What to know about pediatric headaches

Did you know about 4 out every 10 people will have a headache at some point in their lifetime? While very common, pediatric neurologist at Riley Children’s Health, Derryl J. Miller, MD, is here to talk all things headaches–what they mean and how to seek professional help.

About pediatric headaches

Symptoms

If your child has headaches, it is important to consult your primary care provider. They will talk about the features of your child’s headache and ask important questions, such as where it is located, how often it occurs and how long it lasts. In addition, they will assess the associated symptoms, such as:

• Nausea
• Vomiting
• Light sensitivity
• Sound sensitivity

Dangerous signs

Aside from the more common symptoms, the dangerous signs of a headache might include:

• Weakness or numbness
• Headaches that are positional
• Headaches that are worse laying down or sitting up
• Headaches when pregnant
• Headaches when you have a sudden onset

“Most of the time, based off talking with you and doing a thorough physical examination–this is checking your brain, your cranial nerves, your strength, your sensation and your walk–your primary care doctor can tell if your headaches are dangerous or not,” Dr. Miller said.

Depending on your child’s symptoms and signs, your provider can determine when to send your child for further testing.

Testing and Treatment

Often, pediatric headaches do not require any testing, especially if there is a strong family history of headaches. The two common types of headaches–migraines and tension-type headaches–also do not require any testing. For children with more frequent headaches of more than 2-3 times per week, your provider may recommend everyday medicines to prevent headaches. They can also prescribe medicine to rid the headache in the moment.

Lifestyle Modifications

Simple lifestyle changes can significantly improve headache management. For example, your primary care provider may recommend hydrating well and implementing proper sleep hygiene.

Expert team of neurologists

If your child’s headaches continue or your primary care provider needs additional assistance, our pediatric neurologists at Riley Children’s are ready to support you.

“If your primary care doctor is unsure or needs extra help, they can always refer to us,” Dr. Miller said. “We’re the neurologists at Riley Children’s Health. We’re happy to see you, especially if your primary care doctor needs help.”

Learn more about pediatric neurology at Riley Children’s Health.