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Definition

  • Pain or discomfort of the head
  • This includes the forehead to the back of the head
  • Not caused by a head injury

Causes of Acute Headaches

  • Viral Illnesses. Most acute headaches are part of a viral illness. Flu is a common example. These headaches may relate to the level of fever. Most often, they last a few days.
  • Hunger Headaches. About 30% of people get a headache when they are hungry. It goes away within 30 minutes of eating something.
  • MSG Headache. MSG is a flavor enhancer sometimes added to soups or other foods. In larger amounts, it can cause the sudden onset of a throbbing headache. Flushing of the face also occurs.
  • Common Harmless Causes. Hard exercise, bright sunlight, blowing a wind instrument or gum chewing have been reported. So has severe coughing. "Ice cream headaches" are triggered by any icy food or drink. The worse pain is between the eyes (bridge of nose).
  • Head Injury. Most just cause a scalp injury. This leads to a painful spot on the scalp for a few days. Severe, deeper or entire-head pain needs to be seen.
  • Frontal Sinus Infection. Can cause a headache on the forehead just above the eyebrow. Other symptoms are nasal congestion and postnasal drip. Rare before 10 years old. Reason: the frontal sinus is not yet formed. Other sinus infections cause face pain, not headaches.
  • Meningitis (Very Serious). A bacterial infection of the membrane that covers the spinal cord and brain. The main symptoms are a stiff neck, headache, confusion and fever. Younger children are lethargic or so irritable that they can't be consoled. If not treated early, child can suffer brain damage.

Causes of Recurrent Headaches

  • Muscle Tension Headaches. Most common type of frequent headaches. Muscle tension headaches give a feeling of tightness around the head. The neck muscles also become sore and tight. Tension headaches can be caused by staying in one position for a long time. This can happen when reading or using a computer. Other children get tension headaches as a reaction to stress or worry. Examples of this are pressure for better grades or family arguments.
  • Migraine Headaches. Severe, very painful headaches that keep your child from doing normal activities. They are throbbing and often occur just on one side. Symptoms have a sudden onset and offset. Vomiting or nausea is present in 80%. Lights and sound make them worse. Most children want to lie down in a dark, quiet room. Migraines most often run in the family (genetic).
  • School Avoidance. Headaches that mainly occur in the morning on school days. They keep the child from going to school. The headaches are real and due to a low pain threshold.
  • Rebound Headaches. Caused by overuse of pain medicines in high doses. Most often happens with OTC meds. Caffeine is present in some pain meds and may play a role. Treatment is taking pain meds at the correct dosage.
  • Not Due to Needing Glasses (Vision Headaches). Poor vision and straining to see the blackboard causes eye pain. Sometimes, it also causes a muscle tension headache. But, getting glasses rarely solves a headache problem that doesn't also have eye pain.

Pain Scale

  • Mild: your child feels pain and tells you about it. But, the pain does not keep your child from any normal activities. School, play and sleep are not changed.
  • Moderate: the pain keeps your child from doing some normal activities. It may wake him or her up from sleep.
  • Severe: the pain is very bad. It keeps your child from doing all normal activities.

Barton Schmitt MD, FAAP
Disclaimer: this health information is for educational purposes only. You, the reader, assume full responsibility for how you choose to use it.
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