Growing Kids the Natural Way – Headaches By Christine Dennis RH, MNIMH, MSc(Herb.Med.) Headaches in children are considered to be a common occurrence and when they do occur they are rarely the result of a serious pathological condition. In more than 90% of cases, the cause of the headache can be identified with physical examinations and a detailed case history. Cause The mechanisms that cause headaches can involve the neurological, vascular, muscular/skeletal, and/or endocrine systems. Most headaches are caused from extracranial – outside of the skull, sources rather than intracranial sources. Headaches may occur as a result of stimulus, friction, tension, or pressure on, any of the pain sensitive structures of the head which includes the 5th, 9th and 10th cranial nerves, the upper cervical nerves, the large intracranial venous sinuses, the large arteries at the base of the brain, the tissues covering the cranium, the large dural arteries and the dura mater at the base of the skull. In children, ailments of the eyes, ears, nose, throat, and teeth, muscular tension, fatigue, and fever are the most common acute causes. The first task in determining the cause is to establish the specific location of the pain or discomfort. Other identifying questions are: frequency, duration, severity and the type of pain associated with the headache. Signs and Symptoms: Some signs and symptoms may occur hours to a few days before some types of headaches or a migraine occurs. It can be difficult to determine if a young child has a headache as they are too young to describe what they are feeling and may just be very irritable. Head banging Irritability Pallor Light and/or noise sensitivity Nausea and vomiting Dizziness Stomachaches Visual or sensory changes Changes in coordination Aggravating Factors: Emotional stress or depression Poor nutrition and hydration Strenuous exercise Fatigue Illness Relieving Factors: Gentle head massages Cool moist clothes applied to head Dark room Rest Relaxing breathing techniques DIFFERENTIAL DIAGNOSIS Some Common Causes in Children or Adolescence: Sensory overload – too loud of music, strong smells, too much television or computer use Dehydration Chronic or repetitive coughing “Brain freezes” – from eating cold foods, often too quickly Eye strain– child may require glasses and/or better lighting when reading Substance withdrawal – diet changes such as reducing simple carbohydrates or sugar from diet or eliminating caffeine from diet Hormonal changes in girls Food sensitivities – food colourings, preservatives as well as a particular food such as wheat Blood sugar fluctuations –stress, skipped meals or poor diet can cause these Constipation – build up of metabolic or other toxins can be very irritating and cause headaches A hit to or jarring of the head Allergies Common cold and other viruses Fevers Some Less Common Causes in Children or Adolescence: Concussion - from a hit to the head or serous jarring of head. Note: close observations are necessary for first 24 hours Sinusitis or dental problems – pain in face and jaw, runny nose, tired and/or irritable Tension headaches – dull, non throbbing pain that feels like a tight band around the head. Migraines - throbbing pain usually on one side of the head but can be symmetrical, nausea and/or vomiting, visual or sensory aura; noise and/or light sensitivity; sleep often relieves; may be a family history of migraines Rare Causes in Children or Adolescence: High blood pressure – the underlying cause must to determined Meningitis – fever, headache, neck pain, sleepy, irritable Tumour – severe headache, with increased frequency, worse when lying down or upon wakening, clumsy or walking oddly, vomiting, headache wakes child up in night and other possible neurological symptoms Note : Meningitis and tumours are serious conditions; if one suspects either, immediate medical attention is needed. S e e k h e l p w h e n h e a d a c h e s a r e a s s o c i a t e d w i t h : S e v e r e a n d s u d d e n o n s e t ; C o n f u s i o n o r l o s s o f c o n s c i o u s n e s s ; B l o w t o t h e h e a d ; T i n g l i n g s e n s a t i o n s ; L a s t i n g l o n g e r t h a n 3 d a y s ; U n u s u a l d r o s s i n e s s a n d i r r i t a b i l i t y ; T e m p e r a t u r e o v e r 3 9 d e g r e e s C ; L o s s o f c o o r d i n a t i o n a n d m u s c l e w e a k n e s s ; R e p e a t a w a k e n i n g w i t h a h e a d a c h e a n d n o o t h e r s i g n s o f i l l n e s s ; U n w i l l i n g n e s s t o b e n d h e a d f o r w a r d a n d / o r V o m i t i n g w i t h o u t d i a r r h o e a . TREATMENT RECOMMENDATIONS Dietary Recommendations: High mineral diet – variety in diet is key Magnesium rich foods – green vegetables and whole grains – helps to relax muscle tension B complex rich foods – whole grains, nutritional and brewer’s yeast, bee pollen; helps to sooth and calm the nervous system Essential fatty acids – flax seed oil, fish oils; these are the anti-inflammatory fats Bioflavonoid rich foods – buckwheat, bright coloured fruit and vegetables such as berries and peppers; these helps to restore and maintain good blood vessel integrity Black or green tea - caffeine can help to constrict the blood vessel if the headache is due to excess vasodilatation from fatigue and low vitality Herbal Recommendations: E x a m p l e – N e r v i n e T i n c t u r e C h a m o Nutritive herbs – alfalfa (Medicago sativa), nettles (Urtica dioica), oat straw (Avena sativa), chickweed (Stellaria media) and dandelion leaf (Taraxacum off.) Gentle herbal nervines – agrimony (Agrimonia spp.), chamomile (Matricaria recutita), catnip (Nepeta cataria), lavender (Lavandula off.) or lemon balm (Melissa off.) Stronger herbal nervines – wild lettuce (Lactuca spp.), hops (Humulus lupulus) or valerian (Valeriana off.), Nerve tonics – skullcap (Scutellaria lateriflora), rosemary (Rosmarinus off.), wild thyme (Thymus serpyllum), milky oats (Avena sativa), st.john’s wort (Hypericum perforatum), wood betony (Stachys betonica) and vervain (Verbena off.) Vasodilators – chamomile (Matricaria recutita), yarrow (Achillea millifolium), feverfew (Tanacetum parthenium), wild thyme (Thymus serpyllum), wood betony (Stachys betonica), or valerian (Valeriana off.) Vasoconstrictors – cola nut (Cola nitida), green tea m i l e 2 5 m l s V a l e r i a n 2 5 m l s W i l d t h y m e 2 5 m l s C a t n i p 2 0 m l s C i n n a m o n 5 m l s T a k e 1 t o 5 m l s o f t i n c t u r e 3 t o 5 t i m e s p e r d a y i n a l i t t l e w a r m w a t e r . Other Recommendations: Diet and lifestyle diary – this may be necessary to help determine the underlying cause of a headache Epsom salt bath – high in magnesium to help reduce muscle tension Prevention of Headaches: Eating regularly and having a healthy diet Daily adequate sleep Good hydration Plenty of downtime and stress free activities Is it Meningitis or just a Headache? Here are a few tips to help decide if it might be meningitis: If in doubt, consult medical help immediately: Stiff and sore neck with an unwillingness to bend head forward; Temperature over 39 degrees C; Overly sleepy and Sensitive to light. Signs that it is likely just a headache: History of headaches; Child is not acting sick overall; Headache comes and goes; Not associated with a virus or fever. Bibliography: Barness. Manual of Pediatric Physical Diagnosis. 4th ed. Year Book Medical Publishers. Bates, B. Guide to Physical Examination and History Taking. Lippincott Co. Philadelphia. 1995. 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