stop the headache from occurring. Treatment may include: Resting in a quiet, dark environment, Taking medicines recommended by your child’s healthcare provider, Learning how to manage stress, Staying away from foods and drinks that trigger headaches, Getting enough sleep, Not skipping meals, Making changes to your child’s diet, Getting exercise.
  • #27 Patient education: Headache in children (Beyond the Basics) – UpToDate
    https://www.uptodate.com/contents/headache-in-children-beyond-the-basics/print
    The treatment of headaches depends upon the child’s age, the type and frequency of headaches, and other factors. […] A child who has a headache caused by an underlying illness or minor head injury should have the underlying illness treated. […] Infrequent tension-type headache (TTH) is defined as occurring less than once per month. […] Children with infrequent tension-type headaches may be treated with an over-the-counter (OTC) pain medication, such as children’s acetaminophen or ibuprofen. […] If a child has frequent or chronic TTH (ie, ≥15 headache days per month), the first line of treatment is an OTC rescue pain medication. […] If the headaches do not improve with rescue medication, the health care provider may recommend that the child be evaluated by a specialist (eg, neurologist).
  • #28 Headaches in children – Diagnosis & treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/headaches-in-children/diagnosis-treatment/drc-20352104
    To learn about the nature of your child’s headache, your doctor will likely look to: […] Your doctor asks you and your child to describe the headaches in detail, to see if there’s a pattern or a common trigger. […] If your child is otherwise healthy and headaches are the only symptom, no further testing usually is needed. […] Usually you can treat your child’s headache at home with rest, decreased noise, plenty of fluids, balanced meals and over-the-counter (OTC) pain relievers. […] Overuse of medications is itself a contributing factor to headaches (medication overuse headache). […] While stress doesn’t appear to cause headaches, it can act as a trigger for headaches or make a headache worse. […] Encourage your child to rest in a dark, quiet room. Sleeping often resolves headaches in children.
  • #29 Patient education: Headache in children (Beyond the Basics) – UpToDate
    https://www.uptodate.com/contents/headache-in-children-beyond-the-basics/print
    The treatment of headaches depends upon the child’s age, the type and frequency of headaches, and other factors. […] A child who has a headache caused by an underlying illness or minor head injury should have the underlying illness treated. […] Infrequent tension-type headache (TTH) is defined as occurring less than once per month. […] Children with infrequent tension-type headaches may be treated with an over-the-counter (OTC) pain medication, such as children’s acetaminophen or ibuprofen. […] If a child has frequent or chronic TTH (ie, ≥15 headache days per month), the first line of treatment is an OTC rescue pain medication. […] If the headaches do not improve with rescue medication, the health care provider may recommend that the child be evaluated by a specialist (eg, neurologist).
  • #30 Headaches in Children and Adolescents | AAFP
    https://www.aafp.org/pubs/afp/issues/2002/0215/p625.html
    Migraine with or without aura is the most common form of acute-recurrent headache in children. […] Treatment of childhood migraine is divided into two phases: general measures and pharmacologic management. […] The mainstay of management of childhood migraine is the intermittent use of oral analgesics. […] Acetaminophen (Tylenol), ibuprofen and naproxen sodium (Anaprox), when taken as early in the course of the headache as possible, are usually effective. […] The use of naproxen sodium (230 to 500 mg twice daily) is not generally associated with rebound headache, and the agent has no potential for abuse. […] Management of headache in this population is challenging. […] A comprehensive therapeutic plan must be established. […] It is essential to avoid the use of narcotics in patients with chronic-daily headache. […] The prevalence of chronic-nonprogressive (or chronic-daily) headache during adolescence is 0.2 to 0.9 percent. […] A mixed-headache pattern implies migraine superimposed on a chronic-daily headache pattern.
  • #31 Headaches in Children and Adolescents | AAFP
    https://www.aafp.org/pubs/afp/issues/2002/0215/p625.html
    Headaches are common during childhood and become more common and increase in frequency during adolescence. […] The rational, cost-effective evaluation of children with headache begins with a careful history. […] Once the headache diagnosis is established, management must be based on the frequency and severity of headache and the impact on the patient’s lifestyle. […] Treatment of childhood migraine includes the intermittent use of oral analgesics and antiemetics and, occasionally, daily prophylactic agents. […] Often, the most important therapeutic intervention is confident reassurance about the absence of serious underlying neurologic disease. […] The medical evaluation of a child or adolescent presenting with headache requires a thorough history followed by a complete physical and neurologic examination.
