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Headache
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Symptom Definition

  • Pain or discomfort of the scalp or forehead areas.
  • The face and ears are excluded.
  • Main cause: muscle tension headache or headache from fever.


See More Appropriate Topic

  • If followed a head injury within last 3 days, see HEAD TRAUMA.
  • If pain is around the eye or the cheekbone, see SINUS PAIN AND CONGESTION.

(To go directly to these topics, click on the links following this document.)


Call 911 Now (your child may need an ambulance)

  • Difficult to awaken.


Call Your Doctor Now (night or day) If

  • Your child looks or acts very sick.
  • Confused thinking or slurred speech.
  • Blurred or double vision.    
  • Weakness or unsteady walking.
  • Stiff neck.
  • Severe headache with fever or vomiting.


Call Your Doctor Within 24 Hours (between 9 and 4) If

  • You think your child needs to be seen.
  • Sore throat present for more than 24 hours.
  • Sinus pain or pressure of forehead.


Call Your Doctor During Weekday Office Hours If

  • You have other questions or concerns.
  • Headache present for more than 24 hours.  
  • Headaches are a recurrent problem.


Parent Care at Home

  • Mild headache and you don't think your child needs to be seen.


Home Care Advice for Mild Headaches

  1. Pain Medicine:  Give acetaminophen or ibuprofen for pain relief (see Dosage table). Headaches due to fever are also helped by fever reduction.

  2. Food:  Give fruit juice or food if your child is hungry or hasn't eaten in more than 4 hours (reason: skipping a meal can cause a headache in many children).

  3. Rest:  Lie down in a quiet place and relax until feeling better.

  4. Local Cold:  Apply a cold washcloth or ice pack to the forehead for 20 minutes.

  5. Stretching:  Stretch and massage any tight neck muscles.

  6. Call Your Doctor If:

    Headache lasts for more than 24 hours despite using a pain medicine.

    Your child becomes worse or develops any of the "Call Your Doctor" symptoms.

Parent Care for Pediatric Symptoms. Copyright © 2000. Barton D. Schmitt, MD, FAAP


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