Question: My daughter is 9, turning 10 years old. She was a figure skating athlete with an active life. But 6 weeks ago she got up complaining of headache and it has been constant since then. She has tried Tylenol and Advil, separate or combined, but neither way helps. She didn't fall hitting her head and didn't think she had any hard fall jerking her neck/head either. She has been very normal prior to the first day of headache. The first week she was afraid of loud noise but problem disappeared after. The headache has somewhat got a bit worse. The worse time of the day is right after she got up. She did MRI last week and result is negative. No issue. She has no other symptoms except recently she can not focus on math and writing and she felt she knew how to do it but her mind was blank at the moment. She has stopped all sports since first day of her headache. She also slept much longer during the night, now for about 13hrs a day. In the past, it was about 9-10hrs/day. She tried a migraine medication today but no impact. it was called Sumatriptan SUCC 5mg. She doesn't have family history of migraine. She has been doing acupuncture but relieve was only for 2-3 hours and then headache would come back. She has a normal family life and generally a very happy girl and not easily stressed. Wonder if you have any suggestions?

Thank you Dr. Spaho! Now that we have MRI result, she is being referred to a paediatric neurologist but it may take 2-3 months to get an appointment given her consideration is not urgent. so we are trying to find a US doctor sooner. Based on what you suggested, having a neurologist with prophylaxis treatment for migraine is perhaps the next route.

one more question - when she gets up from the bed in the morning, she immediately feels pain and has to really slow down. during the day, when changing position from laying to standing, she also feels more headache but not as strong as the morning. Is this typical of migraine?

Thanks again!
Helen