  • #32 Headaches in Children and Adolescents | AAFP
    https://www.aafp.org/pubs/afp/issues/2002/0215/p625.html
    Migraine with or without aura is the most common form of acute-recurrent headache in children. […] Treatment of childhood migraine is divided into two phases: general measures and pharmacologic management. […] The mainstay of management of childhood migraine is the intermittent use of oral analgesics. […] Acetaminophen (Tylenol), ibuprofen and naproxen sodium (Anaprox), when taken as early in the course of the headache as possible, are usually effective. […] The use of naproxen sodium (230 to 500 mg twice daily) is not generally associated with rebound headache, and the agent has no potential for abuse. […] Management of headache in this population is challenging. […] A comprehensive therapeutic plan must be established. […] It is essential to avoid the use of narcotics in patients with chronic-daily headache. […] The prevalence of chronic-nonprogressive (or chronic-daily) headache during adolescence is 0.2 to 0.9 percent. […] A mixed-headache pattern implies migraine superimposed on a chronic-daily headache pattern.
  • #33 Headaches in Children and Adolescents | AAFP
    https://www.aafp.org/pubs/afp/issues/2002/0215/p625.html
    Migraine with or without aura is the most common form of acute-recurrent headache in children. […] Treatment of childhood migraine is divided into two phases: general measures and pharmacologic management. […] The mainstay of management of childhood migraine is the intermittent use of oral analgesics. […] Acetaminophen (Tylenol), ibuprofen and naproxen sodium (Anaprox), when taken as early in the course of the headache as possible, are usually effective. […] The use of naproxen sodium (230 to 500 mg twice daily) is not generally associated with rebound headache, and the agent has no potential for abuse. […] Management of headache in this population is challenging. […] A comprehensive therapeutic plan must be established. […] It is essential to avoid the use of narcotics in patients with chronic-daily headache. […] The prevalence of chronic-nonprogressive (or chronic-daily) headache during adolescence is 0.2 to 0.9 percent. […] A mixed-headache pattern implies migraine superimposed on a chronic-daily headache pattern.
  • #34 Headaches in children – Hancock Health
    https://www.hancockhealth.org/mayo-health-library/headaches-in-children/
    The following may help you prevent headaches or reduce the severity of headaches in children: Practice healthy behaviors, Reduce stress, Keep a headache diary, Avoid headache triggers, Follow your doctor’s plan. […] OTC pain medications, such as acetaminophen or ibuprofen (Advil, Motrin IB, others), are usually effective in reducing headache pain. […] In addition to OTC pain medications, the following can help ease your child’s headache: Rest and relaxation, Use a cool, wet compress, Offer a healthy snack. […] Until you see your child’s doctor, if your child has a headache, place a cool, wet cloth on your child’s forehead and encourage him or her to rest in a dark, quiet room.
  • #35 Headaches in children – Diagnosis & treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/headaches-in-children/diagnosis-treatment/drc-20352104
    To learn about the nature of your child’s headache, your doctor will likely look to: […] Your doctor asks you and your child to describe the headaches in detail, to see if there’s a pattern or a common trigger. […] If your child is otherwise healthy and headaches are the only symptom, no further testing usually is needed. […] Usually you can treat your child’s headache at home with rest, decreased noise, plenty of fluids, balanced meals and over-the-counter (OTC) pain relievers. […] Overuse of medications is itself a contributing factor to headaches (medication overuse headache). […] While stress doesn’t appear to cause headaches, it can act as a trigger for headaches or make a headache worse. […] Encourage your child to rest in a dark, quiet room. Sleeping often resolves headaches in children.
  • #36 Headache – Child Neurology Foundation
    https://www.childneurologyfoundation.org/disorder/headache/
    Most headaches can be treated with over-the-counter medications such as ibuprofen, naproxen, or acetaminophen. […] It is important to treat a headache as soon as possible. This is because the medicines work best if given early, when the pain is not as bad. […] Many children can achieve good control of their headaches by practicing healthy habits every day. These healthy habits include drinking lots of water and other fluids. […] If a child has very frequent headaches or if the headaches are very severe, a daily prevention medication may be needed. […] For secondary headaches, it is most important to treat the problem causing the headache. For example, if the headache is caused by infection, then the infection needs to be treated. […] Most headaches do not seriously affect a child’s function at school or play. Tension headaches usually affect function less than migraine headaches. But if either type of headache is very frequent or severe, it can start to cause problems. […] This is why it is important to work with a child’s doctor to come up with an effective treatment plan as soon as possible.
