Overview of diagnosis and management of paediatric headache. Please fill out the diary every day on which you experience any. Seattle children s offers interpreter services for deaf, hard of hearing or nonenglish speaking patients, family members and legal representatives free of charge. Bring the diary with you to your medical visit to help your clinician determine treatment options. There are many different ways to classify headaches. Pdf headache diary in the diagnosis of childhood migraine. A headache diary consists of tracking the following. To request an appointment with a pediatric headache specialist, please call 4105505624, select option 1, then option 6. There are descriptions of headache types, simple treatment approaches, a headache diary to help you outline your headaches. Seattle children s will make this information available in alternate formats upon request. This will also help you and your health provider make a plan for treating your headache. At every step, we take the time to understand your childs condition, talk with you. Remember to bring the headache diary to all healthcare appointments. Have the attacks become less frequent since you started taking a certain medicine.
Headache diary a good headache diary can help us to help you. The use of a headache diary and the ability to subsequently avoid precipitants is an effective approach to headache prevention if the patient rather than the parent assumes responsibility. Nonpharmacologic headache relief kathi kemper, md, mph. The doctor can help you know what type of headache it is so you can choose the best treatment. Dr meghan candee spoke about the evaluation of pediatric headache. Fever diary leading pediatric hospital in neonatal. Seeing children and teenagers with symptoms of headache and migraine headache can be a debilitating condition in school age children, and can affect mood, school performance, and activity level. Talk to your childs or teens provider to see if they should record anything else in the headache diary. Pediatric headache treatment and referral guidelines developed by pediatric neurologists across north carolina, including those from carolinas health care, duke university, east carolina university, university of north carolina, and wake forest university, primary care providers, and academic general pediatricians. Medication overuse is a common cause of chronic headache in patients with previously diagnosed headache disorder. Include as much information as you can about the headache and treatment used including medicine and nonmedicine options. We provide the pedmidas tool online in a downloadable format pdf. The evaluation and management of paediatric headaches. Once an appointment has been made we ask that you complete a headache diary and fill in a pedmidas form.
Pediatric nurse practitioners, karin colunga, and lauren hunt assist the physicians in providing compassiona te clinical services at both offices. Ask the patient assisted by the parents to keep an appropriate headache diary e. It may help to find a doctor who has experience treating headaches in children. Monthly headache diary headache service, department of neurology, st georges hospital, blackshaw road, london sw17 0qt. What i ate before the headache caffeine, diet soda, chocolate, hot dogs, food with artificial sweeteners, processed foods important stressful events that occurred today. Headaches are common in children and adolescents and are a frequent chief complaint in office and emergency department visits.
Date time ha began time ha ended warning signs aura location. Approach to headache evaluation episodic 1 headacheweek with disability p. Headache calendar detailed pdf use this detailed headache calendar to document each time your child has a headache and bring the completed calendars to your childs next appointment with the doctor. Patients may opt to use a smartphone app, such as migraine buddy, an electronic headache diary. Each time you have a headache, answer these questions in your headache.
It has been tested and validated for ages 4 to 18 and mirrors the use of the adult midas that lipton and stewart developed for adults age 20 to 50. Headache diary american academy of family physicians. Keeping a headache diary helps you to determine which factors might influence your headache pattern. The vast majority of childhood headaches are due to a primary headache disorder, such as migraine, or an. In children, location of the headache is less important diagnostically than in adults.
They should also write a few notes about what might have caused them or helped them to go away. At every step, we take the time to understand your childs condition, talk with you about our recommendations and answer your questions. Headaches in children childrens hospital of philadelphia. This is a general guide about the ways you can record your migraine attacks. It is a good idea for your child or teen to keep a headache diary. Headaches in children and adolescents american family physician. Common headache triggers many headaches are caused by outside factors, sometimes known as triggers. Pediatric headache program resources childrens hospital of. Headache home pediatric care online aap pointofcare.
Cluster headache analgesic medication overuse enforcereinforce headache hygiene systematically wean off abortive medications. Ask your parent or other adult to help you with this diary. List all other foods eaten within 612 hours prior to headache onset 1. The headache clinic is a specialist clinic for children with headache and migraine. It is not always easy, 4 months later, to tell if the amount of attacks has really decreased. If your child has chronic, hardtomanage headaches, we may also refer her to our multidisciplinary headache clinic. The faces show more and more pain up to the rightmost face it shows very much pain. Chapter 3 child and adolescent headaches child and adolescent headaches a multidisciplinary approacha balance of medication with therapy and lifestyle changesis the most helpful for children with severe headaches to help them return to normal functioning in home, school, and social life. There are descriptions of headache types, simple treatment approaches, a headache diary to help you outline your headaches for us and a headache disability questionnaire. We also see those with rare primary headache disorders such as tac and also those who require specific treatments such as goni. They should list all headaches, when they happen, and how long they last. Pediatric headache treatment and referral guidelines.
A headache diary consists of tracking the following information. Feb 27, 2011 ask the patient assisted by the parents to keep an appropriate headache diary e. Pdf the usefulness of a headache diary in the diagnosis of migraine. Your diary can be very detailed of very basic depending on your needs. Many patients will not be able to properly identify headache triggers, so a.
