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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Severe Headaches In A Child

My daughter (11 years old) suddenly started screaming in pain saying her head hurts. She said it doesn t hurt like a head ache or migraine, which she gets occasionally. She says it is at the front of her head, about 2 inches in diameter in the middle of her forehead. She is screaming at the top of her lungs.
Mon, 24 Apr 2017
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Pediatrician, Pulmonology 's  Response
Hi...Thank you for consulting in Health Care magic.
Headache in kids need to be considered serious only when the below symptoms are there -
1. Vomiting continuously
2. Seizures/ Fits
3. Watery of bloody discharge from ears and nose
4. Unconsciousness
5. Altered sensorium or behaviour.
Without the above red flag symptoms, just feeling low energy levels points out towards Migraine and other sorts of tension headaches which are on the rise in current scenario due to excessive academic and peer stress the kids are experiencing.
I have a few questions for you -
1. How long has the headache been there?
2. Does it occur always on forehead or keeps changing?
3. Is it associated with blurring of eyes or double vision or giddiness?
4. Is there any family history of migraine or single side headache?
5. Is he very angry when he gets headache and does the ache get better after a good sleep?
6. Does he vomit when there is headache?
Kindly get back to me with the answers to above questions and also mention his weight so that I can suggest you the formulations which are good. But as of now - you can give oral Paracetamol in the dose of 15mg/kg/dose(max ceiling dose 500mg) every 4-6th hourly.
Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.
Dr. Sumanth MBBS., DCH., DNB (Paed).,
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Suggest Treatment For Severe Headaches In A Child

Hi...Thank you for consulting in Health Care magic. Headache in kids need to be considered serious only when the below symptoms are there - 1. Vomiting continuously 2. Seizures/ Fits 3. Watery of bloody discharge from ears and nose 4. Unconsciousness 5. Altered sensorium or behaviour. Without the above red flag symptoms, just feeling low energy levels points out towards Migraine and other sorts of tension headaches which are on the rise in current scenario due to excessive academic and peer stress the kids are experiencing. I have a few questions for you - 1. How long has the headache been there? 2. Does it occur always on forehead or keeps changing? 3. Is it associated with blurring of eyes or double vision or giddiness? 4. Is there any family history of migraine or single side headache? 5. Is he very angry when he gets headache and does the ache get better after a good sleep? 6. Does he vomit when there is headache? Kindly get back to me with the answers to above questions and also mention his weight so that I can suggest you the formulations which are good. But as of now - you can give oral Paracetamol in the dose of 15mg/kg/dose(max ceiling dose 500mg) every 4-6th hourly. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. Dr. Sumanth MBBS., DCH., DNB (Paed).,