Headache in child 1 year symptoms. Headache in children: how to help and how to watch? Features of headaches in children under year

Headache is one of the most common children's complaints (after pain in the stomach), with whom parents turn to the pediatrician.

Headache in childhood can be caused by various reasons: infections, injuries, mental and physical stresses, vascular diseases.

Complaints for the presence of a headache, a child can begin to make approximately 5 years old when he can already write his feelings in words. In completely small children, the headache is determined by certain signs of his behavior.

Treatment of headaches in children can be appointed only by a doctor after conducting a comprehensive survey and assessing the condition of the child.

Types and causes of headaches in children

Several types of headaches are distinguished, which are characteristic of both adults and children.

If the headache acts as the only symptom, then in this case we are talking about primary headaches (migraine, voltage headache, cluster headache).

If the pain in the head is one of several symptoms that appear at certain states and diseases, then in this case they talk about the secondary headaches. Such pain occurs with various infections, increasing body temperature and disappears as temperature and recovery decreased.

The most common causes of headaches in secondary children are:

• Changes in the body or the environment (lack of sleep, allergies, infections, dehydration, acceptance of medicines, diseases of various systems and organs);
• Head injury;
• Sinusitis.

If the child complains of a migraine headache, then the reasons for such a state can be:

• Physical exercise;
• Emotional stress;
• Changing sleep mode;
• Starvation;
• Weather changes;
• Consumption of chocolate, cocoa, citrus, nuts, cheese, eggs, smoked, tomatoes, legumes, canned, sharp and fatty dishes;
• Consumption of cold water, ice cream;
• Smoking and alcohol intake in adolescence.

If the child complains about the headache of the voltage, then this may be evidence of a sudden or long stress, a long stay of a child in an inconvenient position.

Cluster headaches are more often caused by an irritation of a trigeminal nerve. More often in boys in adolescence.

The pain in the head can also be acute or chronic.

Acute occurs unexpectedly and flows pretty hard. For reasons due to the occurrence of acute strong headaches in a child include:

• Extracted infections: inflammation of the incomplete sinuses, children's infections (Scarlatina, Kor, rubella, steam,); ear infection; teeth inflammation; Glice invasions; intestinal infections; other infectious diseases (influenza, infectious mononucleosis, angina, malaria);
• Intracranial infections: meningitis, encephalitis, brain abscess;
• Injuries: bruise, brain concussion;
• Mental diseases;
• Mental overvoltage;
• Vascular diseases: increased blood pressure, heart defects, kidney and adrenal diseases; abnormalities for the development of brain vessels, brain ischemia;
• An increase in intracranial pressure;
• Contact with toxic chemicals;
• Intracranial hemorrhages;
• An increase in intraocular pressure;
• Inflammation of cranial nerves;
• Violations and inflammatory eye diseases

Chronic headaches in children may arise as a result of various mental loads: when stress, depression, reduced mood.

The headache in the child may also arise from the action of the cold (wind, cold weather, swimming in cold water, consuming cold food and drink), from external pressure (wearing dense cramped hats, swimming glasses, headbands).

Symptoms of headaches in children

The child's migraine is manifested in the form of repeated headaches that may be accompanied by pain in the abdomen, nausea and vomiting. In this case, pain is localized from one side of the head, has a pulsating character. The condition of the child can improve after sleep. The attack of such pain lasts 1.5-5 hours. In childhood, the migraine is often adjacent to dizziness, fainting, drowsiness. Quite often, migraine attacks arise in children in a pubertal period.

Head stress pain in children are usually localized in frontal and frontal-temporal areas. The pain at the same time is a compressive - it occurs more often in the afternoon. It passes spontaneously and lasts from one to several hours.

Headaches at various children's infections occur in a sharp period of the disease or precede it. Pain in this case is quite intense. But strong headache in the child retreats with a decrease in the manifestations of the disease.

If the headache is a symptom of neuroinfection disease, then it is necessarily combined with vomiting, convulsions, violation of consciousness, motor and sensitive disorders, disorders in the work of the pelvic organs.

If the headache is caused by the presence of a brain tumor, then it is resistant, character, appears in the morning. Such pains may be accompanied by non-relief vomiting.

Headache in pectoral children is usually manifested with a rapid cry (a cry of suffering, monotonous), excitution, abundant swelling, sleep disorders, a fountain vomiting. Large spring protrudes over the level of the skull.

Children aged 1.5-2 years can show where they hurt, they can complain about fatigue and ask to lie down. They pull the handles to the head, scratch the face, pull hair.

Headache treatment in children

If the child has a harsh headache, then you can help him, putting into bed and creating a quiet situation. You can put a wet cool napkin on your head. With strong emotional loads, lemongrass or eleutherococcus helps. An ascorbic acid will be useful, the reception of the soothing brave of herbs.

With stronger pains, you can give a child with a medicinal product based on ibuprofen.

But if the bouts of headaches are concerned about the child quite often and are accompanied by other symptoms, then parents must necessarily contact the doctor to the doctor. Before appointing treatment, the doctor will examine and prescribe the necessary surveys. As a rule, blood tests, urine, feces, surveys from a neuropathologist, oculist, otolaryngologist, psychologist, psychiatrist, gynecologist (girls) and other specialists are appointed. It may also be necessary to perform radiography or computed tomography. In particularly severe cases, the treatment of headaches in children is carried out in a hospital.

Thus, the headache in children can have a completely harmless nature and not to require a specialist intervention. It is enough just to change the living conditions of the child, to establish the regime of his day, adjust the nutrition, to ensure a beneficial psychological situation. But in some cases it can be a symptom of quite serious diseases, which are dangerous to the child's life, and therefore requires immediate intervention of doctors.

Headache (Cefalgia) in children is observed quite often and can serve as the main, and even the only symptom of more than 50 different diseases. Cefalgia is any unpleasant sensations arising in the area of \u200b\u200beyebrows to the nape (the term is derived from the Greek Words cephal - Brain I. algos. - pain).

It is known that 80% of adult Europeans suffer from headache (GB). It can be assumed that among children the prevalence of Cefalgia is approximately similar. Until 7 years of age, 75% of patients have a headache on the type of migraine; Nevertheless, the most common type of cephalgia is the headache of the voltage.

The classification of the International Headache Society provides for the following cefalgia: Migraine; GB voltage; cluster (beam) GB and chronic paroxysmal hemicrane; GB, not related to the structural damage of the brain; GB due to head injury; GB due to vascular diseases; GB due to intracranial non-visual diseases; GB due to the reception of some substances or their cancellation; GB due to born infections; GB due to metabolic disorders; Head or face pain due to the pathology of the skull, neck, eyes, ears, nose, apparel sinuses, teeth, mouth, as well as other facial or cranial structures; Cranial neuralgia, pain in the pathology of nerve trunks and deafferentation pain; Unclassified GB. All these types of cephalgia can be celebrated in children, although in practice migraine, voltage headache and cluster (beam) headache are more common.

In general, in the etiopathogenesis of cefalgia, the sources of pain can serve as a solid cerebral sector; arteries of brain base and intracranial arteries; Fabrics covering the skull; Nerves (among them cranial nerves - a triple, languagehilic, wandering, as well as the first and second cervous spinal roots). The morpho-functional basis of the peripheral department of the system responsible for pain sensitivity is the triangular nerve and the core of his cerebrospinal path. The solid brain shell and large blood vessels and large blood vessels have painful receptors, as well as sensitive finishes of the fibers of the second neck root of the spinal cord. The described systems form various headaches.

Headache can be called intracranial lesions, such as subdural and intracerebanic hematomas, subarachnoid hemorrhages, thrombosis, arteriovenous malformations, brain abscess, meningitis, encephalitis, vasculitis, obstructive hydrocephalus, condition after lumbal puncture, ischemic violation of cerebral circulation, stretching or inflammation of large intracranial vessels , damage to the solid shell base of the brain and sensitive cranial nerves. From extracranial causes, the headache is caused by sinusitis, damage to the cervical spine, the syndrome of the temporal-mandibular joint, the gianthole artery, glaucoma, neuropathy of the optic nerve and diseases of the teeth. There are also "common" causes of headaches: fever, virusemia, hypoxia, hypercapnia, arterial hypertension, allergies, anemia, as well as the effect of vasodilating substances (nitrites, carbon monoxide, etc.).

Below are the pathophysiological features of the three main varieties of headaches in childhood patients, since it is precisely these features of various approaches to treatment.

Migraine. For classical migraines, two phases of the attack are characterized: in the first phase, vascular spasm arises, causing cerebral ischemia and various focal symptoms that run the attack; In the second phase (transcranial and extracranial vasodilation), the pulsating GB begins, which is distributed in the field of innervation of the trigeminal nerve and the upper cervical roots. With migraine with aura in the mechanism of development of GB, paroxysmal depolarization of neurons of the cerebral cortex is involved. In the first phase of the attack in the field of the occipital pole of the brain, there is a circular depression propagating at a speed of 2 mm per minute. In the field of wave propagation, deep changes of the ionic distribution arise, leading to a decrease in the level of brain blood flow. Cerebral ischemia is the result of arteriolestrosis. The most characteristic sign of classical migraine is general hypovolemia in the back of the brain. GB is caused by the effect of propagating depression on the fibers of a trigeminal nerve on the brain shells, while the vasoactive intestine peptide is released, the substance P and some other peptides. Factors that launch the mechanism of propagating cortical depression are very numerous. Among them, any disorders of potassium homeostasis, genetic predisposition, stress, alimentary factors, as well as the release of vasoactive peptides from the trigemin-vascular system.

With a simple migraine (without aura) there are no significant changes in cerebral blood flow, and the mechanisms of its development themselves are difficult to explain. In addition to vascular changes (characteristic of classical migraine), with simple migraines, metabolic disorders and the concentration of neurotransmitters (serotonin and its metabolites) are noted.

The reason for the development of migraine can serve as prostaglandin E1, Tiramine or Phenylethylamine (the last two amines are contained in chocolate and cheese).

Voltage headache. Earlier it was believed that this type of headaches is a direct consequence of repeated cuts of the muscles of the neck and temples leading to local ischemia of these structures. In recent years, a number of other patterns of pathogenesis are considered, including the involvement of "trigger" points of some muscles (trapezoidal, stern and curable-bed-like, podental, temporal, etc.), compression of vessels with a spashed muscle with venous stagnation, the spread of pain on the temporal, near Region due to the dysfunction of the temporal-mandibular joint, disruption of the closure of teeth of the upper and lower jaws, etc.

Cluster (beam) headache. The pathogenesis of the disease is still little studied and is not quite clear, although it is known that the type of GB in the outer jugular vein there is an increase in the content of some pain peptides (calcitonin of the general and intestinal peptide). As a result, it is assumed to the neurogenic origin of the cluster headache with the activation of the sensitive fibers of the trigeminal nerve. A certain role can be played by the defect of chemoreceptors of carotid tauris on the side of pain, as well as violations of the secretion of individual humoral factors (melatonin, cortisol, testosterone, β-endorphine, β-lipoprotein, prolactin).

Symptoms of headaches. In each case, the symptoms of headaches are determined by the type of cephalgia. Below are the features of various types of chronic and recurrent headaches on a number of indicators (the nature, localization, the duration of the attack, the frequency concomitant symptoms). Simple Migraine: Character GB - Pulsing; Localization is one- or bilateral; The duration of the attack is 6-48 hours; frequency - sporadic attacks (up to several times a month); Related symptoms - nausea, vomiting, malaise, light-free. Classical Migraine: Character GB - Pulsing; Localization is one-sided; The duration of the attack is 3-12 hours; frequency - sporadic attacks (up to several times a month); Related symptoms - visual aura, nausea, vomiting, malaise, light-friendly. Facial Migraine: Character GB - dull or pulsating; Localization is one-sided, in the lower half of the face; The duration of the attack is 6-48 hours; Periodicity - sporadic attacks; Related symptoms are nausea, vomiting. Cluster headache (Histamic Cefalgia Horton): Character GB - acute, drilling; Localization is one-sided (mainly in the field of the eye); The duration of the attack is 15-20 minutes; Periodicity - periods of daily attacks alternate with long remissions; Concomitant symptoms - on the pain of pain can be seized, hyperemia of the face, nasal congestion and a horn symptom. Psychogenic headache: the character of GB is stupid, compressing; Localization - diffuse bilateral; The duration of the attack is often constant; frequency - often constant; Related symptoms - depression, anxiety. Neuralgia of a trigeminal nerve: the character of pain is shooting; Localization - in the innervation zone of a trigeminal nerve; The duration of the attack is short-term (15-60 seconds); frequency - many times a day; Related symptoms - revealed trigger zones. Atypical facial pain: the character of GB - stupid, localization is one- or bilateral, the duration of the attack is often constant; frequency - often constant; Related symptoms - depression, sometimes psychosis. Headache with sinusitis: character GB - stupid or acute; Localization is one- or bilateral, in the area of \u200b\u200bthe apparent sinus; The duration of the attack - varies; Periodicity - sporadic or constant; Related symptoms - discharge from the nose.

