Hi,
Do you have history of similar episodes in the past? Any family history of
migraine or other head ache? Is the headache associated with
nausea or vomiting?
Headache with intolerance to light, sound and smell is typically seen in migraine or
vascular headache. Although stress can precipitate an attack, it is not necessary to be preceded by a trigger, and there are other triggers as well - like sleep loss, change in diet, excess caffeinated drinks or alcohol.
After ruling out other causes with detailed history and examination(especially BP and fundus examination), I used to give ibuprofen+
paracetamol thrice daily for 3- 5 days, along with
domperidone. Your doctor will guide you.
Meanwhile drink enough fluids, and take a nap in a dark and quiet room after taking analgesic- usually pain will abort. Rarely patients with sever pain needs intravenous analgesic and sedation. Your doctor will guide you.
Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Muhammed Aslam T. K., Pediatrician