Suggest treatment for headache and eye pain in a child
Patient: 3 year old.  Complaining of head hurting and eyes hurting.  Seems a bit lethargic, but still talking and somewhat active.  Do I just do a tylenol/Ibprofun switch off or take her to the after hours clinic?  Won't really let me take the temperature, but the ear thermometer said 101. Doctor: Hello dear,Thank you for your contact to HCM.The way a child exhibits a headache may be related to many factors, such as beginning of viral or bacterial infection, genetics, hormones, stress, diet, medications, and dehydration. Recurrent headaches of any type can cause school problems, behavioral problems, and/or depression. Actually, you an use the rescue medication purchased over-the-counter, such as analgesics (pain relievers), to stop the headache-Tylenol,Ibuprofen is enough. Keep your baby hydrated with plenty of water.Tylenol an be given in the dose 15 mg/kg every 4-6 hours,that too only if fever more ,than 100F. The common site of infection is throat. That's why pay attention to her gurgle.   Take care!   Kind regards   Dr.Svetlana