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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Headache And Nausea In Children

My 4 1/2 year old has been experiencing some headaches and nausea over the last few months. Sometimes we feel it is due to motion sickness. He complains about once a week of a headache. On Friday, he came home from school with petachae like rash all over his face and neck. His teacher said told us he got really upset at school and had been crying hard and gagging at times due to being upset. I am worried that this May be signs of something bigger
Fri, 23 Jan 2015
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Pediatrician, Pulmonology 's  Response
Hi...Headache in kids need to be considered serious only when the below symptoms are there -
1. Vomiting continuously
2. Seizures/ Fits
3. Watery of bloody discharge from ears and nose
4. Unconsciousness
5. Altered sensorium or behaviour.
Without the above red flag symptoms, just feeling low energy levels points out towards Migraine and other sorts of tension headaches which are on the rise in current scenario due to excessive academic and peer stress the kids are experiencing.
I have a few questions for you -
1. How long has the headache been there?
2. Does it occur always on forehead or keeps changing?
3. Is it associated with blurring of eyes or double vision or giddiness?
4. Is there any family history of migraine or single side headache?
5. Is he very angry when he gets headache and does the ache get better after a good sleep?
6. Does he vomit when there is headache?

Kindly get back to me with the answers to above questions and also mention his weight so that I can suggest you the formulations which are good. But as of now - you can give oral Paracetamol in the dose of 15mg/kg/dose(max ceiling dose 500mg) every 4-6th hourly.

You can approach me at the following link. Please find the link below -
www.healthcaremagic.com/doctors/dr-sumanth-amperayani/67696
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Suggest Treatment For Headache And Nausea In Children

Hi...Headache in kids need to be considered serious only when the below symptoms are there - 1. Vomiting continuously 2. Seizures/ Fits 3. Watery of bloody discharge from ears and nose 4. Unconsciousness 5. Altered sensorium or behaviour. Without the above red flag symptoms, just feeling low energy levels points out towards Migraine and other sorts of tension headaches which are on the rise in current scenario due to excessive academic and peer stress the kids are experiencing. I have a few questions for you - 1. How long has the headache been there? 2. Does it occur always on forehead or keeps changing? 3. Is it associated with blurring of eyes or double vision or giddiness? 4. Is there any family history of migraine or single side headache? 5. Is he very angry when he gets headache and does the ache get better after a good sleep? 6. Does he vomit when there is headache? Kindly get back to me with the answers to above questions and also mention his weight so that I can suggest you the formulations which are good. But as of now - you can give oral Paracetamol in the dose of 15mg/kg/dose(max ceiling dose 500mg) every 4-6th hourly. You can approach me at the following link. Please find the link below - www.healthcaremagic.com/doctors/dr-sumanth-amperayani/67696