Migraines

  1. We understand there are more than 300 medical causes for headache. But in children, what are some of the key features to look for, i.e., location, severity?

    Headaches in children are not uncommon but, despite a multitude of causes as you mentioned, most of them are benign. However, there are certain features of headaches that parents should watch for and if present bring to the attention of their child’s pediatrician. First, is the severity of the headache. If the headache is debilitating or “the worst headache of my life” this should clearly be of concern. If the headache is not as severe but lingers or gradually gets worse over a period of days or weeks this too is concerning. Headaches that wake children in the middle of the night are not common and generally deserve some attention. In regards to location, headaches that occur in the back of the head are uncommon and more concerning that those that typically occur in the front or all over. Finally, if the headache is accompanied by any other symptoms, such as vomiting, changes in vision, problems with balance, dizziness, confusion, or any neurological abnormalities, then you should have your child examined by their pediatrician.

  2. Migraine headaches can run in families. At what age will they start to show up in a child if the child will get them and are there certain triggers for migraines in kids? We want to avoid them as much as possible!

    Indeed, migraines do run in families and are not just an issue for adults. In fact, up to 5% of children are affected by migraine headaches. Migraines can occur at essentially any age, but most commonly start at 6-7 years old in boys and 10-11 years old in girls. Triggers for migraines are unique in each individual but there are some that are more common than others. In children, fatigue/sleep deprivation is likely the most common trigger for migraines. Dehydration is probably the second most common trigger. Foods can also be a trigger for a significant number of people who suffer from migraines. While it is not always easy to identify what food may be the trigger, keeping a food and headache journal for several weeks can be helpful in identifying a culprit. Other migraine triggers include fasting/low blood sugar, anxiety or stress, visual strain (limit that screen time!), and sometimes medication