Diagnostics. A specific diagnosis in children is established mainly on the basis of clinical signs and the aforementioned criteria of cephalgic syndromes. Diagnostic assistance can provide so-called headache diaries, some laboratory and instrumental research (skull radiography, computed tomography and magnetic resonance tomography of the brain, EEG, transcranial doppler studies of the brain vessels). An important diagnostic event is the counseling of the eyepiece, and in suspecting the presence of a patient depression requires a children's psychiatrist consultation.

The diagnosis of "Migraine" is usually established on the basis of the collected anamnesis, while any pronounced changes with careful physical, neurological and ophthalmologic inspections cannot be identified. The diagnosis of most other cephalgic syndromes is carried out using a similar algorithm.

Approaches to the treatment of headaches

Not all means used in the treatment of GB in adults can be used in pediatric practice due to age limitations. Analgin (sodium metamizole) is a classic example, which in world practice is not appointed to children up to the age of 14 (in the Russian Federation - up to 6 years). Another means, to be used which in patients up to the age of 16 should be careful, is an unriccotic analgesic naproxen (Nalixane).

Below we list modern approaches to the treatment of three main cefalgic syndromes - migraine, cluster headache and headache of tension.

Migraine treatment. Preventive treatment is carried out only with recurrent cefalgies, resistant to used urgent therapy. Migraine attacks are treatable only when it comes to frequently repeated severe attacks that interfere with the active life of the child. In some cases, it is necessary to calculate only on the partial effect, although the purpose of ergotamine and / or caffeine type vasoconstrictors at the first symptoms of the attack can help to stop it (in the Russian Federation, a coffee maker combining both of the components mentioned) is widely used). It is prescribed to children over 10 years old twice, with an interval of 30 minutes, 1 tablet for reception (in each tablet 0.1 g of caffeine and 0.001 g of ergotamine tartrate). The appointment of simple (nonarcotic) analgesics (paracetamole, etc.) is often no less effective.

With an acute attack of migraine, the mode of interest should be combined with the reception of analgesics: a child's vacation in bed (in a dark room) and reception of paracetamol or acetylsalicylic acid. The latter in pediatrics is used with caution (in children under 2 years old - only according to life indications) in order to avoid the development of the residence syndrome. It is paracetamol (at a dose of 15 mg / kg / day) - the most efficient and safe means appointed during migraine attacks of moderate and strong severity. Acetylsalicylic acid is effective only with light attacks. Other preparations for the treatment of strong attacks are naproxen, ibuprofen, phenacetin or caffeine (separately or in combination with other drugs).

Ergotamine is considered over 10 years old for children. It is prescribed orally at the very beginning of the attack (the dose depends on the dosage form used, the duration of the course of treatment should not exceed 7 days). The drug is contraindicated to children who in which hemianopsy or hemiparepsy is observed in the attack phase.

Penacetin, like paracetamol, refers to non-numbercotic analgesics. It is used 2-3 times a day in combination with such means as analgin (taking into account age), caffeine, etc. Its use is limited due to the presence of side effects (allergic reactions, "fenacetin" jade, methemoglobinemia, anemia, etc. .). Penacetin is prescribed from the calculation (single dose) 0.15 g - for 3-4-year-old patients, 0.2 g - for children 5-6 years, 0.25 g - for 7-9 year old and 0.25-0 , 3 g - for 10-14-year-old children (for patients up to 1 year - at 0.025-0.05 g, up to 2 years - 0.1 g at the reception). In the Russian Federation, phenacetin is produced mainly in tablets containing 0.25 g of actual fenacetin and acetylsalicylic acid, 0.05 g of caffeine). Penacetin is part of the combined means (asphane, the camphoring, Novomigrofen, pyrcoophen, sealalgin, citraon, etc.).

Ibuprofen (Bruphen) is a non-steroidal anti-inflammatory agent (NSAID). Children are assigned at the rate of 20-40 mg / kg / ducts (3-4 times a day, Per OS or rectally).

Naproxen - another NSAID, assigned to children under the age of 5 years at the rate of 2.5-5 mg / kg / day in 1-3 reception (the duration of the medical course - up to 14 days), and patients over 5 years of age - at a dose 10 mg / kg / day.

Caffeine - psychomotor stimulator, is used in combination with other medicinal substances (analgesics, etc.). For children over 2 years old (before this age, the drug is not prescribed) caffeine doses at 0.03-0.075 g at the reception (2-3 times a day). Caffeine is part of the combined tablets (coofetamine, Askofen, Novomigrofen, Qature, Pyramine, Citra, etc.).

Sumadapan (selective 5-NT1 receptor agonist) is effective in the treatment of migraine attacks in adults. However, in the treatment of children with migraine, Sumadapan does not have any benefits compared to ibuprofen.

Preventive treatment.Propranolol Children are prescribed inside in the initial dose of 0.5-1.0 mg / kg / day 2 times a day, supporting dose - 2-4 mg / kg / day. In the presence of heart failure or bronchospasm, the drug does not apply.

Flunarizin - calcium channel blocker. Children with a weight of up to 40 kg are prescribed at a dose of 5 mg 1 time per day. The rest of the categories of children flunarizine are prescribed as an adult (20 mg 1 time in the first 2 weeks of preventive treatment, then 5-10 mg / day in 1-2 reception).

Anticonvulsants of the phenobarbital class or valproic acid in some cases make it possible to prevent the attack, but are prescribed only with frequently repeated attacks. Dosages for both anticonvulsants are selected individually (under the control of the doctor).

Tricyclic antidepressants (amitriptyline et al.) Are rarely used to prevent migraine (more often these drugs are used for tension head pain).

Symptomatic means.With nausea and vomit, metoclopramide (Cerukal, Raglan) is used at a dose of 0.5 mg / kg (intravenously, intramuscularly or inside). In this case, chlorpromazine (neuroleptic from the group of phenothiazine derivatives) and Prokhlorperazine are also used.

Chlorpromazine. To achieve a quick effect, you can use up to 3 age doses of the drug (intravenous) every 15 minutes. In parenteral administration in children over a year, one-time dose is 250-500 μg / kg (maximum dose in children under 5 years of age or with a body weight up to 23 kg reaches 49 mg / kg / day, and aged 5-12 years or with Body mass 23-46 kg - 75 mg / kg / day). When taking into the patients aged 1-5 years, the drug is prescribed in a daily dose of 500 μg / kg (every 4-6 hours), children over 5 years old - from 1/3 to 1/2 dose of an adult (one-time dose for adults is 10- 100 mg, daily-25-600 mg). Maximum dose for children up to 5 years old when taking inside - 40 mg per day, for patients older than 5 years - 75 mg per day.

Non-Migration Migration Treatment Methods

Dietherapy. Since food allergies often plays the role of a launcher of migraine and in children, it is recommended to exclude a child from the diet suffering from migraine, a number of products (milk, cheese, eggs, chocolate, oranges, wheat and rye flour products, tomatoes, etc.). Products with such food additives, such as sodium glutaminate and nitrites should be avoided.

Among other non-drug approaches to the prophylactic treatment of migraine should be mentioned by Wushu classes, karate, yoga, training system of "biological feedback", igloreflexotherapy.

Treatment of cluster headaches. In the therapy of acute attacks of the disease, Sumadapan is widely used. NSAIDs and ergotamine derivatives are considered to be less effective. Inhalation of pure oxygen is also among therapeutic measures in the development of seizures of cluster headaches (inhalation of 100% oxygen).

The prophylactic treatment of the beam headache provides for the purpose of β-adrenobloclars (propranolol, etc.), carbamazepine, lithium preparations, and prednisone (a course of no more than 5 days) and calcium channel blockers (verapamila). The dosage of propranolol is given above.

Carbamazepine (Tegretol, Finlepsin) is an anticonvulsant (derivative of iminolben). The average daily dose of the drug (inside) is 20 mg / kg / day (on average in children up to a year - 0.1-0.2 g, 1-5 years - 0.2-0.4 g, 5-10 years - 0.4-0.6 g, 10-15 years - 0.6-1.0 g / day).

Lithium carbonate (contempidol, sedalitis) is often used from lithium preparations. This normologic remedy is taken during meals, drinking it with water or milk. At the same time control the content of lithium blood, maintaining its concentration of 0.5-1.0 mmol / l. At a dose of lithium carbonate, a component of 1.0 g / day, the normalization of the concentration of lithium should be expected in 10-14 days. The course of preventive monotherapy with carbonate lithium drugs should be at least 6 months.

Prednisolone. If necessary, in the first days of treatment, this corticosteroid hormone is prescribed (PER OS) at the rate of 1-1.5 mg / kg of body weight / day, then the dose is reduced and the drug is canceled.

Verapamil (isoptin, phenoptin) - calcium channel blocker. It is accepted inside during or immediately after eating (in 2-3 receptions). The drug is powered by sufficient liquid. For children aged 1-15 years, the dosage is 0.1-0.3 μg / kg / day (one-time dose no more than 2-5 mg).

Treatment of tension headache. With this disease, the leading role belongs to the treatment of NSAIDs. In addition, a combination of NSAIDs with diazepam (sadocent, relainium) can be used. The latter is prescribed (when taking inside) in the next one-time dosage: 1-3 years - 0.001 g, 3-7 years - 0.002 g, 7 years and more - 0.003-0.005 g.

Tizandine (Sirdalud) - Miorolaksant of the central action, widely used in the therapy of the GB of voltage in adults. The experience of its use in children is limited.

Tricyclic antidepressants (amitriptyline, imipramine). Regardless of age and the path of administration (inside, intramuscularly, intravenously), amitriptyline is prescribed from 0.05-0.075 g / day, gradually increasing the dose by 0.025-0.05 g before reaching the effect. Imipramine (Melipramine, Imizin) Children are prescribed from 0.01 g 1 time per day, gradually (within 10 days) dose increase to 0.02 g of children 1-7 years, to 0.02-0.05 g - children 8-14 years old (patients over 14 years old - up to 0.05 g or more day).

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Petrukhin A.S.

Academician Ramne, Professor Ivashkin V.T.: - We have very smoothly switched from acute or stressing insomnia to the headaches of tension in children, since Andrei Sergeevich Petrukhin has already presented himself in the discussion. Please, Andrei Sergeevich.

Professor Petrukhin A.S.: - I must say that there are three problems with the headaches in children, despite the fact that in the 21st century neurology achieved such success, which, unlike those sciences, which were previously said that ethiology is unknown, the pathogenesis is unclear, specific Treatment does not exist. Now in neurology, mostly, almost one hundred percent diagnosis can be established with the help of various research methods. But there are three problems that are vague. They are still unclear and it is very difficult to diagnose and deal. And in particular, these are headaches, dizziness and ticks. There is a lot of unclear here yet. And I must say that the section headaches are a section that is not based on some often physical research methods, visualization. They serve, rather, to exclude and confirm the symptomatic nature of headaches. That is, the disease is, for example, a tumor of a brain or aneurysm, which manifests itself with headaches. Here we take this section now - only clean headaches.

