Chronic Illness • Jul 12, 2010

Migraine Headaches

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?

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