<pre> <pre>Frequent Headaches and Migraine in Children Children who get
frequent headaches and migraine attacks have
chronic illness. Such children and their parents face problem
to adjust with school and their rules.
Extra preparations and steps should be taken to cope with such
illness. Pediatric specialist in migraine and headaches exist should
be consulted for treatment and other precautionary & preventive
Also the triggers vary from child to child, which should be
recognized accurately. Firstly, it is the strict attendance rule in
most of the schools that children with chronic illness find it
difficult to deal with.
To add to it, majority of the schools have zero tolerance policy
regarding medications, even including over the counter medicines.
Reports of students getting expelled for merely carrying Advil in
school with them are common. Prior to making appointment with
the doctor, it is recommended that parents read the policy of
the school the child is attending.
It is good to ask questions before hand, than feeling sorry later.
Some of the schools asks for letter or medical record as a proof,
incase the student didn’t attend because of a health problem.
Some schools consider sick leaves as regular leaves and in this case,
the attendance gets affected greatly.
School nurses can be given the prescribed
medicine so that theycan give the medicine to the child at the
required time. If thisis the case, things such as medicine storage
location and availability of substitute should be checked. Apart from
not attending regularly, the child can sometimes be unable to take
part in co-curricular activities especially physical education
and outdoor recess.
Other possible options should be discussed
with the teacher. Usually a recommendation letter from the
physician will do the needed. In all the cases, some kind of
medical identification can be carried by the child at all times.
If the child is attending an after school babysitter or program,
directly after school, extra measures should be taken.
The babysitter or program in charge should be told about the problem
in advance. Their cooperation can be asked for timely
administration of the medicine and for taking special care of
the child. If the child himself is grown enough to understand
the matter, the child should be educated about taking
They should also be made to understand that it
is harmful to take medicines from any un-trustable source
even if their fellow students do. Budge them to ask questions
and clarify any of their fears of concerns. Most of the children lack
the ability to convey their problem properly.
The situation is further aggravated because of different kinds of
They can be related to chronic illness, tension, sinus or fever. Only
diagnosis can bring out the correct problem. If the rate of headache
becomes more frequent, like more than twice a month, doctor’s
appointment should be taken instantly. Younger kids find it more
difficult to explain the problem.
If they become cranky, restless, irritating, tired, is having sleeping
disorders and is not eating properly, a problem surely exists.
Most of the children complain of headaches during exams because
of increased stress.
Seventy five percent of the children experience headaches
because of tension. If so, stress management education, along
with counseling, should be given to the kid. Headaches can be an
indication of other problems, too. So, thorough diagnosis is highly
recommended. The child’s previous medical history provides
Prior to the doctor’s appointment, notes can be
made after referring the medical history. Maintaining a log about
the child’s headache frequencies, pain location, time of occurrence,
symptoms, etc. also helps.
If not due to illness, headaches can also be a
result of head injury. Sometimes, headache can be hereditary,
like in the case of migraines. Headaches can also be caused because
of infections, vision problems, odd levels of blood pressure,
neurological problems, muscle weakness, improper ear balance or
serious problems such as tumor, blood clots, etc. If the doctor is
not able to diagnose the problem, he/she can refer the child to
a headache specialist or neurologist.
Test such as CT scan or MRI are done if there is a serious problem.
After the diagnosis, the doctor prescribes medication or will ask to
take over the counter medicines. According to a study, children who
face headaches and migraine take overdose of over the counter
medicines for immediate pain reliving. In some of the cases,
the parents are clueless about this situation. This practice
is risky and mostly children above six years are involved in