In general, pain in children proceed in a special way. And there is an ancient Greek saying that the pain is a watchdog in health. But our outstanding scientist, a physiologist who studied pain, he said such a phrase that health is in the physiological general of the internal organs. Here from Romen Rollan: "An adult man, when suffering, can reduce his pain, mentally putting it in a certain portion of his body, as if shrouded from it, determining the borders. And the child does not have this deceptive means. His first acquaintance with pain is more tragic and deeper. She seems unlimited as its existence itself. " Therefore, headaches can only be represented by what sufferings are often the child.

And here on this slide shows those pain that have no pathological influence and which are normally observed in children. This is pain in the stomach. It's pain "Growth" in the bones, when the child cries and complains, he, as a rule, even shows, in the zones of the methifise of bones, transition zones, where bone growth zone: this is the ankle, under the knee. These are pains that pass with increasing and do not require any treatment. And headaches at 15-20% are also physiological. They arise due to the fact that the growth and elongation of vessels do not match. Such hemodynamic ages, physiological changes occur. You do not need to attach importance and they, as a rule, pass with age and do not require specific treatment. But I must say that the child, of course, when complains, cannot but attach the importance of this, because the child does not have social experience, so it cannot simulate any pain. Especially frequent headaches reduce its quality of life, affect mental, physical abilities, violate relations with adults and peers.

And the headache (definition) is pain and a feeling of discomfort, localized in the head. These sensations are always subjective. Therefore, a very important role in the diagnosis of headaches has anamnesis, very detailed history: when there arises where it occurs in the head, how much they last, with what intensity.

Here is an international classification of headaches. Here are migraines, headaches of stress, cluster (or beam) headaches, that is, chronic paroxysmal hemikrania, here also applies to Horton syndrome, which subsequently leads to the fact that the eye slit is narrowed, blefrophomy develops, and constant tearing. And various headaches that are not associated with structural damage, but related or with injury, vascular disorders, intracranial processes, not vascular nature, for example, the residual phenomenon of some inflammatory processes; associated with the reception of chemical or psychoactive substances, which is very important now, because you can fight, beat, and then find out in the end, that the child smokes marijuana or takes drugs who cause he headaches. Headaches associated with metabolic disorders. And facial pain in the pathology of the skull, neck, eye, ears, apparel sinuses, from teeth or oral diseases or other face structures and skulls. As well as cranial neuralgia, soreness of nervous trunks and reflected headaches. This we mean called the Ging Zone or Zakharin-Ging. And Zakharin described, and for the first time I generally described the English doctor Ged. And he was not even a doctor. He was a physiologist. This in the disease of the liver is a top of the lungs at the bottom of the lungs - this is a dark area. Such hyperpatic sensations in the head. Well, there are in other structures.

Here, the causes are shown, and note that the primary headache is 92%, of which 54% is the headache of the voltage. And the migraine takes 38%. Migraine, as a rule, is, firstly, the hereditary disease. It is transmitted on the maternal line, as a rule, hurts his head and usually in his son intensively. And the anticipation phenomenon is also present, although the migraine does not relate to diseases of the gene expansion. But the earlier and stronger headaches, then the child they have occurred earlier and are heavier. And the boys suffer more.

And among schoolchildren, 7-16 years old complaints of headaches are presented with 39% of children, and 52% are children from 10 to 12 years. And migraine in 21% is observed, and head pains of stress - almost 80%.

Headaches are caused by irritation of intracranial or extra charge receptors, sensitive branches of the cranial nerves and the first three cervical roots of the spinal cord. Pathogenesis is different. Extracted pain receptors are located in the skin, subcutaneous fabrics, muscles, tendons, a tendon helmet, (in aponeurosis), soft cover vessels, in the skull, mouth and nose, and muscles of the nose and middle ear. And intracranial receptors are located, first, in shells. The brain itself is painless, it can be drawn with a spoon and he does not respond. There were even cases during the war that the brain was wounded with fingers. Well, and a solid brain sheath, and sinuses especially, they are equipped with very dense painful receptors. And also the arteries themselves, like the heart, by the way, the muscle itself is painless with a heart attack, and the vessel hurts. And these pains are due to irritation of vessel receptors and in meningeal arteries, in the duplicates of the solid cerebral shell of the sickle and the outcome. Especially in the area of \u200b\u200bthe outcome: there are terrible headaches, and, as a rule, they are combined with meningeal symptoms: the tension of the muscles of the neck, the symptom of Kerniga, and so on.

Here much attention is paid to the complaints: this is the result of the occurrence, frequency, localization, irradiation (where these pains are distributed, where they give), character, duration, beginning and ending, provocation, precursors, concomitant symptoms, the presence of chronic diseases. Here for migranes, for example, there are very important provoking factors. These are smells of spirits or tobacco, or certain floral smells. Frequency: it is an approached, develops extensively, that is, with a small to peak, ends, as a rule, vomiting. And vomiting brings relief, by the way. Consciousness, intelligence, mood, condition of blood pressure, muscle tension (pericranial, upper shoulder belts), neurological swelling, the presence of meningeal or focal symptoms. Here, for example, with Horton syndrome (bundled), it is important to identify swelling and hyperesthesia of the skin. And with tension headaches, it is the tension of the muscle scalp associated with the mood.

Therefore, the first and still considered classical approaches for the treatment of headaches of stress are approaches with the appointment of antidepressants, because it is often combined with depression, and a mood disorder. Therefore, there are often in women. But in children - girls are more likely to suffer - these are very responsible who are waiting for some kind of trouble, the trick, failures in the answers in school, which are etched by peers, which is repeatedly. And for some reason, this system is narrowing. Once it was so developed in schools and class struggle was reborn in combating each other. Now we have a very difficult situation in school. And it will be necessary to come to this. And here additional methods, as I told you, they cannot establish what a headache. They can only allow to eliminate tumors: this is when edema on the eye day, the extension of vessels, venous stagnation. Radiography of the apparent sinuses allows you to identify an inflammatory disease. Blood tests make it possible to judge that this headache may be a symptom of rheumatic or any other process, and CT and magnetic resonance research may detect some intracranial processes, tumors and can also be detected vascular and malformations.

And I had a completely wild case. I gave forensic opinion on the history of the disease. In one of the areas close to Moscow, where for a long time they treated the girl from headaches and even put the diagnosis of epilepsy, which was not, and she died suddenly at home. And she had a heart disease. And, of course, this is a violation of blood circulation, a violation of blood oxygenation, of course, led to the emergence of chronic headaches. Therefore, the pediatrician should know neurology, at least the foundation, and the neurologist should know the foundation of pediatrics.

Clinical manifestation of headaches. The child is less active, capricious, easily irritable, applied head to the sofa, to bed bed. The forced position of the head is more needed to think about the tumor. Children often hold the hand at a sore place, well show the place where the head hurts and stroke the corresponding part of the head, pulls themselves by the hair, and if they melt the hair themselves, you can find the points of hyperesthesia. More older children hold the head motionless, instead of turning the head they make a turn of the whole body, all the body. And here children from two years old even indicate where the headache, and the sensations describe in detail children from 6-7 years old.

And here are the phenomena of headaches in young children by Hörtlu. This is a facial expression: a serious expression of the face, eyebrows shifted, a frown or peashed mouth. Pantomimika: trembling or unusual position of the head, pressing on the sore place, climbing the finger, lips, brush with teeth. Vegetative symptom: Pallor or redness of the face, cold fingers, cold sweat, goose leather. Also sound: stubborn cry, crying, sobbing and depressed cough. And in particular, behavior: a decrease in activity and interests, increased irritability, aggressiveness and impaired appetite. Vomes can be in children.

Migraine - I have already spoken - this is a paroxysmal state that manifests itself by the attack states, mainly in the orphanage, or less often a double-sided localization: in the forehead area and the nape. Attacks of vomiting, accompanied by nausea, photophobia. Characterized by the repeatability of the attack and hereditary predisposition.

Migraine is a prevalence of 12-15% of the population, children under six years old migraine suffer in one percentage of cases, aged 10-12 years - 4.5%, and from 15 years 5.3%. Up to six years, it is more common in boys, at the age of 7-11, the same, both in boys and girls, and after 18 years, the young attacks are regressed and long-term remissions are noted.

Headproof head pains, in fact, the topic to which we crossed. It occurs in children in 70-80% of all cases of headaches. Emotional tension associated with training, excessive loading of additional activities, an uncomfortable workplace, vision voltage, family conflicts, excessive parental care, physical activity deficiency or excessive physical exertion. These pains may occur, as a rule, after a long stressful state. Here the pathogenetic feature is the immaturity of the mechanisms of psychological protection of the child, which causes the appearance of the disease with insignificant, in terms of adults, stress. Head stress pains often occur in children's shye, unsatisfied, poorly adapting to the new setting. They have outbreaks of stubbornness, whims that wear the nature of protective reactions against the background of discontent with themselves.

For some reason, the parents themselves do not work for some reason, but we are typical that the child should do music, sports, engage in an additionally foreign language and sit still eight hours at school. And something smarter do not become. I do not see something Pushkin, I do not see any Dostoevsky recently.

Recently, such works have emerged - and their already quite large amounts - about the role of magnesium in the pathogenesis of tension headaches. Magnesium is an intracellular ion, which is not observed in free form. Therefore, it is very difficult to explore. And low magnesium content is important in the pathogenesis of headaches, as well as convulsion in newborns. Low magnesium content in serum is observed in patients with voltage headaches, migraines in the intercompal period. Studies report on the positive impact of the administration of magnesium preparations in patients with different types of headaches. Well, this is an article that shows what role Magnesium plays in muscle tone and in the helmet voltage. These are the headaches of tension: infrequent episodic, frequent episodic, chronic headaches with a voltage of pericranial muscles and chronic headache without a voltage of pericranial muscles.

For tension headache, children are characteristic of: bilateral pain in the frontal-temporal or in the frontal-dark areas, sometimes with a feeling of pressure on the eyes. The pain can wear a stagnant, compressing, like a helmet, a pressure, and not intensify from exercise. Related symptoms: Sounds, light-friendly, nausea, enhancing pain when tapping to the skin of the head and hair, sleep disorder. They will be bought independently or when falling asleep. Children after seven years can tell about their feelings. With long-term chronic headaches of voltage, if the girls run on high heel shoes, they feel, as it is in mind, because the long-term stress of the scalp causes a violation of the venous outflow from the skull cavity and then such doubt is joined - this is an overflow of venous sinuses, and there same head receptors too. And such a heavy headache appears.

With headaches, magnesium preparations are used and can be applied as therapy EX JUVANTIBUS, because it is impossible to overdose magnesium. The more you enter it, he will simply bring out, it will not go into the cage. And vitamins, also non-steroidal anti-inflammatory agents, in more severe cases and chronic headaches are combined with magnesium preparations with psychotropic drugs, such as anti-therak drug; and antidepressants, as a rule, recently; Well, tricyclic can be used, but they are still heavy. And with the inhibitors of the inverse seizure of serotonin, we have a big problem, because of all of them, perhaps, only the gold is allowed in children from six years. And young children in young children are even worse that we cannot use these drugs, therefore it is recommended (today I was asked the question to the previous Lector) here is Teralen, French. He, unfortunately, in the drops we do not do, apparently, because it is very cheap. And Teraulygengen is difficult to dispense it, because he is in dragee. Phenibut is also a drug, a single nootropic drug that reduces the tone and which soothes. And the combination is also with a Bellataminal, an old drug. Here you do not need to joke or smile. The fact is that the beautification on the principle of evidence-based medicine refers to the number of few drugs that are effectively working on the criteria of evidence-based medicine.

Well, medicinal forms of magnesium. There are ampoules, there are also tablets that contain 470 milligrams of lactate magnesium in each tablet. And there is also a magnesium ampoules citrate, magnesium citrate is also available in tablets, contains approximately 100 milligrams of magnesium.

Non-media treatment of headaches. It is very important not only to explore the child, but also to find out the family situation. As with ticks and with tension headaches, especially find out what the situation is in the family. Of course, parents will not tell, and we cannot be in their home, find out what the situation is there. This is the principle of such a declarative education: where I got, why I got up, why so stand, not so. The child cannot answer, but internally he is going to and strains from such a Khamsky and rude upbringing. And have long noticed that the declarative principle of education is absolutely ineffective. An example of our society that 73 years in partners were brought up, was held by the school of Marxism and Leninism. As soon as it happened, everyone immediately fled and all about communism forgotten. The elimination of family psychotrauming factors is the first important step that should be made, because you can treat with medicines as much as you like, but if there is an abnormal situation at home, it will not be effective therapy. Observance of the day of the day with sufficient sleep, walks in air, combination of mental work with physical exertion, water procedures, contrasting souls after school, warm shower, bath, swimming in the pool, reducing the TV time view and computer games, which also lead to excessive mental tension .

