What can cause severe headache in kids?
Patient: My 6 yrs old Son got send home from school today, he said his head hurt. So I gave him tynelol for the pain.. he was fine after that. He just wrote up from sleeping screaming my name and said his hurt REALY hurt. I turned the light on and he grabbed his head and said it hurts I turned it off and he puked a little bit. What can this be??. Doctor: Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.Headache in kids need to be considered serious only when the below symptoms are there: 1. Vomiting continuously2. Seizures/fits3. Watery or bloody discharge from ears and nose4. Unconsciousness5. Altered sensorium or behavior. Without the above red flag symptoms, just feeling low energy levels points out toward 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.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Sumanth Amperayani