Migraines are a complicated neurological condition that comes with a host of other symptoms in addition to a severe, throbbing, pounding headache. The symptoms may include the following:
- Nausea and vomiting
- Dizziness or the sensation of spinning (vertigo)
- Intensified sensitivity to light, sound, touch, and certain odors
- Abdominal pain
- Mood changes
- Visual disturbances
Children usually exhibit fewer and shorter migraine attacks than adults, but this does not mean their migraines are to be taken lightly or dismissed. They can be just as disabling and can impact your child’s life quality.
Sadly, migraines are quite common among children. In fact, kids as young as 18 months old have been known to show signs of migraines. As many as 10 percent of school-age children suffer from migraines. Half of all adult migraine sufferers report having had a migraine before the age of 12. Interestingly, boys have more migraines than girls before puberty. As they get into adolescence, girls take the lead in having more migraines (possibly related to changes in hormones). By 17 years of age, 8 percent of boys and 23 percent of girls have had at least one migraine attack.
Migraines remain a mystery to most in the medical community. However, it has been seen that genetics and environmental factors play a big role. A child with one parent who has migraines has a 50 percent chance of getting them also. If both parents have migraines, the percentage rises to 75 percent. Over half of migraine sufferers have a close relative with the condition as well.
Migraines Are Disabling for Kids and Teenagers
Although symptoms do vary and may be less for teens and kids, migraines are still disabling for those in this age range. We understand how migraines impact a child when they hit. However, what we do not always realize is the impact it has on them in other ways. Many kids develop anxiety and worry over the fact that they may have an attack that disrupts their life and causes them to miss out on social events. Kids who have migraines often miss many days of school and are unable to take part in after-school or weekend activities with other peers their age. Statistics show that kids with migraines are absent from school twice as often as those without migraines.
Kids, particularly adolescents and teens, may also suffer from what is called chronic migraines, one of the most disabling migraine types. Chronic migraines happen when a child has at least 15 or more migraines during a 30-day period. To be diagnosed, the migraines must last more than 4 hours, for more than 3 months consecutively. Teenagers who have chronic migraines often report having daily headaches. In addition to head pain, chronic migraines have the following symptoms:
- Sleep disturbances
- Depression and anxiety
- Extreme exhaustion
- Problems with concentration
Chronic migraines are difficult to care for, and they really impact life quality of the children that suffer from them.
What to Look for Before Migraines Begin
Interestingly, when it comes to ,head pain may be less severe than the other symptoms of migraines. Non-headache symptoms are called migraine equivalents and may include unexplained nausea or vomiting, dizziness, and abdominal pain. Children, as with adults, may or may not have an aura before a headache begins. Usually, this is a visual disturbance that comes on about an hour before the headache hits. Migraines without aura are much more common, though.
Before a migraine starts, parents may notice the following:
- Changes in behavior
- Loss of appetite
- Food cravings
- Sensitivity to light, touch, smell, and odor
- Sleep talking
- Night terrors
Motion sickness and colic in infants may indicate a predisposition to getting migraines later in life.
Children can also have triggers that bring on migraines if experienced. These can include:
- Changes in sleep patterns
- Not enough sleep
- Skipped meals leading to low blood sugar
- Changes in weather
- Bright light
- Loud noises
- Strong odors
- Hormonal fluctuations
Diagnosing Migraines in Children
A diagnosis is made by taking a thorough patient history, ruling out other explanations for the symptoms, and doing a physical examination. Some testing may be ordered, such as blood tests, EEG, lumbar puncture, and neuroimaging. Migraines tend to run in families. Therefore, if another family member has migraines, it is a good idea to let your primary care doctor know. It is a good idea to tell the doctor the following information:
- How severe the migraines are
- How often they occur
- How long they last
- What triggers them
- Symptoms at the beginning of migraines (aura, lethargy, nausea)
- How disabling they are to your child
- What you have done to care for them and if it worked or not
- A thorough family history
Most traditional care for migraines involves over-the-counter or prescription medications targeted at treating the individual symptoms (nausea or head pain). However, many parents are seeking out more natural and safer ways to care for migraines.
Upper Cervical Care and Migraines
Parents are beginning to see the practicality of upper cervical chiropractic care for their children. This is due to the fact that we use a gentle, precise method to realign the bones of the upper cervical spine, particularly the C1 and C2 vertebrae, that might be causing migraines to occur. These bones can misalign due to a sports injury, a trip and fall, or just a child’s roughhousing. We are not required to crack the neck or spine to get positive results, making the adjustment very safe for children and adults alike.
Once these bones are back in alignment, blood flow to the brain and body can be restored, along with proper communication. This is often all that is needed to see an end to or an improvement in migraines.