Complaint on headache - One of the most common in children.
The symptom occurs due to irritation of sore receptors of vessels and brain shells, muscles, mucous membranes, as well as the nerves of the face or neck. In the tissue of the brain of pain receptors, there is no, so the brain "hurt" cannot.

It arises from the most different reasons, and there may be several reasons that caused its causes.

Frequent reasons headache in a child

• Vascular headache.
• Inflammation of brain vessels.
• Congenital videos of brain vessels.
• Increase or decrease in intracranial pressure.
• Toxic brain damage.
• Inxication with sharp (, cortex, etc.) and chronic (chronic kidney disease, liver, etc.) diseases.
• medicines, chemicals, alcohol, carbon monoxide, etc.
• Card-brain injuries (shaking or bruise, brain, bones of skull, etc.).
• , .
• Inflammation of the brain shells (, arachnoiditis).
• Diseases of ENT organs (, etc.) and eyes.
• Pains associated with voltage (head pains of stress, the tension of the eye muscles at myopia) and muscle inflammation (myiositis).
• Neuritis (inflammation of the nerves) of the facial and trigeminal nerves.
• Different processes in the brain, peeling on the brain volume (tumors, cysts, abscesses) or magnifying brain volume (encephalitis).
• Some heart defects and blood disease. I wrote about heart disease in this article
  
• The deformations of the bones of the skull and the cervical spine (exotic - bone grown, osteochondrosis of the cervical spine, etc.).
• Neurosis and other reasons.

Clinical manifestations of headaches

Headacheit may be a grain, buttering, pulsating, cutting or compressing, occur in the morning, in the afternoon or after sleep. Localizes in various departments, it happens one-sided (left or right half of the head). It may depend on the position of the body or head, accompanied by nausea, vomiting, and other unpleasant symptoms. Headache It is often provoked by various external factors: emotional tension, physical exertion, weather change, inhalation of sharp odors or listening to spending music. Attentive parents usually notice the features of the occurrence and current headache in a childWhat helps a doctor in setting the correct diagnosis.

Vascular headache with vegetative dysfunction syndrome

The headache leads various changes in the brain vessels: spasms, stretching due to the reinforced blood flow to the brain or its bad outflow. Vascular changes in children are most often associated with violations of the regulation of the vegetative nervous system, the department responsible for the operation of internal organs (heart, intestines, stomach, lungs, various glands, etc.) and including vascular tone. Children with vegetative dysfunction are prone to an increase or decrease: blood pressure. Sometimes the tone of the blood vessels is unstable, it can increase, then decrease. It is important to understand that with vegetative dysfunction, the structure and anatomy of the vessels is not changed, only mechanisms regulating their tone suffer.

The causes of vegetative dysfunction may be injuries and damage to the brain (, tumors, toxic lesions, etc.), various diseases (diseases of the kidneys, heart, liver, mental disorders, etc.). The hereditary factor plays a big role. Provisible to the development of vegetative dysfunction. Features of the physique and psychological organization of personality (high anxiety, fears, tendency to hypochondria, depression), stress, disorders, overwork, reduced physical activity, unfavorable emotional psychological situation in a family or school.

Children with hypotension, reduced arterial pressure, usually suffer to pulsating or stupid, goded headaches, and children with hypertension, an increase in blood pressure, - with cutting or yases accompanied by nausea and dizziness. For children with a violation of venous outflows from the skull cavity, morning headaches and meteo-sensitivity (reactions to weather changes) are characteristic.

In addition to headaches and changes in blood pressure, vegetative dysfunction accompany violations in the work of a variety of organs and systems (respiratory, gastrointestinal disorders, impaired urination and thermoregulation, etc.). Typical symptoms: sense of light shortness, yawning, sudden deep breaths, heart pain, heartiness, nausea, lack of appetite, heartburn, vomiting, or, Icota, frequent urination with small portions or, on the contrary, rare large portions, thermoneurosis. Children often have weakness, lethargy, sleep disorders, schoolcharacterium performance, learning ability can decrease. Different emotional disorders are characterized: unfortunately, fears and internal tensions; Hysterical bursts and apathy, plasticity, tendency to depression, and hypochondria. Often, such children have something hurts all the time: it is in the left side, it is in the right, then the heart will grab, then the head will be spinning. However, during the examination, no serious organic pathology is found.

Treatment of vegetative dystonia complex, it includes the moderation of the regime (healthy sleep, walks, moderate physical exertion, full nutrition, etc.), the creation of a favorable psychological situation in the family and school, medication, massage, physiotherapy (electrophoresis, electrosone, solarium, Baths, Sharcot shower, Circular shower, paraffin or ozocenite appliques for the cervical region, etc.), psychotherapy, autotraining, hypnosis treatment, etc. Medical treatment is selected in accordance with an option for the stream of vegetative dystonia, the nature of the symptoms and individual characteristics of the child. Soothing means are prescribed (dyeing, Valerian, Persen, etc.), drugs, normalizing blood pressure, vitamins (neuromulititis, benffamma, alvilitic, alphabet), nootropic drugs, improving metabolic processes in the brain (nootropyl, pantogam, piracetam, phenibut, encephol , Aminalon, etc.), means that improve the blood circulation of the brain (oxiram, cavinton, cinnarizin, tanakan, etc.).

Fitotherapy is widely used. A child with vegetative dystonia is observed and treated by a pediatrician, a neurologist, a cardiologist.

Raising or decreased intracranial pressure

Through the thickness of the human brain is thin sliding cavities - brain ventricles. The ventricles and the space between the cranial box and the brain are communicated to each other by the system of holes and filled with the spinal fluid (liquor). The liquor is produced by brain cells, freely circulates by cavities and creates a certain constant pressure in the skull cavity. This is intracranial pressure. Various pathological conditions (inflammatory processes in the brain and its shells, injuries, tumors, cysts, congenital vices of brain development, vascular diseases) change the pressure of the liquor on the brain.

Intracranial hypertension - an increase in intracranial pressure. The volume of fluid increases and puts pressure on pain receptors of shells and vessels of the brain. At the same time, the sawing pain that felt in the depths of the head is characteristic. The symptom can change from the position of the body (intensify or pass when changing the poses, flexion of the neck), is often accompanied by vomiting. With a significant increase in intracranial pressure arise. Breast kids have large spring and seams of skulls. Intracranial hypertension can be accompanied by an increase, empty and pulsation of a large spring, the discrepancy between the seams of the skull, the rapid increase in the scope. Breast children with elevated intracranial pressure are usually restless, sleep badly, slightly jerk. Moderate intracranial hypertension, even if it begins at an early age, does not affect the intellectual abilities of the child, their mental backwardness is rare and is usually associated with any accompanying diseases.

With increasing intracranial pressure headache It is stopped by diuretic preparations (diakrab, triampur, glycerin, etc.). In the event of progression of the disease leading to a significant expansion of the brain ventricles, which represents a serious threat to the child's mental and motor development, perform a surgical operation. The skull cavity is combined with a heart or abdominal cavity with a tube (shunt), which removes an extra liquid.

Intracranted hypotension - a decrease in intracranial pressure - it is relatively less common. Due to the reduction of fluid in the brain cavities, the vessels and brain shell are stretched, and their stretching leads to headache. Usually the pain passes with a simple flexion of the neck and in the lying position.
A child with changes in intracranial pressure is observed and treated by a neuropathologist.

Headache with infectious diseases

Infectious diseases, including most ORVI, begin with headache. Its reason is intoxication - the body poisoning to the toxic substances resulting from the life of microbes and viruses. Together with the headache with intoxication, weakness, drowsiness, deterioration of well-being, decline or absence of appetite and other symptoms are occurring. Headache In case of infection, it is usually conjugate with increasing temperature, so if the child suddenly fell ill with the temperature, measure the temperature, maybe he just fell ill.

Stress headache

Schoolchildren are common. The cause of headaches Serves the tension of the muscles of the head and neck during a concentrated physical, intellectual or emotional work. It is usually localized in the frontal and occipital regions, passes after rest and relaxing muscles. With a long irregular position of the head in relation to the body, the blood circulation of the brain is hampered, the nerve endings are pushing. Therefore, the occurrence of headaches often contributes to the incorrect landing of the student at the table. If necessary, the stress of the eye muscles in children with poor eyesight occurs, if they do not fit without glasses or glasses. Eyes can also get tired of a child with normal vision as a result of a multi-hour stay in front of the computer monitor or TV screen.

Headache Voltages can be regarded as an unhealthy habit that can be eliminated by tracing the child with muscle relaxation techniques. First of all, it is necessary to eliminate the harmful effects (achieve a good posture, correctly pick up glasses, watch TV no more than an hour per day, rest, etc.). Purposeful treatment consists of gymnastics and relaxing procedures (massage, autotraining, needleflexotherapy, physiotherapy, etc.).

Migraine

Migraine Headache Appears as a result of expansion and pulsating oscillations of blood vessels of the brain. The tendency of the vessels to the sudden change in the tone is inherited. Clinically manifests as attacks (paroxysms) of the strongest headaches, usually one-sided (hurts right or left half of the head). Between the attacks, the child feels good, his condition is satisfactory.

Attentive parents and adult children know how to distinguish the upcoming attack migraine: in a childsleeping, attention, performance, drowsiness appear; Thirst, the appetite is reduced. Immediately before the attack, the appearance of aura is typically. These are rapidly passing visual, sensitive or olfactory sensations (sparks, flickering, "checkers", zigzags before eyes, loss of sight, feeling of numbness in the tips of the fingers and face, various odors and others). At the aura, the attack of the strongest pulsating (as if the pulse knocks in the head) headachethat no painkillers are removed. Feature children's migraine In the fact that the attacks are rarely unilateral in nature, as usual in adults. As a rule, children have a bilateral pain. At the peak of the attack there may be vomiting, after it comes relief and the child falls asleep. The duration of the attack is from 15 minutes to 2 hours, the frequency of occurrence is individual. Neuropathologist is engaged in the treatment of migraine.

Meningite Headache

Headache It may be caused by inflammation of brain shells with infectious agents: meningococcus and other bacteria, viruses (vaporotitis, tick-borne encephalitis, poliomyelitis, etc.), mushrooms (Candida). When meningitis, the strongest occurs headache, increasing when changing the position of the body and with any external irritation (bright light, loud sounds, touches).

Accompanied by vomiting, light-in-friendly, increased skin sensitivity. Characterized by a certain position of the patient in bed, the so-called "Pose of Legal Dog": the child lies on the side with the trapped head and the elongated torso, the belly is drawn, the hands are pressed against the chest, the legs are bent and pressed to the belly.

An attempt to bend the head of the patient and press it to the chest is impossible due to the sharp tension of the muscles. Meningitis is also accompanied by specific neurological symptoms that the doctor finds when inspection.

Meningitis treatment is carried out in the hospital due to the difficult state of the child, seriously threatening his life and health.

Inflammation of a trigeminal nerve

Triple nerve is responsible for the sensitivity of the face. The cause of its inflammation (neuritis) may be overcooling, injury and infection (often - virus). Clinically manifested by the attacks of cruel pain in the cheek, jaws, heads, can imitate dental pain. Sometimes accompanied by tears and saliva. If such symptoms occur, the child needs to contact a neuropathologist.

Headache treatment with a child

Headache treatment Depends on the cause caused its cause. With strong headaches, analgesic drugs are used: paracetamol, Ehelevgangan, Nurofen, Ibufen, and others. Of the additional "home" funds, the following recipes can be recommended. Is it possible to give paracetamol to the child read.

