Headache

Headaches in children are common, they are usually mild and only happen from time to time.

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.
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
Sometimes headaches can be a sign of something more worrying.
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:

They are very sleepy: difficult to wake up or keep awake
They are confused or behaving strangely
New, persistent blurring of vision, seeing double, a new squint or unusual eye movements
New weakness, loss of balance, coordination problems, are holding their head tilted to one side or have difficulty walking
Vomiting overnight or persistent daytime vomiting without diarrhoea
Breathing very fast or breathing that stops or pauses
Working hard to breathe, drawing in of the muscles below the rib, unable to talk or noisy breathing (grunting)
Becomes pale, blue, mottled and/or unusually cold to touch
Weak, high-pitched, continuous cry or extremely agitated
Has a fit (seizure)
Develops 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:

Neck stiffness or pain
Discomfort with bright lights
A headache waking them from sleep
A headache worse on coughing or straining
A headache impacting on school attendance
Concerns about early or late puberty
Needing to use paracetamol or ibuprofen more than 3 days a week for their headache
A headache that does not get better after advice or treatment from your doctor or nurse
Breathing a bit faster than normal or working a bit harder to breathe
Dry skin, lips, tongue or looking pale
Not had a wee or wet nappy in last 8 hours
Poor feeding in babies (less than half of their usual amount)
Irritable (unable to settle them with toys, TV, food or hugs even after their fever has come down)
Temperature of 38^oC or above for more than 5 days or shivering with fever (rigors)
Getting worse or you are worried about them

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:

Watch them closely for any change and look out for any red or amber symptoms
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 guidance has been reviewed and adapted by healthcare professionals across North East and North Cumbria with consent from the Hampshire development groups.

How can you help your child’s headache?

Start a headache diary. Record date, time, triggers, severity and any other associated symptoms.
Ensure your child is drinking plenty of fluid (no caffeine/fizzy drinks)
Ensure your child is eating regular meals and doesn’t skip meals
Ensure your child is getting good sleep
Ensure your child is having regular exercise
Consider limiting screen time
Paracetamol or Ibuprofen can be given but less than 3 times a week. Using these more often can make headaches worse.
Book your child an eye test with your local optician

Where should you seek help?

If it is non-urgent, speak to your local pharmacist or health visitor.
If your child has any of the above features, urgently see your GP. For an urgent out-of-hours GP appointment, call NHS 111.
You should only call 999 or go to your nearest A&E department in critical or life threatening situations.

Pharmacists are experts in many aspects of healthcare and can offer advice on a wide range of long-term conditions and common illnesses such as coughs, colds and stomach upsets. You don’t need an appointment and many have private consultation areas, so they are a good first port of call. Your pharmacist will say if you need further medical attention.

Sound advice

Visit a pharmacy if your child is ill, but does not need to see a GP.
Remember that if your child's condition gets worse, you should seek further medical advice immediately.
Help your child to understand - watch this video with them about going to the pharmacy.

For information on common childhood illnesses go to What is wrong with my child?

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?

Midwives provide advice, care and support for women and their babies during pregnancy, labour and the early postnatal period. They provide health education and parenting advice until care is transferred to a health visitor. This usually happens when your baby is about 2 weeks old.

Sound Advice

A midwife is an expert in normal pregnancy and birth.

GPs assess, treat and manage a whole range of health problems. They also provide health education, give vaccinations and carry out simple surgical procedures. Your GP will arrange a referral to a hospital specialist should you need it.

Sound advice

You have a choice of service:

Doctors/GPs can treat many illnesses that do not warrant a visit to A&E.
Help your child to understand – watch this video with them about visiting the GP or going to a walk in centre

For information on common childhood illnesses go to What is wrong with my child?

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.

Sound advice

Many visits to A&E and calls to 999 could be resolved by any other NHS services.
If your child's condition is not critical, choose another service to get them the best possible treatment.
Help your child to understand – watch this video with them about going to A&E or riding in an ambulance

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.