Migraine Headaches

by Kirstin Lee, M.D. on July 12, 2010 · 1 comment

Several parents have asked about migraine headaches lately. Migraine headaches are common and it is true that they run in families, including mine. These troublesome headaches come in many variations, but usually have some combination of head pain, nausea/vomiting, abdominal pain, sensitivity to light/sound, and improve somewhat with sleep. Rarely, they cause temporary blindness, paralysis and other frightening problems.

 Migraines can start early and do sometimes occur in infants and toddlers. In young children they are more common in boys, but once you hit puberty they are much more common in females.  Twenty-five percent of all women are affected. Don’t we all love those female hormones!

 Acetaminophen and Ibuprofen are the baseline treatment. There are several additional treatment options depending on your child’s age and the frequency and severity of the headaches. Regardless of which treatment you use for your child, it should start at the very beginning of each headache and include sleep whenever possible. The longer you wait to treat these, the harder they are to treat.

 There are common and uncommon triggers and everyone is a bit different. Things like stress, changes in sleep patterns, changes in caffeine intake, rapid changes in the weather, hormonal changes, and many others things can trigger migraines. One of the worst migraines I ever had was triggered by smelling gasoline fumes while waiting in long line to ride go-carts. It was not worth it!

 Severe or recurrent headaches should always be discussed with your child’s physician.

 Does anyone else have specific triggers for their own or their children’s migraines? Does anyone have any tricks they use to help make their kids more comfortable during headaches?

The ChildrensMD site is intended as a reference and information source only. If you suspect you have a health problem, you should seek immediate care with the appropriate heath care professionals. The information in this web site is not a substitute for professional care, and must not be used for self-diagnosis or treatment. For help finding a doctor, St. Louis Children's Hospital Answer Line may be of assistance at 314.454.KIDS. BJC HealthCare assumes no liability for the information contained in this web site or for its use.

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{ 1 comment… read it below or add one }

1 Jared July 13, 2010 at 10:34 am

The only trigger we’ve identified is Speghetti-O’s, and it is far from consistent. I haven’t identified any others yet, but my 5-year-old (just turned 6) gets them very frequently. Both mom and dad get them, and three out of four grandparents. The only surprise is that my other daughter hasn’t had any….yet.

The trouble is, once a 5-year-old figures out she can get out of unpleasant activities, or awkward situations, by having a headache, it becomes a convenient excuse. Sometimes it’s really hard to tell when she is truly having one. However, once they progress to a certain level, her eyes get glassy, enticing her with distraction fails, and she craves lap time. Usually it’s followed by a long nap.

This dynamic makes determining triggers even more tricky than it already is.

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