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It in fact could be caffeine headache but it could also be migraine
or tension headache
or functional headache.
Headache is not the only or the first symptom of tonsillitis
, other symptoms like fever
, throat pain , pain while swallowing are more important. All school going children have tonsils which might look quiet big when looked at but if their is no problem tonsillectomy
is not recommended , it will regress by 15 years of age.
We will need to know if his headache improves after having caffeine and if he has headache only at his mothers place when he is not having coffee. If so, then start him on coffee and gradually decrease coffee quantity over few days and then stop it.
For other causes of headache - if their is a family history of headache , it could be migraine or if his headache is band like around his head - could be tension headache .Also because of the emotional stress
he might be going through could lead to a functional headache.
Make sure he is sleeping well at night for 6 to 7 hours , having fluids, his school performance is not deteriorating , if he is having other symptoms with headache( like flash of light, vomiting
, relief after sleeping , etc) and any change in behaviour.
If his headache continues or worsen - might require further investigations.
Hope you find this response useful.
Dr. Sanjukta Bose