  • #37 Headaches in children | UM Health-Sparrow
    https://www.uofmhealthsparrow.org/departments-conditions/conditions/headaches-children
    OTC pain medications, such as acetaminophen or ibuprofen (Advil, Motrin IB, others), are usually effective in reducing headache pain. […] Encourage your child to rest in a dark, quiet room. Sleeping often resolves headaches in children. […] Although they haven’t been well studied, a number of dietary supplements have been suggested to help children’s headaches, including: Riboflavin, Magnesium, Coenzyme Q10, Vitamin D. […] Several alternative treatments may also be helpful for headaches in children, including: Acupuncture, Massage can help reduce stress and relieve tension, and may help ease headaches.
  • #38 Headache in Children: Care Instructions | Kaiser Permanente
    https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.headache-in-children-care-instructions.ug5372
    Headaches have many possible causes. Most headaches are not a sign of a more serious problem, and they will get better on their own. Home treatment may help your child feel better soon. […] If your child’s headaches continue, get worse, or occur along with new symptoms, your child may need more testing and treatment. Watch for changes in your child’s pain and other symptoms. These may be signs of a more serious problem. […] Follow-up care is a key part of your child’s treatment and safety. Be sure to make and go to all appointments, and call your doctor if your child is having problems. It’s also a good idea to know your child’s test results and keep a list of the medicines your child takes. […] Have your child rest in a quiet, dark room until the headache is gone. It’s best for your child to close their eyes and try to relax or go to sleep. Tell your child not to watch TV or read.
  • #39
    https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=ut1851
    Headaches are a common problem for children. Tension headaches are often caused or „triggered” by physical or emotional stress. Other triggers include feeling fatigued, skipping meals, and grinding or clenching teeth. Frequent use of pain medicine can also make tension headaches more frequent and severe. […] Most headaches in children are not a sign of a more serious problem and will get better on their own. Home treatment may help your child feel better faster. […] Follow-up care is a key part of your child’s treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line if your child is having problems. […] Here are some steps you can take to treat your child’s tension headaches at home. Have your child rest in a quiet, dark room. Most headaches will go away within 24 hours with rest or sleep.
  • #40 Providing Care for Children With Headache
    https://www.contemporaryclinic.com/view/children-with-headache-may-benefit-from-clinical-pathways
    In cases of severe acute onset of headache, an emergency department may serve as the initial point of care. […] Headaches that continue and worsen in severity and frequency may be reported by parents as a chronic condition. However, there are no clear guidelines about when to refer a child with headache to a pediatric neurologist, Rende said. […] Given the challenges associated with diagnosing a headache’s cause, clinical pathways can serve as road maps for providers. […] For children with primary headache, the desired outcomes include correct diagnosis of the type of headache, appropriate diagnostic testing, and management of headache pain for home, school, and extracurricular activities. […] Use of clinical pathway should improve headache guideline adherence, which leads to better patient outcomes. […] We may not be able to take away the pain entirely, but we can improve the quality of life, said Rende. Our goal is to decrease disability.
  • #41 Evidence Based Strategies: Pediatric Headaches Giving You a Headache? | Children’s Mercy Kansas City
    https://www.childrensmercy.org/health-care-providers/refer-or-manage-a-patient/connect-with-childrens-mercy/newsletter-the-link/2024/the-link—2024/evidence-based-strategies-pediatric-headaches-giving-you-a-headache/
    Although headache in the pediatric population is a common complaint in the primary care setting, little education on management is given to providers. Over 60% of children will complain of a headache, and about 8%-15% of children have migraines. […] Headache in pediatrics is a common and an increasing problem. Pediatricians have an abundance of treatments to try before referral to a specialist. Knowledge of red flag symptoms and taking a good history is vital to triaging these patients. Treatments including NSAID medications and triptans are the mainstay of primary care acute headache management. Preventive treatment is more commonly managed by specialists; however, pediatricians can initiate treatment if they are comfortable. Prevention tools should include lifestyle management, and may also include supplements, medication, neuromodulators and adjunctive therapy.
