Specific genes appear to be associated with migraines. These genes tend to run in families. Many times, the exact cause is not known.
Things that are thought to trigger an attack are:
- Foods that contain tyramine or phenylalanine, or influence blood pressure
- Hormone changes
- Stress and anxiety
- Not getting enough sleep and being very tired
- Fast changes in temperatures
- Exposure to light
Migraines often occur in these phases:
In the hours or days before a headache, a child may have these warning signs:
- A change in mood, behavior, or activity
- Feeling very tired
- Food cravings or lack of hunger
- Nausea or diarrhea
- Sensitivity to light
Auras are feelings that may happen before some types of migraine.
The most common aura is visual. It lasts about 15 to 30 minutes and may cause:
- Flashing lights, spots, or zig zag lines
- Partial loss of vision
- Problems speaking
- A weakness in an arm or leg
- Numbness or tingling in the face and hands
The Migraine Headache
When an aura happens, migraine pain starts within an hour after the aura ends. Headaches often last from 2 to 72 hours and may cause:
A headache on one or both sides that may be:
- Moderate or severe
- Throbbing or pulsating
- Worse with movement
- Nausea or vomiting
- Sensitivity to light or sound
The goal of treatment is to:
- Treat headaches early
- Reduce how severe the headaches are and how often and long they last
- Improve quality of life
Choices may be:
Medicine is the first treatment option for migraines. The type of medicine used depends on how severe the headaches are.
Options may be:
- Nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen
- Triptans to constrict blood vessels and block inflammation
- Dopamine receptor blockers
- Antiseizure medications
- Magnesium sulfate
Therapy may be used with or without medicine to ease stress and improve how a child copes with pain. It may result in fewer headaches that do not last as long. Options are:
- Cognitive behavioral therapy
- Relaxation methods .
Preventing Migraines Before They Happen
Tracking and avoiding migraine triggers may help prevent headaches in some children. Some triggers may be certain foods, stress, and changes in temperature.
Children with severe or frequent migraines may need medicine to try to prevent or decrease them, such as:
- Anti-seizure medicine
This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.
Edits to original content made by Denver Health.
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American Headache Society https://americanheadachesociety.org
The National Migraine Association http://www.migraines.org
The College of Family Physicians of Canada http://www.cfpc.ca
Health Canada https://www.canada.ca
Green A, Kabbouche M, et al. Managing Migraine Headaches in Children and Adolescents. Expert Rev Clin Pharmacol. 2016;9(3):477-482.
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