Headache
Headaches in children are common, they are usually mild and only happen from time to time.
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There are plenty of things you can do to help your child to feel better such as, making sure they drink plenty of water, take regular exercise and ensure they are sleeping well.
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Stress can often play a part in children's headaches, especially the older they get. Make sure you have regular chats about what is going on in their life
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Sometimes headaches can be a sign of something more worrying.
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A minor head injury can cause headaches, as can colds or a runny nose.
When should you worry?
If your child has any of the following:
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They are very sleepy: difficult to wake up or keep awake
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They are confused or behaving strangely
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New, persistent blurring of vision, seeing double, a new squint or unusual eye movements
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New weakness, loss of balance, coordination problems, are holding their head tilted to one side or have difficulty walking
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Vomiting overnight or persistent daytime vomiting without diarrhoea
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Breathing very fast or breathing that stops or pauses
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Working hard to breathe, drawing in of the muscles below the rib, unable to talk or noisy breathing (grunting)
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Becomes pale, blue, mottled and/or unusually cold to touch
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Weak, high-pitched, continuous cry or extremely agitated
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Has a fit (seizure)
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Has a rash that does not disappear with pressure and seems unwell (see the 'Glass Test')
You need urgent help.
Go to the nearest Hospital Emergency (A&E) Department or phone 999
If your child has any of following:
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Neck stiffness or pain
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Discomfort with bright lights
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A headache waking them from sleep
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A headache worse on coughing or straining or bending down
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A headache impacting on school attendance
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Concerns about early or late puberty
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Needing to use paracetamol or ibuprofen more than 3 days a week for their headache
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A headache that does not get better after advice or treatment from your doctor or nurse
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Breathing a bit faster than normal or working a bit harder to breathe
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Dry skin, lips, tongue or looking pale
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Not had a wee or wet nappy in last 8 hours
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Poor feeding in babies (less than half of their usual amount)
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Irritable (Unable to settle them with toys, TV, food or hugs even after their fever has come down)
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Temperature of 38oC or above for more than 5 days or shivering with fever (rigors)
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Getting worse and I am still worried
You need to contact a doctor or nurse today.
Please ring your GP surgery or call NHS 111 - dial 111
If symptoms persist for 4 hours or more and you have not been able to speak to either a member of staff from your GP practice or to NHS 111 staff, recheck that your child has not developed any red features
If your child has none of the above:
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Watch them closely for any change and look out for any red or amber symptoms
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If your child has a long term condition or disability and you are worried please contact your regular team or follow any plans that they have given you.
Self care
Continue providing your child’s care at home. If you are still concerned about your child, call NHS 111 – dial 111
This content has been developed by healthcare professionals from across the UK in collaboration with the RCPCH.
How can you help your child’s headache?
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Start a headache diary. Record date, time, triggers, severity and any other associated symptoms.
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Ensure your child is drinking a plenty of fluid (no caffeine or fizzy drinks)
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Ensure your child is eating regular meals and doesn’t skip meals.
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Ensure your child is getting good sleep.
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Ensure your child is having regular exercise.
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Consider limiting screen time.
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Paracetamol or Ibuprofen can be given but less than 3 times a week. Using these more often can make headaches worse.
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Do not give Aspirin to children under 16 years of age.
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Book your child an eye test with your local optician.
HeadSmart: Know the signs and symptoms
Click here to choose an age group for a full list of the signs and symptoms.
Health visitors are nurses or midwives who are passionate about promoting healthy lifestyles and preventing illness through the delivery of the Healthy Child Programme. They work with you through your pregnancy up until your child is ready to start school.
Health Visitors can also make referrals for you to other health professionals for example hearing or vision concerns or to the Community Paediatricians or to the child and adolescent mental health services.
Contact them by phoning your Health Visitor Team or local Children’s Centre.
Sound advice
Health visitors also provide advice, support and guidance in caring for your child, including:
- Breastfeeding, weaning and healthy eating
- Exercise, hygiene and safety
- Your child’s growth and development
- Emotional health and wellbeing, including postnatal depression
- Safety in the home
- Stopping smoking
- Contraception and sexual health
- Sleep and behaviour management (including temper tantrums!)
- Toilet training
- Minor illnesses
For more information watch the video: What does a health visitor do?
School nurses care for children and young people, aged 5-19, and their families, to ensure their health needs are supported within their school and community. They work closely with education staff and other agencies to support parents, carers and the children and young people, with physical and/or emotional health needs.
Contacting the School Nurse
Primary and secondary schools have an allocated school nurse – telephone your child’s school to ask for the contact details of your named school nurse.
There is also a specialist nurse who works with families who choose to educate their children at home.
Sound Advice
Before your child starts school your health visitor will meet with the school nursing team to transfer their care to the school nursing service. The school nursing team consists of a school nursing lead, specialist public health practitioners and school health staff nurses.
They all have a role in preventing disease and promoting health and wellbeing, by:-
- encouraging healthier lifestyles
- offering immunisations
- giving information, advice and support to children, young people and their families
- supporting children with complex health needs
Each member of the team has links with many other professionals who also work with children including community paediatricians, child and adolescent mental health teams, health visitors and speech and language therapists. The school health nursing service also forms part of the multi-agency services for children, young people and families where there are child protection or safeguarding issues.
If you’re not sure which NHS service you need, call 111. An adviser will ask you questions to assess your symptoms and then give you the advice you need, or direct you straightaway to the best service for you in your area.
Sound advice
Use NHS 111 if you are unsure what to do next, have any questions about a condition or treatment or require information about local health services.
For information on common childhood illnesses go to What is wrong with my child?
A&E departments provide vital care for life-threatening emergencies, such as loss of consciousness, suspected heart attacks, breathing difficulties, or severe bleeding that cannot be stopped. If you’re not sure it’s an emergency, call 111 for advice.