  • #42
    https://healthychildren.org/English/health-issues/conditions/head-neck-nervous-system/Pages/Headaches-When-to-Call-the-Pediatrician.aspx
    There are a number of types of headaches, as well as potential causes. So, it can be helpful to see if a pattern develops. There are many different apps and online tools available to help you and/or your child. Your pediatrician will use this information to determine the best course of treatment. […] Each type of headache may be treated differently. A detailed history and physical exam help your pediatrician figure out what kind of headache your child has. Based on your child’s diagnosis, your pediatrician will create a plan with you on how to best relieve your child’s pain. […] Many times, when children get headaches, they’ll be gone as quickly as they come. Rest, rehydration, and healthy routines will usually keep them go away. But, be sure to call your pediatrician any time you have concerns about your child’s headache pain.
  • #43 Headaches vs. Migraines in Kids: How to Tell the Difference | Lurie Children’s
    https://www.luriechildrens.org/en/blog/headaches-and-migraines-in-kids/
    Talk to a doctor if your child has more than two headaches a month. Headaches can become chronic, defined as 15 or more in a month. That’s why they should be treated before they are chronic, says Dr. Bicknese. If pediatric migraine symptoms occur, a healthcare provider may: Offer headache lifestyle counseling around diet, sleep and other daily habits, prescribe medication to treat head pain, recommend medical procedures to help block nerve signals that cause pain. […] Most headaches in children are not due to underlying health conditions. But there are some symptoms you should tell your child’s healthcare provider about right away. Call your provider if your child has severe head pain that begins suddenly or if they have a headache with: Confusion or dizziness, difficulty standing, moving or walking, fever, nausea and vomiting, shortness of breath, stiff neck, weakness or loss of sensation.
  • #44 Headaches in children – Symptoms & causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/headaches-in-children/symptoms-causes/syc-20352099
    A number of factors can cause your child to develop headaches. Factors include: Illness and infection. Common illnesses such as colds, flu, and ear and sinus infections are some of the most frequent causes of headaches in children. […] Stress and anxiety perhaps triggered by problems with peers, teachers or parents can play a role in children’s headaches. […] The following may help you prevent headaches or reduce the severity of headaches in children: Practice healthy behaviors. Behaviors that promote general good health also may help prevent headaches for your child. […] Your doctor may recommend preventive medication if the headaches are severe, occur daily and interfere with your child’s normal lifestyle.
  • #45 Headaches in Children – Stanford Medicine Children’s Health
    https://www.stanfordchildrens.org/en/topic/default?id=headaches-in-children-90-P02603
    Talk with your child’s healthcare providers about the risks, benefits, and possible side effects of all treatments. […] Headaches of any type that come back again and again (recurrent) can cause: Behavior problems, Problems with grades at school, Depression. […] Headaches in a child may be prevented by things such as: Taking medicines recommended by your child’s healthcare provider, Learning how to manage stress, Staying away from foods and drinks that trigger headaches, Getting enough sleep, Not skipping meals, Making changes to your child’s diet, Getting exercise.
  • #46 Headaches in Children: Causes, Types & Pain Relief
    https://my.clevelandclinic.org/health/diseases/4225-headaches-in-children
    Your healthcare provider may teach your child about certain headache triggers. Common triggers include: Lack of sleep. Specific foods. Caffeinated drinks (tea, coffee, soda). Chocolate. Nitrates (lunch meats, ham, bacon, sausage, pepperoni, hot dogs). Aged cheeses (tyramine-containing foods, like pizza). MSG-containing foods. […] Avoiding triggers and taking preventative medications can help reduce the risk of headaches. Ask your healthcare provider which medications are most effective for your child. […] Headaches can affect your child in several ways. They can reduce their quality of life at school and home. But avoiding common triggers and finding appropriate treatment can significantly improve your childs quality of life. […] Remember, its not uncommon for a child to have headaches. Although they may happen frequently, interfere with your childs life and be very painful, headaches wont cause permanent damage to their brain and its very unlikely theres a brain tumor. If your child is struggling with headaches, schedule an appointment with your healthcare provider right away.
