What causes headache in 10 years old as the tests were normal?
Patient: My Daughter aged 10 years and 6 months is suffering from headache for last 1 month. Consulted eye, ENT, neuropsychiatrist, neuro surgeon and 3 paediatricians. Did CT of sinuses and brain, all blood investigations, MRI, MRA and MRV of brain and everything is normal. Taken a lot of analgesics, but still she complains of headache. SO want a opinion on her headache. Doctor: Hi dear,I understand your concern. With such presentation in my clinic, I advice Nootropil syrup or tablets for 1 month.Consult neurologist to rule out migraine ,high intracranial pressure and other possibilities and check BP.When does she have headache? If she has after school, then it is due noice in the school, overload of information, tiredness, heat wave,increasing of uric acid due lack of consumption of water.  During episodes of headache you can give 1 tablet of Diclofenac and 1 tablet of Domperidon.Hope it helps