• Soothing action is the grass of mint, souls and melissa. They can be prepared separately or add to tea.
• Recipe. One art. l. Mint's mixtures, souls and cyprea brew 0.5 liters of boiling water, insist, shook, 30 minutes, strain. Take 1 / 2-1 glasses several times a day during headache.
• It tones well and removes the headache with fatigue black and green tea.
• For headache during a cold Menthol oil helps well. You need to smear their forehead, whiskey, skin behind the ears and the back.
• Recipes for migreen-like headache. Mix 6 pieces of dill seeds, 3 pieces of the grass of the donon and flowers of the Pijmas, 4 pieces of grass Melissa. 2 tbsp. l. Calculate in a thermos 0.5 liters of boiling water, insist 1-1.5 hours, strain and drink 1 / 4-1 / 2 cup 3-4 times a day. You can add honey.
• Mix in 4 pieces of valerian roots, dill seeds, 3 pieces of pyzhma and linden flowers, grass rebel and melissa. Recipe for cooking and reception as in the previous case.

179 comments

Good day. Daughter in 2 months will be 12, today the school has a pulsating headache with numbness of the left hand, which is
Maybe angry and is it worth worrying?

• Hello.
  If numbness is accompanied by headaches, there may be a number of reasons here:
  - pinching of nerve endings, due to hernia or osteochondrosis,
  - neuralgia,
  - multiple sclerosis,
  - forerunners stroke (but due to so young age, it is unlikely),
  - strong stress,
  - Dental treatment (for example, after anesthesia or surgical interventions).
  The permeation of the limb is not always associated with severe diseases, sometimes this may be due to the incorrect posture, when the blood flow to the tissues and organs is disturbed, and due to this, sensitivity is lost. Then this problem is solved by a light massage and warm-up.
  In any case, it is better to see a doctor and make surveys to eliminate serious diseases.

hello, please tell me the daughter of 9 years old complains of headache in the field of the backbone and temperature 37.6. What could be ??? Thanks in advance

Can you help us? For God's sake, help, tell me. Daughter 13. For 6 years, she has pulsating compressive and stitching pain then over the left eye over the right. Under eyebrows. Once or twice a week. From an hour to four lles lasted. Now every day. Feelings intensified. Loins the clock. For 3 weeks already. As fores began to do, Massage Sho and LFK

Hello. My girl is 8 years old .. She is already a week to complain about headaches, it hurts her constantly right rally, pains start in the evening ... From what it can be .. Tell me please (((

Hello. The child is 5.5 years old for 6 days to suffer from a sharply starting headache shooting in the area of \u200b\u200bthe nose, a duration of 5-10 minutes. The pain occurs during sleep, no matter the day or night. Before that, 4 days had a high temperature. Were from the doctor made MRI showed a novice front sinusitis. Not what was not prescribed. How to help the child will cope with the headache. Thank you! Regards, Anna!!!

Hello! Please tell me the boy is 3.4 years old! Approximately 2 weeks complains of pain or her head, or her eyes, or cheeks on the right side! Pain every day for a few seconds, then he let go. There were Pediatricians, Laura, dentist, a jewish, neuropathologist. Where to go? Or do MRI, even though it is harmful.

• Hello. It is impossible to determine the likely pathology without an inspection of a child, but in symptoms is very similar to the neuralgia of a trigeminal or face nerve or migraine. Also one of the probable pathologies may be encephalitis. Important nuances are the scrupulous collection of complaints and anamnesis. Only in this case can be clarified - all these pathologies do not give neurological symptoms and only clarifying features help determine the diagnosis. MRI can be done, and I probably advised you to pass this examination to fully eliminate complex pathologies - encephalitis, neoplasms, aneurysms and other diseases. Sometimes similar symptoms are also manifested with ordinary VG or neurosis. Find a knowledgeable neurologist who wants to help the child.

Hello! My daughter is 10 years old. She has headaches, accompanied by vomiting and it complains that it becomes frying. After she gets out of her, it becomes easier for her, ceases to hurt his head. The next day is repeated by headache, but not so strong and weakness. The neuropathologist recommended to fame the worms, Magnesium B6 during the month. Tell me what about my child? The doctor did not answer anything concrete. And the child continues to suffer with headaches. Thank you!

• Hello. Starting hormonal perestroika sometimes causes first migraine attacks or cerebrenetic attacks - very similar to clinical manifestations. It is impossible to exclude various types of intoxication (glides invasion, sluggish dysbacteriosis), lack of trace elements and vitamins. Therefore, first of all refer to the pediatrician and go through the course of anthelmintherapy (better than 3-5 days by Albendazole, but the dose must calculate the doctor!). The course of vitamin and mineral complexes, probiotics and sorbents, consultation of the endocrinologist, minimum of computer and television (if possible), to be in the fresh air. From the food completely eliminate long-term storage products (yogurts, sausages, especially smoked, sausages), citrus, nuts, concentrated tea and coffee, chocolate, solid cheeses. All these products can provoke migraine attacks. When recuiting the repetition of attacks, consult a neurologist again and go through the necessary instrumental examinations. But perhaps even these drugs and preventive measures will change the frequency and complexity of bouts of headaches. I want to add that the migraine is practically not treated, but it is all these techniques that can be improved the condition of the child - often even tea with lemon and a sandwich with cheese and smoked sausage causes an attack of headaches after lunch.

Hello my daughter is 12 years old, about a year ago, she began not constant headaches on the left side of the head closer to the temple, while it hurts her, but soon everything passes. Tell me with what it can be connected and what to do to me.

• Hello. Very often, the causes of the appearance of such symptoms is a hormonal imbalance that provokes a change in the tone of the brain vessels - ICC with cerebrosthenic syndrome or hypotension. First of all, it is necessary to consult with your Pediatrician Pediatrician and undergo standard surveys (blood test, urine, ECG, blood sugar), consultation of the neurologist. In the future, experts will appoint further examination (if necessary). Before visiting the doctor, you need to check blood pressure - daily in calm state in the morning and in the evening, on the back pain. It is possible to consult an endocrinologist and an ultrasound of the reproductive sphere. In any case, it is necessary to determine the cause of the appearance of headaches.

Good day. My son is 5.8 years old in January, headaches appeared. For the first time it was against the background of the beginning of the disease. Periodically, he begins to stroke his head in one place or another. There may be pain in the temples, or in the back of the head, or in the frontal part. The child describes the pain as "burning" a little. For the first time I was prescribed ibuprofen, but we had an allergy to him. The child has found the cyst of the right Silviyev gap. We made tomography in summer again, no changes, did not increase. But before the child did not complain about pain, and now complains. Another X-ray showed the nestability of the cervical vertebra. There were an oculist, the pressure of the eyeball is normal. What can it be? Why did headaches appear? What can you recommend?

• Hello. The causes of headaches may be instability in the cervical spine - in most these are headaches without clear localization and periodically emerging. If the cause was a cyst - these are local long-term pains with other manifestations. But to accurately answer your question you need to watch the child - consult the neurologist and orthopedic. Unstable must be treated - with age, it can be exacerbated, and the cervical department gives unpleasant symptoms - headaches will be exacerbated and accompanied by nausea, vomiting, numbness, dizziness. Typically, massage courses, physiotics, spa treatment are prescribed.

Live my daughter is very frequent (might be 1-2 times in weeks), strong (she begins to cry at anything much, it takes about her head, she tastes the vessels on the eyeball, immediately want to sleep, give her Ibufen and It can sleep up to 10 hours) Headaches in the forehead. A week ago, I already made a CT goal of the brain, the changes were not found that it could be that I would grant, tell me !!! The child suffers
Thank you in advance and really waiting for an answer
Sincerely, Elena
PS Doca is studying in grade 1, but headaches began to bother 2 years ago were rare 2-4 times a year, now they have frequent and strengthen.

• Hello. Judging by the clinic - the child develops from a cerebrosthenic syndrome or migraine attacks. These are complex pathologies that are practically not amenable to treatment. Now there is an aggravation of the clinic against the background of psycho-emotional loads - the first class is always not just for children (fatigue, experiences, perhaps additional loads in the form of a music school, circles). It is necessary to decide on the background of which the attack develops and, if possible, remove provoking factors. It takes as long as possible in the fresh air, to normalize the mode of sa and wakefulness, limit the watching of the TV and working with a computer, limit or so far to completely eliminate chocolate, cocoa, nuts, citrus, bobbies, solid cheeses, products rich in gluten (dob, manka , Baton), smoked, marinades, mayonnaise, ketchup and all long-term storage products and containing preservatives, especially E12, Sodium glutamate. Sometimes even tea with lemon or sandwich with smoked sausage under certain conditions can cause an attack. Therefore, it is precisely normalization of nutrition and a day of the day first. In the future, the child to learn how to live with it, but at this age you must follow all these moments. Gradually, the attacks will be intensified (with the change of weather, hormonal restructuring, seasonally - most often attacks are registered in December and March, against the background of fatigue, experiences), so it is necessary to protect the child from these provoking moments. In most cases, attacks are reduced or completely disappeared after the end of puberty or the start of sexual life, but not always. Take patience and maintain a child - weakness and drowsiness after the attack is normal. But other pathology of the brain should not be excluded (even with normal CT) - follow the well-being and possible advent of other symptoms, with a change in the clinical picture - pass additional surveys.

The child often has a headache, almost every other day, made an MRI, said the narrowing of the vessels to the right. Littlely during an attack, he got her eyes, began to vomiting. In the last time the vomiting disappeared, but he complains of weakness in the legs and dizziness. Neurologist appointed diakarb and Finlepsin. Tell me how to cure a child or at least alleviate his suffering?

• Hello. Your child has a cerebrosthenic syndrome with frequent attacks of cepalgia. All the symptoms are due to one side by the narrowing of the brain vessels with another of their periodic spasms, which aggravates the circulatory disorder in the brain. This is quite complex pathology, therefore the treatment does not always give the desired results. As the vessels grows and the stabilization of their neurohumoral regulation, in most cases, the symptoms are smoothed and improving well-being, but sometimes there is a deterioration and appearance of new symptoms. In this case, it all depends on the degree of narrowing and the likelihood of a decrease in spasm. First of all, it is necessary to decide on the background of which the child's well-being deterioration is and completely eliminate the provoking spasm factors, streamline the mode, ensure a full-fledged rest and sleep, eliminate any sound and visual irritants. The child should be in the fresh air for a long time, if necessary, - sanatorium-resort treatment. In most cases, in the absence of aggravation of chores - as symptoms increase, it is significantly reduced and can be disappeared completely - observe the neurologist and fulfill all the recommendations of the specialist. Consult about the course techniques of cortexin, vetonic, nootrops and vitamins.

Hello. Daughter 11 years old. Over the course of 2.5 years, lead pains with vomiting occur 1 time per week. Pain occurs in the first half of the day and ends only the next day. No deeperating help. During this time, everything was examined: MRI, Doppler blood vessels, heart, kidney, stomach (everything is normal, visited several osteopaths, a manual therapist, a homeopath, an ophthalmologist, Laura, were among several neurologists, a course was held at a psychologist. Everyone shrugged, they are diagnosed Mignery-like headaches. I discharged different nootropics - it does not help. You have to skip school, because after a child's vomiting weakness the next day. Tell me please - is it really going after puberty or do I continue to look for doctors? Thanks in advance.

• Hello. This is really complex pathology - I can say with confidence from my own experience (I have a migraine from 8 years old and the attacks occur periodically now). The reason for this disease is not fully established at the moment, so it is difficult to treat it. The symptoms, the development and dynamics of migraine are diverse, and one can say, individual, especially in children. To say with confidence that it will be passed after puberty, it is impossible, but gradually you can learn to feel, control and smooth. In most cases, such a pronounced clinic is associated with the hormonal perestroika of the body and as the hormonal background stabilizes decreases in the frequency of appearing attacks, the severity of pain, the duration of pain syndrome. All these manifestations have decreased only in the first year of the institute and gradually disappeared. Repeated resumption occurred against the background of chronic stress, fatigue, and then during pregnancy, but at least as in childhood. Typical Migraine is not amenable to treatment, so it is not worth looking for doctors with the diagnosis. After 17-18 years and in the future, even if the attacks remain - a girl learn to feel their appearance and take a timely medicine and not always these contrarous drugs, often it is ibuprofen or aspirin. All this is individually due to different factors, but typical treatment, as you yourself convinced - does not help, so try simply take a pause and resume the search for doctors after aggravating the disease, the appearance of new manifestations, if everything gradually decrease - type patience and hope for fast and Full recovery spontaneously.