  • #47 Headaches in children | UM Health-Sparrow
    https://www.uofmhealthsparrow.org/departments-conditions/conditions/headaches-children
    A number of factors can cause your child to develop headaches. Factors include: Common illnesses such as colds, flu, and ear and sinus infections are some of the most frequent causes of headaches in children. […] Stress and anxiety perhaps triggered by problems with peers, teachers or parents can play a role in children’s headaches. […] Behaviors that promote general good health also may help prevent headaches for your child. These lifestyle measures include getting plenty of sleep, staying physically active, eating healthy meals and snacks, drinking up to eight glasses of water daily, and limiting caffeine. […] Your doctor may recommend preventive medication if the headaches are severe, occur daily and interfere with your child’s normal lifestyle. Certain medications taken at regular intervals such as certain antidepressants, anti-seizure medications or beta blockers may reduce the frequency and severity of headaches.
  • #48 Headaches
    https://www.rch.org.au/kidsinfo/fact_sheets/Headaches/
    Keeping a headache diary is a good way to try to identify what triggers (causes) your child’s headaches. […] Some headaches can be serious, so if you are concerned, see your GP. […] Your child should see the GP if the headaches are getting worse, they are having a headache more than once a week, the headache wakes your child from sleep or the headache is worse in the morning, the headache is associated with vision changes, vomiting or high fevers, the headaches begin to disrupt your child’s school, home or social life, you identify that stress is causing your child’s headaches but cannot manage it without further help. […] Regular healthy meals, and enough sleep and exercise are important to help prevent headaches. […] Headaches are common in children and generally not serious. […] They can have an impact on schooling, sport and play activities. […] Keeping a headache diary can help identify the things that trigger your child’s headaches, so you can try to avoid them. […] Some headaches can be serious, so see your GP if you are concerned.
  • #49 Headache in children and teenagers | Raising Children Network
    https://raisingchildren.net.au/guides/a-z-health-reference/headache
    If your child has a headache, encourage them to drink plenty of water. Resting or lying in a dark room can also help. […] Treatment will also depend on the type and underlying cause of the headache. Your doctor will help you manage underlying causes with medicine and other advice. […] Your child might be able to prevent headaches by managing stress, getting a good nights sleep, including going to bed and getting up at regular times and limiting screens in the bedroom, drinking plenty of water to avoid getting dehydrated, eating regular meals and doing regular exercise, avoiding caffeinated drinks like cola, tea, coffee and energy drinks, working out what other things trigger their headaches and avoiding these things.
  • #50 when to be concerned about headaches | Dayton Children’s Hospital
    https://www.childrensdayton.org/the-hub/when-be-concerned-about-headaches
    According to the National Headache Foundation, 20% of school-age children ages 5-17 in the U.S. are prone to headaches. And up to 40% have their first headache before they reach kindergarten. […] The best way to prevent headaches is to practice good „headache hygiene.” Evidence shows that practicing good headache hygiene can eliminate headaches in children. […] Over-the-counter medications such as Tylenol or ibuprofen are good options for children with headaches but should not be overused. If your child needs Tylenol on a regular basis a preventive should be considered. This will help ensure that your child does not end up with rebound or medication overuse headaches in addition to their existing headaches. […] Any headache that is interfering with your child’s day-to-day activity should be brought up to their primary care provider.
  • #51 Headaches in children factsheet | The Sydney Children’s Hospitals Network
    https://www.schn.health.nsw.gov.au/headaches-children-factsheet
    Pain relief for headaches can be discussed with your child’s doctor. […] Over-the-counter pain medicines like paracetamol and ibuprofen can help with persistent headaches. […] Some children get relief from headaches with acupuncture. […] Regular movement and physical activity are important and improve: strength, fitness, energy, mood, sleep, stress levels. […] Some children may find their headaches can get worse if they stop moving and engaging in everyday activities. […] Persistent headaches can be very stressful for your child and the whole family. Stress and anxiety can worsen headache pain. Using relaxation strategies daily can help reduce pain. […] Speak to your child’s doctor about any recommended relaxation videos or apps. […] Getting enough sleep at night is also important for managing headaches. […] It is important that your child continues to go to school, even with persistent headaches. School can be a good distraction and provide social support.
  • #52 Headaches in Children – Stanford Medicine Children’s Health
    https://www.stanfordchildrens.org/en/topic/default?id=headaches-in-children-90-P02603
    Talk with your child’s healthcare providers about the risks, benefits, and possible side effects of all treatments. […] Headaches of any type that come back again and again (recurrent) can cause: Behavior problems, Problems with grades at school, Depression. […] Headaches in a child may be prevented by things such as: Taking medicines recommended by your child’s healthcare provider, Learning how to manage stress, Staying away from foods and drinks that trigger headaches, Getting enough sleep, Not skipping meals, Making changes to your child’s diet, Getting exercise.