Work with the patient to establish an individualized goal of prophylaxis, noting that reducing the frequency andor severity of headachesrather than eliminating them completelyis a realistic target. Hemicrania continua is a rare headache type included in this category and occurs on one side of the head, with stuffy nose, droopy eyelid and red, teary eye on the same side. Especially during the teenage years, it occurs more frequently in girls than in boys, but prior to puberty the prevalence of migraine is roughly equal in the two sexes. Page 1 is the diary page 2 is the key pages can be printed separatel y if you need multiple copies of the diary but only one copy of the key just select in the box that comes up when you click print. Keeping a headache diary, monitoring the frequency, duration and severity of your headaches, can help you manage your headaches. Pediatric headache clinic this booklet is designed for use by our headache patients as an information guide and preplanning for your visit. Another perspective for improving the costtobenefit ratio in pediatric headache imaging may be to consider either an imaging modality that is lower cost than mri. Migraine headache is a ubiquitous disorder that is quite common in the pediatric and adolescent population. Keeping a headache diary is very important to help track progress in managing headaches. A headache diary can help you find a link between your childs headaches and the things that trigger them. Feb 15, 2002 headaches are common during childhood and become more common and increase in frequency during adolescence.
Pediatric and adolescent migraine american migraine. The migraine diary provides you with a tool to answer all these questions if you use it accurately. Ninety percent of migraine in the pediatric age group is bilateral. Pediatric and adolescent migraine american migraine foundation. Every time you have a headache, make notes in your diary.
At the pediatric headache program, an experienced team works in close collaboration to help improve your childs. Although medications can be effective, most children with headaches can be managed with simple analgesics and a headache diary. Fever diary when keeping a fever diary, it is important to keep a daily log while your child has the fever. The migraine diary also monitors the success or failure of treatments and medications. The national headache foundation also recommends keeping a headache diary to track the characteristics of your headaches. How boston children s hospital approaches headaches. Our specialists at boston children s hospital have great expertise in diagnosing and treating children s headaches. These are usually caused by tight muscles, dilated blood vessels, alterations in communication between parts of the nervous system, or inflammation of the structures in the brain and are not linked to another medical condition. Recording details of your migraine attacks can be useful in. Pain can be under the eyes or even in the neck area. Headache diary pdf pain log pdf the uw health neurology program provides comprehensive treatment for adults with headaches through its headache clinic at university hospital, and treatment options for children at the pediatric neurology headache clinic.
Use the diary to record your headache complete a diary entry whenever you experience a headache. The diary allows you to list date, duration, trigger factors, treatments and time until relief of headache. Instruc tions please list time and date the headache starts. Use the pictures to help the child explain how much their head hurts.
The most common headache syndrome affecting the pediatric population is migraine. Pediatric headache program resources childrens hospital. This information will help you and your healthcare provider learn about your headaches. If you take a preventative treatment, the diary shows what the frequency of your headaches is, and helps us see if the treatment improved your situation. The rational, costeffective evaluation of children with headache begins with a careful. For more information about headache causes and treatments, visit the nhf web site at. Children who never get autonomic symptoms but have this pattern have pure tension type headache, and do not respond to triptan medications. Pedmidas was developed to assess migraine disability in pediatric and adolescent patients. Include other symptoms or triggers that may be present when you. The following list contains some of the more common headaches triggers. Children with headache problems are evaluated in our headache program. Occipital headache in children is rare and calls for further diagnostic evaluation. Headache help for your child or teen 1 of 8 to learn more neurology 2069872078 ask your childs healthcare provider free interpreter services in the hospital, ask your nurse.
From outside the hospital, call the tollfree family interpreting line, 18665831527. They should also write a few notes about what might have caused them or helped them. If a child or teenager suffers from frequent or disabling headaches, the pain can have a big impact on her life and her whole family. It is important to write down information about your headaches. Types of headaches headache diary elliot hospital pediatric. Please also answer what were you able to do during the headache.
Pediatric migraines may lack throbbing character and be of shorter duration when compared with adults. Write down the date and time of the fever, the temperature and where it was taken example. Patterns identified from your diary may help your doctor determine which type of headache you have and the most beneficial treatments. Migraine diaries this is a general guide about the ways you can record your migraine attacks. We will also send you some other questionnaires for you and your child to complete. To learn more about migraine and its management visit. Its useful to keep a headache diary, noting when headaches occur, and what your child was eating, drinking, or doing before the headache occurred. Show the child the pictures when the headache starts, during the headache, and again after steps have been taken to ease the pain. Migraine diary instructions migraine association of ireland. Prepare to feel worse in a couple of weeks reinforce non. Date time startfinish intensity rate 1 10 most severe being 10 preceding symptoms triggers medication and dosage relief completemoderatenone for more information about headache causes and treatments, visit the nhf web site at. The pediatric headache program at childrens hospital of philadelphia specializes in providing comprehensive assessment and treatment for children with disabling and difficulttotreat headaches. Approximately ten percent of school aged children experience migraine.
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