Good day! Daughter 11 years and 1mes. The temperature has already been held on the 5th week. He herself rises, herself drops throughout the day. From 36.5-37.7. It all started with vomiting in the morning with the remnants of untapped food. The first 37.4 and further 3 weeks did not fall at all. Max.37.7. Not knocked.
Headaches are moderate. Dizziness, easy weakness. No more symptoms! There were Pediatricians, Laura, Georonovg, a neuropathologist, an endocrinologist, an oculist, a dentist, a gastroenterologist. No one finds pathologies. Yesterday he was healing tooth with sharp pulpitis. The swamp in the norm is normal all the indicators, urine the overall normal. Cytomegalovirus, toxoplasmosis was excluded. The worm on the eggs and enterobiosis of the dedication. passed Caprology today. The ultrasound of the abdominal cavity without pathologies. The hour has not yet been deciphered, but not perfect. There were still many blood tests, for the Epstein and TD virus. Nobody prescribed Mr. Mart Brain .. Tell me why the temperature can be kept so long, is it possible to go to school with such indicators. What time can you get and what tests? Is it dangerous?

• Hello. The diagnosis of subfebristite unknown etiology is always a difficult task. Increasing the body temperature is quite common and can appear with any pathology - from BPC to complex endocrinopathy. Therefore, it is necessary to ride all the tests that your attending physician appoints. It may have occurred the nervous regulation failure after a transferred viral infection, but such a long subfebilite is an alarming sign, therefore it is necessary to seek the cause of the unstable thermoregulation or the sluggish inflammatory process in the body. I think the assignment of MRI is still unreasonable, but in the absence of other reasons - you may have to spend this examination. Regarding school visits - consult your attending physician, it all depends on the general state of the body and the well-being of the child. I think everything will depend on analyzes and ECG indicators. Additionally, it is necessary to consult an endocrinologist, pass tests for hormones (if necessary), ultrasound of the reproductive system and kidney organs. Also consultation of ENT doctor, neurologist.

Hello!!! Please tell me to my child for 7 years, the last 3 days complains about the headache. In the first day I went to bed early and slept all night. And today simply the roof thugs runs, jumps, yell, and says that he has a headache. How can I be and what to do? Thank you in advance!

• Hello. A pronounced headache in a child is a reason to turn to a specialist (the better, the better!). There may be many reasons, so you need to scrupulously search for all possible options. Be sure to check the arterial pressure indicators (control daily in the morning and in the evening). First, it is necessary to refer to the precinct pediatrician, pass the blood tests (general analysis + deployed formula), urine analysis (required) - renal pathology quite often provokes stubborn and intensive headaches. Refer to the neurologist - the cause of a pronounced parole pain is often the attacks of migraine. Also, the headache appears in viral infections, which proceed with neurotoxicosis or with other inflammatory pathological processes in the body (sinusitis, encephalitis ....). Show the child by a specialist and decide on the tactics of surveys and treatment.

Hello. The child of 6 years periodically complains of headaches in the forehead, the pain is not acute. There were a neurologist, says this because of the posture disorders. Osteopath says no posture violation. Tell me where else to go and what are probable reasons?

• Hello. Questions about the presence or absence of a disorder of posture in a child are not solved by osteopath, but a children's orthopedist, which, if necessary, clarify the diagnosis prescribes a spinal x-ray. When the posture is disturbed, periodic headaches are possible, but they can also develop with vegetative dystonia, meteo sensitivity, anemia and other both functional and organic pathologies that need to be diagnosed. You need a comprehensive examination of the child, measuring blood pressure in the morning and in the evening, observation in the dynamics. Often, at this age, the cause of headaches is overwork, lack of physical activity, long-term finding of a computer or viewing of a telecast and a small stay in the fresh air, violation of vision!, Low hemoglobin or hypovitaminosis, functional disorders of the digestive system, adenoid vegetation and other problems. And often eliminating certain mode disorders, rational nutrition and physical activity of the child in the fresh air - completely eliminates this symptom.

Hello. Week three years ago My daughter (8 years old) began to complain about fatigue and headaches two or three times a day, but it happened briefly and did not interrupt her classes. I wrote off it for fatigue in recent days before holidays. But the holidays were held, she walked a lot, slept enough, the food is full, but the complaints were left, and last night the head got sick so that I had to lie down for a whole hour, and today in the morning (hurts the frontal part of the attacks) and weakness, I want lie down.
We have a big employment: the usual school, music school and choreography - except the usual school everywhere good progress and do not want to give up something. Tell me what to do, how to help your child? Thank you.
Another point: this year we had to change school, a new teacher strict, and the daughter is often afraid to get bad estimates. Maybe part of the reason in this? Thanks again.

• Hello. In this case, first of all, a complete examination of the child is necessary, because with time without treatment, the situation will only be exacerbated. Complete the full examination - the blood test with the calculation of the formula, urine analysis, ultrasound of the thyroid gland, consultation of the pediatrician, neurologist, eyepiece and, if necessary, other specialists. Perhaps the cause of malaise is the overwork, hormonal restructuring of the body and additional psycho-emotional factors (new school, teachers ...). In this regard, the nervous system made a failure, which manifested itself with these symptoms, but above all, it is necessary to exclude the development of vascular problems and hypotension, which over time and without adequate treatment will only be exacerbated. Consult and experts, decide for the reason and eliminate it. It is often sufficient to reduce the load, streamline the mode and reduce stressful mood - all this in your hands, including the health of the child.

Hello, my son is 9 years old often complains of headache, explains what the head hurts inside, the pain is not acute, I understand that the tests passed the EKG cardiogram, it seems all right, the pediatrician said that we have such vessels as a flower is normal, Once and started, but they say nothing terrible, pains are not passing out, which we still do and where to go, it becomes scary, help

• Hello. At this age, headaches are often arising, associated with the hormonal perestroika of the body, a change in the regulation of the tone of vessels, including the brain. At the same time, symptoms of meteo-sensitivity are manifested, pain syndrome develops against the background of overwork, lack of sleep, increased visual load and exposure to the organism of other stressful factors (even if it transfers these loads before without problems). First of all, it is necessary to normalize the mode of work and recreation, limit extra loads, follow the child to spend less time at a computer or TV and more extinguished in the fresh air. Control blood pressure with mandatory fixation in the notebook and respond to the frequency of headaches and probable reasons. The attention does not focus on this and the child's attention is the problems of active growth and physiological hormonal imbalance, which, with proper relations and observations, will definitely be held. Consult the neurologist, after control the blood, it is possible to need some supporting drugs, vegetable adaptogens or amino acid preparations and vitamin-mineral complexes. If necessary, passes additional surveys to eliminate the organic pathology during the participation of headaches or the appearance of other symptoms. To be exacerbated during vegetative-vascular dystonia, previously transferred crank and brain injuries, infections and other somatic diseases were aggravated (pay attention to this neurologist during inspection). In most cases, these symptoms are held as the child grows.

Hello! The child began to complain about the pain in the back of the head, when he sits for a long time. Made a collar zone massage. The complaints decreased, but still remained, mainly when the whole day clips, then complains of pain in the head. We are 3 years old. Very capricious feet. Maybe it's on the background of emotional stress?

• Hello. The child is small and will not be able to accurately tell the intensity and localization of pain, capriciousness may indicate the constant presence of discomfort. Therefore, it is necessary to consult a neurologist. It is possible that the cervical miositis, the sublinks of the cervical vertebrae with the infringement of the nerve, the instability of the cervical spine, vascular disorders or simply emotional overvoltage. But emotional fatigue without correction at this age can lead to the development of neurosis, which are difficult to tremble, especially against the background of the immaturity of the nervous system or perinatal problems (complex or rapid birth, chronic hypoxia, and other problems during pregnancy and childbirth). The earlier decide on the reason - the sooner the child's health improve.

And my daughter has headaches recently appeared. Walked to the doctor. I was explained that very often, in children at the age of 14, there is awesome-seeming dystonia. The main thing is that prevention and treatment is prophylaxed. I am now I drive my daughter to the pool, forcing her forcing her more. From medicines - Eltacin is now accepting. I see noticeable improvements in its condition. Yes, and she says that he feels better that the head stopped disturbing, the weakness does not appear.

• Hello. Indeed, quite often with active hormonal restructuring of the body, vegetative-vascular dystonia develops with various manifestations from headaches to rhythm disorders. All this functional changes and under the right mode, reducing elevated loads, long-term stay in the fresh air and, if necessary, the need for drug treatment - there is a significant improvement. The sanitation of chronic infections (caries, tonsillitis) is considered a prerequisite. You are all right, follow my well-minded + vitamin and mineral complexes, plant adaptogens: ginseng, Echinacea, Eleutherococcus (after consulting with your doctor), it is possible to need a course reception of iodomarine.

Hello! Tell me for my daughter for 9 years already 4 days hurts a head of light pulsing pain in the field of Temkin, what could it be? thanks in advance.

Good afternoon, son is 6 years old and he complained about his headache a couple of times, over the right ear, for the first time it was visiting a bunch of children's noise gami .. and he said that he had a headache from this noise, but after min 10 she was in their own He passed, and yesterday he was visiting and again complained about the headache, too, over the right ear .. and something I began to worry about it ... There is no development in development. It's strange in the car. He includes the music on the entire volume and it does not hurt from it. It doesn't hurt. Only when he was a year on the frontal part of the head fell a coffee table ..Things, vomiting was not and the child after this fall behaved normally (fusiness, irritability It was not observed. The same evening was shown by the eyepiece looked after he said everything with the child normally.)

Hello. My daughter (5 years 9 months) began to often complain about headache in the forehead and irritation from bright light. There is a problem with END adenoids puts 2 degree adenoids. Appetite is normal, activity too. What could be the reason?

Hello. After the injury of the cervical spine The child has strong headaches. Pain describes as squeezing pulsating and whiskey. Can this be due to the china spine department. Headache arose after the electrophoresis with Novocaine. Also, the child has baby encephalopathy.

1. Hello, Anastasia!
   Headaches often begin to disturb the children at this age. The reasons may be somewhat and we need to understand individually and scrupulously. Most often, the cause of headaches in girls from 9 to 12 years old is the beginning of a hormonal restructuring of the body and a change in the tone of the vessels in both the body as a whole and a brain: vegetative-vascular dystonia with cerebrosthenic syndrome, meteo-sensitivity and other signs of hormonal instability. And, of course, it needs to be corrected. First refer to your district doctor, pass the tests to exclude other causes of headaches: anemia, renal pathology, hypoglycemia, melting invasion (blood test, urine and feces). The specialist will determine the need to consult a child neurologist and / or endocrinologist.

Hello. The daughter of 4.5 years old was twice the attack of a sharp headache in the forehead (a little less than the center of the forehead), which lasts half a minute. At the same time, she grabbed his head, often blinked. Vision did not violate. The overall condition is normal, no temperature, nor vomiting, no other symptoms. Mood is good.
What could it be? What experts to contact? What tests and research is fashionable to do?
Thank you.

• Hello Anna!
  Any painful syndrome is an alarming sign, so the child needs a complete examination - the volume must define the attending physician. The first thing to be done is to contact the precinct pediatrician, pass the tests (general blood test, better with the deployed formula, the overall analysis of urine, blood for sugar, feces analysis on the eggs of worms). According to the clinic, symptoms are similar to cerebreenic syndrome or vegetual-vascular dystonia, so a neurologist is needed to eliminate the organic pathology and determine the presence or absence of neurological signs. Perhaps experts will offer you a more in-depth examination - EEG or MRI brain - do not refuse (this is not carried out without the need, only if there are doubtful signs, to clarify the diagnosis). Also, this symptom may occur in renal pathology or endocrinopathy - if necessary, a specialist will appoint an ultrasound kidneys, a small pelvic organs, possibly thyroid gland. Causes concerns repetitive attacks, so examine the child as early as possible.