  • #53 Headache in Children and Adolescents
    https://pmc.ncbi.nlm.nih.gov/articles/PMC9455826/
    Headache is a common symptom in children, and it is important to take a detailed history and perform a thorough physical examination to make the diagnosis. […] Nearly 1 in 10 children experience recurrent headaches due to migraine, which cause significant impairment in school performance and quality of life. […] Headaches are a very common and disabling problem for children and adolescents. Globally, nearly 60% of children and adolescents experience significant headache, and 7.7% to 9.1% have migraine. […] Children with migraine miss more school than their peers and have impaired school performance and impaired quality of life, similar to that of children with rheumatoid arthritis or cancer. […] Migraine is the leading cause of disability worldwide for older adolescents and young adults.
  • #54 Headache in Children and Adolescents
    https://pmc.ncbi.nlm.nih.gov/articles/PMC9455826/
    Headache is a common symptom in children, and it is important to take a detailed history and perform a thorough physical examination to make the diagnosis. […] Nearly 1 in 10 children experience recurrent headaches due to migraine, which cause significant impairment in school performance and quality of life. […] Headaches are a very common and disabling problem for children and adolescents. Globally, nearly 60% of children and adolescents experience significant headache, and 7.7% to 9.1% have migraine. […] Children with migraine miss more school than their peers and have impaired school performance and impaired quality of life, similar to that of children with rheumatoid arthritis or cancer. […] Migraine is the leading cause of disability worldwide for older adolescents and young adults.
  • #55 Headache in Children and Adolescents
    https://pmc.ncbi.nlm.nih.gov/articles/PMC9455826/
    It is important to know what the child does not have as well as what the child does have. Life-threatening causes such as brain tumors occur in approximately 2% to 3% of children who present to the emergency department for headache and in about 1% of children with headache seen in primary care. […] Studies have demonstrated that adverse experiences in childhood (financial stress; physical, emotional, or sexual abuse; parental divorce; death; mental illness; or addiction) predispose to headache in childhood as well as later in life. […] The majority of children and adolescents who seek care in outpatient neurology and headache clinics have migraine. […] Preventive treatment should be considered in all children who have frequent headaches or significant headache-related disability, or both. […] Children with recurrent headaches have approximately double the likelihood of recurrent headaches in adulthood and also have increased likelihood of having other physical symptoms and psychiatric comorbidities.
  • #56 Headache – Child Neurology Foundation
    https://www.childneurologyfoundation.org/disorder/headache/
    Most headaches can be treated with over-the-counter medications such as ibuprofen, naproxen, or acetaminophen. […] It is important to treat a headache as soon as possible. This is because the medicines work best if given early, when the pain is not as bad. […] Many children can achieve good control of their headaches by practicing healthy habits every day. These healthy habits include drinking lots of water and other fluids. […] If a child has very frequent headaches or if the headaches are very severe, a daily prevention medication may be needed. […] For secondary headaches, it is most important to treat the problem causing the headache. For example, if the headache is caused by infection, then the infection needs to be treated. […] Most headaches do not seriously affect a child’s function at school or play. Tension headaches usually affect function less than migraine headaches. But if either type of headache is very frequent or severe, it can start to cause problems. […] This is why it is important to work with a child’s doctor to come up with an effective treatment plan as soon as possible.
  • #57 Headache in Children and Adolescents
    https://pmc.ncbi.nlm.nih.gov/articles/PMC9455826/
    It is important to know what the child does not have as well as what the child does have. Life-threatening causes such as brain tumors occur in approximately 2% to 3% of children who present to the emergency department for headache and in about 1% of children with headache seen in primary care. […] Studies have demonstrated that adverse experiences in childhood (financial stress; physical, emotional, or sexual abuse; parental divorce; death; mental illness; or addiction) predispose to headache in childhood as well as later in life. […] The majority of children and adolescents who seek care in outpatient neurology and headache clinics have migraine. […] Preventive treatment should be considered in all children who have frequent headaches or significant headache-related disability, or both. […] Children with recurrent headaches have approximately double the likelihood of recurrent headaches in adulthood and also have increased likelihood of having other physical symptoms and psychiatric comorbidities.
