Headache in children
Headache in children - often, but quite difficult to assess symptom. There are functional and symptomatic headaches. When symptomatic headaches can be the cause of their occurrence. When functional headaches often can not identify structural damage that caused this condition.
Often the headache is accompanied by increased irritability or crying child. Peaks of headaches in children are usually in the six or seven years (the period of adaptation to the school), and thirteen to fifteen years (during puberty). At school age child complaint of headache can be considered reliable.
Causes of headaches in children
To clarify the true cause of the headache is of great importance for the monitoring of adult patterns of behavior of the child
. If your child complains of a headache, it is first necessary to clarify the location of the pain (in the parietal, temporal, occipital, frontal lobes, in the eyes, nose, ears)
. Preschool children with headaches pulled his hair, squeeze head in his hands
. Equally important is the characterization of the pain: gradually increasing a sudden, dull or sharp, passing itself or only after taking sedatives or analgesics
. Parents should note whether the headache is accompanied by a child redness or blanching face, excitement or lethargy, weakness, vomiting, nausea, dizziness,
. The emergence of severe headaches, a child may be associated with physical activity, stress, taking any medicines trip transportation, overwork
A huge number of illnesses, which may be accompanied by headache, can be grouped into three main groups - the general illness of a child, brain disease and diseases of other parts of the head.
Severe headache in children may be accompanied by an infectious-inflammatory diseases in the acute stage (tonsillitis, pyelonephritis, influenza, pneumonia, erysipelas). Headache in this case occurs on the background of the general intoxication at an elevated body temperature. It usually disappears after taking fever-reducing drugs with analgesic (Paracetamol, Efferalgan, Kalpol).
The cause of headaches in children can be stressful, mental and physical stress, conflict in the family and school, overvoltage clamps spazmicheskie muscles of the shoulder girdle and neck. Pain squeezing and pressing nature usually applies to the frontal and occipital part, gradually covering the entire head. However, it does not increase during exercise. This pain often resolves on its own after a walk, sleep warm. If this type of headache often seen a hundred days a year, it is necessary to conduct a survey of the body of the child.
Severe headaches in children can occur during stretching the walls, the cerebral circulation and cerebral vascular tone. Such pain may be of bursting, throbbing, crushing character. The survey will help to establish the root cause of these headaches.
When sensitive psyche causes headaches in children may be reluctance to go to school, doctor, eat up the mess. The pain of this kind can help the therapist or psychiatrist. Parents should help the child to organize the correct mode of the day, to ensure a stable emotional background, to reduce emotional and physical stress.
If your child complains of a headache, and thus it is accompanied by diarrhea, vomiting, dizziness, redness or blanching of the skin, the cause of this condition can be a migraine. When migraine often manifests photophobia. Before the eyes appear circles or colored visual image completely falls. A migraine attack can last from half an hour to five hours.
Sudden severe headache in a child, localized in the frontal, temporal areas or covering the entire head may be indicative of an inflammatory disease of the meninges (meningitis) or brain as a whole (encephalitis). Along with the pain usually starts repeated vomiting, chills, body temperature rises dramatically.
If a severe headache in the child appeared after a head injury, followed by pain nausea and dizziness, it is possible to suspect the injury or concussion.
Permanent severe headache, a child may indicate increased intracranial pressure. Long-term headaches may be a symptom of tumors, cysts, abscesses and parasites. When the bulk of malignancy pain does not decrease even when taking painkillers drugs. It may be accompanied by photosensitivity disorder, apathy, frustration functioning of some organs.
Quite often the cause of headaches in children is an inflammation of the maxillary and frontal sinuses of the skull. This pain often occurs in the morning, when the pressure in the sinuses (when filling them with pus). Children of primary school age are sometimes complain of pain in the head with acute otitis (inflammation of the middle ear). Headache may also occur when cold sores, erysipelas scalp of the head, with impaired vision, as well as in the chamber of the upper branch of the trigeminal nerve.
Treatment of headache in children
To facilitate headache in children in the home should be removed any physical or mental load, lightly massaging the temples, put the child on the forehead warm compress, give the child the opportunity to sleep in the open air.
Before treatment is necessary to find out the exact cause of the headache. First, the doctor should carefully consider the complaint history of the disease, carefully examine the child. Additional studies will not be necessary if obtained during the inspection data indicate tension headaches or migraines. Lab tests are essential in identifying the survey signs of organic lesions of the central nervous system.
For the treatment of headaches in children are commonly used paracetamol. Prolonged treatment applied dihydroergotamine and beta-blockers. Dihydroergotamine appointed by gradually increasing the dose over six to eight weeks. With increased tendency to seizures advisable limited time to take anticonvulsants (phenytoin, carbamazepine). If the child tends to vomit under medication, the medication is best administered in the form of suppositories.