Hello, his daughter - 9 years old headaches have become more frequent. When she went to school she had rare migraines with nausea. As the summer holidays of migraine began, but they were changed their headaches in the forehead area, the pain is not constant, it comes, then it goes - the waves. Headache moved into the light, but almost everyday. You could not help the Council, what to do, to what doctors to contact?

• Hello! These are signs of vegetative-vascular dystonia, but not excluded cerebrenenic syndrome. Migraine does not go anywhere, simply in certain periods is transformed into another disease. This condition needs consultation of a specialist - first a pediatrician, and then a child neurologist, if necessary, instrumental examination methods (at the discretion of specialists). Also, be sure to hand over a general blood test (to exclude anemia), general urine analysis (often renal pathology proceeds with headaches) and blood on sugar. The transformation of symptoms can be held on the background of the beginning of the hormonal restructuring of the body, and this aggravates all the problems available. It is also possible to develop the pathology of the thyroid gland, so just in case, show the girl an endocrinologist.

Good day! We ask your advice. A week ago, the child stumbled and fell and fell, on the dark bone, there was a small bump and an abundance over the ear. The son of course bleak, but quickly forgot and played on. We decided to watch my husband, because they were not at home. There were no changes in the behavior, I drove, I slept, everything is as always. Decided that everything is fine. But after three days, the son woke up at night with crying and says that he hit. They decided that he had a bad dream. Succeed

• Hello Julia! In this case, nothing can be said for sure: the cranial and brain injuries and the bruises of the heads in children can manifest themselves with different symptoms and are delayed in time. The only way out is to be observed, and when the minimum symptoms (concerns, headaches appear, a decline in appetite, which may indicate nausea, lethargy, increased fatigue) - contact a specialist, better than a neurologist to exclude pathology.

Hello! The child hurts whiskey not very much. Her whiskey hurt her often. She has drowsiness. Tablets does not accept. There is no vomiting and temperature. What could it be?

• Hello! Periodic pain in the temporal area can talk about a rather large spectrum of different states. And, absolutely not necessarily, diseases. Physical and / or psycho-emotional overvoltage, exposure to direct sunlight, change in atmospheric pressure or air temperature, exposure to the pressure of large volumes of water (with diving) and still a number of others are only external causes that may contribute to their occurrence.
  From the very body itself, the essence may be hidden in the unbalancement of the actions of the sympathetic and parasympathetic departments of the autonomic nervous system, affecting the overall tone of the body as a whole and, to the narrowing and expansion of vessels (including brain), in particular. This symptom complex is known as awesome-vascular dystonia.
  There is a situation of violation of cerebral blood circulation as a result of a decrease in blood flow on the spinal arteries. They pass in the channels formed by holes in the process of cervical vertebrae. And, with different orthopedic changes in this spine (C maybe because of problems in the underlying), arteries can be shifted by their structures around them. As a result, the bloodstream decreases (the volume and speed coming to the brain, blood), which leads to oxygen deficiency. Very sensitive to this bark of large hemispheres and creates situations of oppression of consciousness (drowsiness, lethargy, inhibition), accompanied by pain. Including in the temporal area.
  It is quite problematic to head for a specific diagnostic path, not knowing the age of your daughter, nor the pretty of these symptoms, nor the circumstances of their occurrence. You should examine the girl from the neurologist and orthopedic.

Hello! Headache (7 years old) began to train headaches. It seems to be in the afternoon, closer to the evening with frequency 2-3 times a week. They noticed that this is due to violation of the day. We try to adhere to it strictly, but the slightest disorders lead to headaches. Checked the brain on the MRI- Everything is purely. The heartologist prescribed a phenibut with glycine. Special changes after acceptance of drugs did not notice. The heart was checked, the same is fine. Duplex scanning of brachiocephalic arteries are made. The conclusion: the echographic signs of the bend of the BCA on the left without impairment of hemodynamics. Minor stenosis and strain deformation on the right, not more than 30%. Maybe you will advise.

• Hello! In addition, the neurologist has already advised you, you can add not just adherence to the day mode, but its clear operational. The girl is required, in addition, day rest is a break in affairs. In particular, with the beginning of the school. Do not overvolt it with the implementation of intensive mental and physical tasks. We are not talking about the walk-in-law, it will be enough to alternate activity and rest, a change of activity. Then, the manifestations of neuro-circulaton dystonia will not be so apparent or completely stop disturbing.
  Since during the study (duplex), stenosis was revealed by the right vertebral artery, it makes sense to advise the girl from orthopedic. Perhaps there are problems with the cervical spine. Typically, the cervical department in the kids on planned inspections does not cause suspicion. "Digging" begin when they come with complaints. Including, and on headaches of tension.
  Usually, in children of this age, the installation type of broken posture is revealed. It is manifested in the form of a lusted back, lowered shoulders, serving the tummy. At the same time, to restore the balance, the head is located a little kepeneda. What creates the conditions for the partial relocation of the vertebral arteries.
  And, do not forget about the possibility of exposure to direct sunlight on the girl's not covered the girl's head.

  • Doctor, thanks for such a complete answer. The last week is very strictly observing the day of the day, headaches are not worried. We hope that they will gradually come to no. And with the cervical department, we really have problems: dislocate the cervical vertebra and a violation of the posture. But a neurologist said that he could not hurt from this head (although I doubt it). Very afraid of the school year, we go to grade 1, I'm afraid of the advent of mental and exercise, our problems will be aggravated. What do you think, should you repeat the course of Phoenibut and Glycine at the beginning of the school year or even before studying?

    • Good day! Your neurologist was really wrong. First you need to deal with the fusion of the spine, since it is possible to infringe the main arteries and nerve trunks. This is naturally accompanied by a circulatory impairment with headaches, arterial pressure instability, dizziness. You need to refer to the traumatologist in order to examine. Try to do it before the school year. Most likely, the child will have to wear a chant collar, in order to correct the problems with the spine and remove the muscle tension. Your problems with the time and with the beginning of the school year can really be aggravated. The drug phenibut may cause braking and drowsiness, in addition, it is not recommended to take a long-term course of those who have problems with the stomach, so at the beginning of the educational process, it is better to refuse to better. Pinibut Try to replace with piracetam or its analogues, but for this you need a full-time consultation of the neurologist. The reception of glycine will not bring any harm, but if you have taken a long period, then the course of treatment is better to repeat in six months. If you all want to re-conduct the course of treatment with Phoenibut, then it is better to do it before the start of the school year. Neither Phoenibut, nor glycine on the routines can not influence the spine, so you need to eliminate the main cause of the disease.

Hello the daughter of 2 years old, she had vomiting after yesterday once, and today the temperature is 37Gradus and how the head hurts and does not want ????

• Hello! A minor increase in body temperature (up to 38 degrees) in small children, accompanied by vomiting, headache, weakness, decline in appetite and a number of other general signs of malaise may become a consequence of any intoxication. This may be the beginning of an infectious cold illness (not necessarily the gastrointestinal tract). It can talk about the presence of other sources of inflammation in the body. Such a state may be observed in the glitter invasion. And it can be the result of nervous and physical overwork, including a thermal (solar) impact.
  Moderately elevated body temperature, vomiting (without a description of its character), headache and appetite decrease - too general features for which it is absolutely impossible to bow down to one or another problem. This may well be a transient reaction (acclimatization) if not only the region of residence, but also time zone, and the nature of the food (not characteristic of the usual diet) was replaced.
  To correct such states, you should protect the child from high activity and staying in the open sun, adjust the power mode (eliminate new products for the girl), translate to a gentle diet. But not forcibly feeding. But the abundant drink in the form of unsweetened compotes, hills, brass (for example, chamomiles and linden) will be only good.
  No medicines, including sorbents (coal, smect, etc.) do not give. If the condition per day does not improve, consult medical attention to the purpose of inspection and examination of the child.

Good day! 2.5 years baby. Healthy girl, there were no problems, and recently (about a month) began attacks. Wakes up at night from the desire to sign, but it does not go to the pot as it was before, and crying, I am afraid ... like a panic. It takes place in a few minutes, complains that the head across the side of the right above the eye. This happens not every night. It can sleep well and goes normally on the pot. The first time this was three nights raised. Then passed, today the same thing happened after day sleep.

• Hello! The situation described by you is very similar to one of the manifestations of restless sleep in children of early (from2-x) and younger school age (up to 8 years), called "night fears". They arise as a result of a sudden psychomotor arousal in time. At the same time, the child, waking up, does not remember the dreaming, and does not come to contact even with the most close relatives!
  The situation does not have clear rhythms of repetition, but it is more possible with the day, and especially before bedtime. Children with high emotional lability are most susceptible to night fear ("from laughter before crying and on the contrary - one second"). Provocates the occurrence, as a rule, strong fright. Remember whether there was any such case about a month ago.
  Also, children are very sensitive to the slightest change in their familiar lifestyle. Any changes in the family, a change in residence, etc. Can provoke an increase in the emotional perception of the child.
  As a rule, night fears are resistant to any medication (incl. And herbs) effects. Pass independently when you get acquainted with the child to new living conditions.
  For state correction, strictly follow the day mode. At night make relaxing baths. Tell me instead of a fairy tale, what will dream of a child (flowers, butterflies, etc.) - this reception is called "programmable dreams".
  If the situation does not improve, consult a neurologist.
  And the pot (if he is not terrible) nothing to do with it. Complaints on "Pain over the right ear", most likely ... the child on the right side prefers to sleep?

Already about 6 months, the child (4 years) is often complaining of headache in the backache of the nape closer to the neck. Tied it with overwork because Late falls asleep (in the area of \u200b\u200b23:00). In addition, there is a tendency to be a tendency to elevated intraceracting pressure. For a year and a half he was transferred to the fracture of the skull bone. Some time ago, nausea was added to the headache, thought he was telling in the car (every morning about 40 minutes I eat to kindergarten), but now the complaints about the nausea began to appear before the trip. Can these two symptoms be a sign of a serious disease? What doctor will you turn to?

• Hello! I think that nausea is in no way connected with headaches. As the child is still small, he can simply be afraid of the upcoming unpleasant sensations associated with nausea from the tech during a trip to kindergarten. That is why he can talk in advance about nausea, and this does not mean that his sick.

  Headaches in the occipital region in the morning can be connected both with overwork and with a stuffing or too dry air in the bedroom of a child at night. Be sure to ventilate the room at least than 30-40 minutes before laying a baby to sleep. In the warm summer months it is advisable to sleep with an open window. If the room is too dry microclimate, then I recommend purchasing an electric humidifier and leave it working for the whole night. This is especially true at a time when steam heating works in the room, as well as in the hot summer months. If you have to purchase an electroplating capability of the opportunity, dry the baby in the bedroom a few wet diapers, one of them is best to hang on the baby's bed.

  Also make sure that the kid follow the day of the day. You need to lay a child in bed no later than 21 hours 30 minutes. Let the baby fall asleep not immediately, but 30-60 minutes before bedtime it is best to spend in bed. Read the child a book, turn on listening to the audio fairy tales. This will help the boy tune in to sleep. But view the TV, noisy moving games, the computer before bedtime is not recommended. It is to watch cartoons or electronic games before bedtime can provoke headaches immediately after awakening.

  If, in compliance with these tips, during one or two months, the baby will not cease to complain about headaches in the morning, then I recommend to visit the child neurologist with him and, if necessary, to surveys. Good luck!

Hello, son in August will be 8 years old, complains of pain in the head, in the frontal part, but not often. Once at the beginning of the school year, and today. Dali Nurofen 10 ml and fell asleep through time, tell me from what a head can hurt.

• Hello! Headaches in school children can have different reasons. The most frequent one is the beginning of ARVI. Usually per day or two before the appearance of the first symptoms of the respiratory disease, the child may begin to complain about pain in the occipital or frontal area, it may also complain that he "knocks the temples". Also a frequent cause of headaches at a schoolboy - overwork during the day. If such pains arise no more than once a month, then you should not panic. Make sure that the child observed the day of the day, poured out, rested at least one hour after school classes before proceeding to perform homework. With complaints of headache, give a child anesthetic - a nooofen or pandol. You can try to do half the age dose recommended in the instructions, and if the medicine does not help, then in an hour to give a second half of the dose. Consider that the headache tolerate the children is not recommended, so do not be afraid to give an anesthetic medicine.