  • #58 Headaches | Boston Children’s Hospital
    https://www.childrenshospital.org/conditions/headaches
    The long-term outlook for children with headaches varies depending on the type of headache, its severity, its cause, and the effectiveness of treatment. Most children with headaches can lead healthy, active lives with proper treatment. […] We specialize in diagnosing and treating headaches in children and young adults through a comprehensive approach. Our services include personalized care and recommendations, coordination with your child’s primary care provider, access to our multidisciplinary clinic.
  • #59 Headache Clinical Pathway — Primary Care | Children’s Hospital of Philadelphia
    https://www.chop.edu/clinical-pathway/headache-primary-care-clinical-pathway
    Refer to Neurology as needed for: Unclear diagnosis […] Inadequate treatment response […] Headache symptoms worsening […] New or changing symptoms […] Outpatient Evaluation […] Brain MRI with and without contrast Indicate in the order: contrast given at radiologists discretion […] and/or PCP follow-up to reassess symptoms, labs as indicated […] and/or Refer to Neurology Indicate urgency of follow-up […] Headache in Children and Adolescents […] Acute Treatment of Migraine in Children and Adolescents […] Pharmacologic Treatment for Pediatric Migraine Prevention […] Pediatric Headache Program.
  • #60 Headache Program–Seattle Children’s Hospital
    https://www.seattlechildrens.org/clinics/neurosciences/services/headache-program/
    Newer treatments for migraine headaches include devices that use electrical or magnetic pulses to affect how the nervous system responds to pain signals. […] Biofeedback therapy helps children, teens and young adults learn how to control their body’s response to pain and stress. […] This specialized clinic is for children and teens with disabling headache syndromes that don’t go away (intractable) who are referred by a Seattle Children’s neurology provider. […] We support you in getting accommodations for your child or teen at school to reduce the impact of headaches on their school success. […] Your child or teen may need expert help if their headaches continue despite addressing common triggers (like lack of sleep, food or water) and taking the right dose of pain relievers when their headache starts.
  • #61 Chronic Headaches in Children | Duke Health
    https://www.dukehealth.org/treatments/pediatric-neurology/chronic-headaches-children
    Children with frequent headaches may be prescribed daily headache medications to decrease the severity and frequency of their headaches. Episodic medications are also recommended to treat headaches when they happen, to relieve pain and other symptoms related to a headache. […] Botulinum toxin A (Botox) treatments may be recommended for children age 12 and older who have chronic migraine headaches that have not responded to other treatments. Although the reasons why Botox works are not well understood, there is strong evidence that it can effectively reduce the number and severity of migraine headaches. […] Vitamins and supplements may play a role in reducing the severity and frequency of headaches. Biofeedback, acupuncture, yoga, physical therapy, and mindfulness training may also be recommended. We provide referrals to appropriate community resources if these therapies are part of your childs treatment plan.
  • #62 Headache Program–Seattle Children’s Hospital
    https://www.seattlechildrens.org/clinics/neurosciences/services/headache-program/
    Newer treatments for migraine headaches include devices that use electrical or magnetic pulses to affect how the nervous system responds to pain signals. […] Biofeedback therapy helps children, teens and young adults learn how to control their body’s response to pain and stress. […] This specialized clinic is for children and teens with disabling headache syndromes that don’t go away (intractable) who are referred by a Seattle Children’s neurology provider. […] We support you in getting accommodations for your child or teen at school to reduce the impact of headaches on their school success. […] Your child or teen may need expert help if their headaches continue despite addressing common triggers (like lack of sleep, food or water) and taking the right dose of pain relievers when their headache starts.
  • #63 Headache Program–Seattle Children’s Hospital
    https://www.seattlechildrens.org/clinics/neurosciences/services/headache-program/
    Newer treatments for migraine headaches include devices that use electrical or magnetic pulses to affect how the nervous system responds to pain signals. […] Biofeedback therapy helps children, teens and young adults learn how to control their body’s response to pain and stress. […] This specialized clinic is for children and teens with disabling headache syndromes that don’t go away (intractable) who are referred by a Seattle Children’s neurology provider. […] We support you in getting accommodations for your child or teen at school to reduce the impact of headaches on their school success. […] Your child or teen may need expert help if their headaches continue despite addressing common triggers (like lack of sleep, food or water) and taking the right dose of pain relievers when their headache starts.