  If headaches have a permanent character, if an anesthetic helps poorly or does not help at all if headaches are accompanied by weakness, vomiting, loss of consciousness, then you need to show the child to a child neurologist. Such pains may be associated with elevated intracranial pressure, vegetative dystonia, transferred earlier injury, which a child silent or forgot to tell you. In this case, the doctor will appoint an examination (encephalogram, brain ultrasound), which will help to identify the cause of headaches from a boy and appoint adequate treatment.

Hello!
My daughter is 7 years old. For a week now, she has a headache in the morning, at the same time. She immediately begins to be a clone into sleep, but because of the headache, in the left temporal part of the head can not sleep. You have to give nurofen. Next, passes and all is well.
There were a pediatrician, but she leans to ORVI, but no explicit signs of her. Neither cough, no snot, pure throat. Literally, a week to headaches, treated from cystitis. The first urine analysis showed leukocytes. Today passed again. 1.06, at the reception.
Is the headache like that is associated with cystitis? How to help my daughter?

• Hello. Yes, most likely in your case headache - residual phenomena after cystitis or its treatment. Very frequent headache may occur in a child after treatment with antibiotics. I can't advise anything else, except to remove the pain Nurofen. If the pain does not pass within the next week, then I recommend you to contact the neuropathologist to pass the survey. Here are possible a variety of options - from increased intracranial pressure to a vegetative dystonia. In the meantime, try to provide a child a calm healthy dream. After checking the room in the evening, as much as possible, the girl is as possible - the liquid will help to remove toxins from the body, the appearance of which could cause drugs during cystitis or the sickness itself. Get well!

Hello! Daughter 2 years old, after the evening walk began to complain that the head hurts, he was very crying. When it broke out. In the course of the night she pulled 5 times, there was no diarrhea. It was 37,5 temperatures when she rose to 38 I was shot down. They decided that this poisoning and treated the corresponding one. On the next day, there was again abundant vomit. 7 times a day with a temperature of 37.3.Dealous controversial injection. On the next day, the child felt excellent. And the appetite and the chair is good, the temperature was 37.2 she herself It was declining. The next 3 days everything is fine, but the temperature still rises to 37.2.A. And for the fifth day, the child again complains about headaches, and the temperature is 37.5. Tell me what tests do we need to do? We need to live in a small town of good specialists Not. Thank you for your answer!

• Hello! It looks like the child suffered Rotavirus. The sharp phase of the disease (multiple vomiting) has already passed. Headaches and temperatures may be caused by intoxicating the body, which was caused by the virus. Therefore, the child is as much as possible, it is also necessary to give him any absorbent to help bring toxins from the body (smect, polysorb, as a last resort activated carbon). I advise you to pass a common blood test to make sure that the disease is indeed caused by a virus, not an intestinal infection. Correct!

Hello! Daughters are 6 years old, often in the morning it complains about headaches. Please tell me what we need to do and what tests should I take?

• Hello! Headaches in children - the phenomenon is not rare. Often this is the first sign of a starting ARVI. If respiratory symptoms do not join, and the child continues to complain about the headache, then the reason must be sought in the other.

  Periodic megren-like pains may mean that the child is overwhelmed. Make sure that the girl did not spend a lot of time at the computer or the TV, hung out, spent enough time outdoors. If the pains come after awakening and do not leave the child the first half of the day, it may mean that he sleeps in a stuffy room. Also excessive dryness of air during sleep can cause headaches in the morning. Try well to ventilate the room before bedtime and use the air humidifier and, perhaps, the child will cease to complain about pain.

  In addition, headaches in preschool children may be a sign of increased intracranial pressure. It can manifest itself as a result of the presence of a child, injuries obtained in the process of childbirth, congenital pathologies. As a result of these factors, the baby may have problems with brainwood, which manifest a few years after birth. As a result, excess the spinal cerebral fluid (liquor) is formed, which presses the brain causing pain.

  If the headaches do not pass within 2-3 weeks, be sure to tell the pediatrician about them. Perhaps he will send you to the children's neurologist for further examination to clarify the causes of the head pain in the child in the morning.

Hello! My son is 7 years old (this year I go to school), the 5th day complains about the headache, only in the first half of the day, in the morning. No temperature. Pain in the field of left temple and above the left eyebrows (the son says "inside hurts"). On the first day, when the head got sick, complained about the abdominal pain, then it turned out and it became easier, everything went at once (I thought that poisoning). In the following days, headache without vomiting. Given nurofen from pain. With all this, he has a runny nose, nozzles thick when they are high and there are a lot of them. Tell me please, what can it be? What doctor to contact?

• Hello! Apparently, your child is sick orvi. The appearance of headaches in the temporal area during this disease is a completely natural phenomenon. This occurs for several reasons: an increase in the amount of intracranial fluid that presses on the brain, inflammation of the apparent sinuses, intoxication of the body caused by viruses or bacteria.

  If the headache during ORVI is accompanied by an increased body temperature or vomiting, then this may be a sign of severe disease - meningitis. The pain that lasts a few days and amplifies under slopes, movement, but the body temperature of the child is not raised - may be the cause of neurological disorders and requires a speedy appeal to a specialist - a children's neurologist. Also, the resultant cause of headaches accompanied by a rhinoceron with green (purulent) secretions is a sinusitis, which without treatment can lead to severe complications. Therefore, my advice to you - do not postpone the visit to the doctor. First of all, you need to contact the Plot pediatrician, which, if necessary, will send you to other specialists - neurologist and Laura. Get well!

Healthy. My child, who is 5 years old, headaches happen. It can be once every half a year, once every three months, once a month. The headaches are not rapidly, but they can occur for example once in half a year, then once a month , then again in half a year or after a few months. And it happens so that the child runs, it is played, in general, it is very active and here he says that he has a headache, then he hurts stronger and he goes to rip out 5-6, he throws in sweat And he goes to bed and after sleeping a dream healthy child. A surcharge lasts about 20-30 minutes and may happen at any time of the day, but mostly closer in the evening or in the evening. Please tell me what it can be?

• Hello! Headaches in children can have a wide variety of reasons. Your child's pain has an attacking character, they may be associated with overwork. Often, young children begins to hurt head if they spend a lot of time at a computer or TV. Sometimes such pains can be so strong that the child is tearing. After a full rest (sleep), such pains usually pass. Also, parole headaches may indicate an increase in intracranial pressure, which, in turn, may be a sign of a serious illness. Be sure to show the baby to the child neurologist. Perhaps he will appoint additional surveys.

Hello. My daughter is 9 years old. Approximately 2 weeks complains of headache. Attimes all day. Especially during music or lessons. Night sleeps fine. Worried about still color and lips. That is normal, then suddenly the face is pale, and the lips shine. Made Rag. The result is not very good. One is increased, the other is low. In all departments, the violation of venous outflows? What does it mean? Neurologist prescribed massage, glycine, reduced loads, compliance with the mode of sleep and recreation. Another neuropathologist registered Caventon and Nesurobex. All this still does not help. The blood test showed the presence of worms. Speed \u200b\u200bvermoks 2 weeks ago. The headache hurts and pallor is preserved. We will now drink the second course of Vermox. What else to do in such a situation?

• Hello! Violation of the venous outflow of the brain is a disease that arises as a result of a decrease in the tone of vessels, their improper work. Very often this happens from schoolchildren due to violation of the day, lack of sleep, high mental loads, stress. Also, often the cause of violation of venous outflows becomes cranopy and brain injuries, for example, a transferred brain shaking in a child, which was not observed by their parents. The symptoms of this disease are headaches (especially in the mornings and in the process of mental loads), the pallor of the skin, weakness, dizziness. Often the disease occurs during the off-season, in spring or autumn.

  Since on the basis of the Rag, your child has already been diagnosed, then quietly fulfill the prescriptions of doctors, and most importantly, try to normalize the child's mode, increase the duration of sleep, protect against stress. Headaches will not pass in one day, because the pathological process itself also developed not instantly, and the time will also need to eliminate. Get well!

Son 30.05.2015 will be 6 years old. He is sick, from the birth of laryngitis, which lead to hospitalization. Breaking from birth on hormones and antibiotics. And now a headache has been added to the right eye. It's just a sharp tracheoobronchita. What could be the cause of headaches?

• Inessa, tracheobronchitis is accompanied by a stubborn cough.
  This leads to overflow blood vessels, including heads.
  There may be a violation of the integrity of the wall of small capillaries, which is accompanied by an insufficient intake of oxygen into a certain portion of the brain.
  Due to temporary hypoxia, a headache arises.

  During the disease, the penetration of bacteria in the nasopharynx often occurs and inflammation of the frontal sinus of the nose causes inflammation, which is accompanied by the appearance of headaches.
  The temperature and selection of the nose in the initial period of the disease may be absent.

  If during the week, the headache will not disappear, show the child to a child neurologist and a otolaryngologist.

Hello! My daughter has 10 years old headaches repeating every 6-7 days. The child was examined, all diagnostics passed, MRI, Doppler vessels, examined the kidneys, heart, stomach, did not find anything. I read previous comments, probably it is really the restructuring of the body, but why such frequency? We are trying to observe everything: walk a lot, the pool, but nothing helps. Tell me if it is possible to determine how the hormones influence the hormones and somehow facilitate these states. thanks in advance

• Hello, hope!
  The frequency in the occurrence of headaches may be explained by the fact that the girls are repeated weekly days requiring great mental and physical exertion.
  At school, one of these days has a large number of lessons.
  The disciplines studied may require increased attention and concentration.
  If a pool visit is added to this, then the body's need for oxygen is largely increasing.

  Oscillations of the number of hormones during puberty are accompanied by a change in the tone of blood vessels.
  The flow of blood into separate parts of the brain can decrease, respectively, the phenomena of hypoxia occur.

  The blood test on the content of hormones in this situation will not be quite reliable.
  The number of hormones can quite correspond to the age of the child.
  However, the moment of changing their quantity cannot be caught, as these oscillations can occur at different times of the day and throughout individual days.
  The state of the girl will improve after establishing the menstrual cycle.

2. Olga, the emergence of a headache in a child against the background of low body temperature can have several reasons.
   The most frequent of them is to reduce blood pressure.
   In this case, there is a slowdown in blood circulation on the blood vessels and an increase in heat transfer.

   The presence of helminth leads to the phenomena of intoxication of the body and the deterioration of the suction of nutrients necessary for the production of thermal energy.

   The emergence of anemia is accompanied by a decrease in the amount of oxygen entering the tissue.
   It also contributes to the violation of metabolic processes.

   The possible cause of such a state is the insufficiency of the liver function and the thyroid gland.

   We regularly measure the girl level of blood pressure, make a common blood test, a three-time analysis of feces on eggs worms, ultrasonic examination of internal organs and thyroid gland.
   Research results will assign appropriate treatment.

Hello. Son 9 years. At the same time, a strong headache at one point arises closer to the dinner. Above eyebrows with bridges. The fifth day. After paracetamol immediately disappears and it falls asleep. No temperature. Nausea too. What could it be? Help

• Hello, Madina!
  Headache in the boy may occur due to the mental load in school and long stay in non-refined rooms with reduced oxygen content in the air.
  Perhaps, in recent days, a stressful situation arose, leading to a spasome of blood vessels.
  The provoking moment in the occurrence of headaches is the development of spring avitaminosis, which significantly worsens the exchange processes in the cells of the brain.

  At this age, the child can begin a hormonal restructuring of the body, which is accompanied by a change in the tone of blood vessels and changes in blood pressure indicators.

  The development of anemia is also accompanied by oxygen starvation of brain structures.

  You can think about infecting with helminths, which leads to the phenomena of intoxication of the body.

  Disorders of the liver and thyroid gland are often manifested by headaches.

  Measure daily boys blood pressure on the background of the appearance of headaches.
  Make a general blood test, feces analysis for the presence of worm eggs three times in a day, carry out an ultrasound examination of internal organs and thyroid gland.
  The results will help determine the treatment tactics of this state.

Deputy Director of the Scientific and Practical Center for Children's Psychoneurology of the Department of Health of Moscow, Children's Neurologist, Doctor of Medical Sciences