Baby’s “headache” home quick check Raiders
Headaches are not uncommon in childhood, they can be mild or severe, they can be temporary, they can be persistent, and they can be recurrent.
Because the location and accompanying symptoms are different, a comprehensive analysis must be performed in conjunction with the medical history, physical signs, and necessary laboratory tests to find out the cause.
⒈ Systemic diseases: The most common cause of pediatric headaches is systemic diseases.
At this time, the children’s headache symptoms are diverse, ranging in severity, but often transient.
The following are common: ⑴ fever: fever caused by any cause (infection, high temperature environment, dehydration, etc.) may cause headaches, dizziness and bloating to varying degrees.
⑵Nervousness caused by chronic wasting diseases or other reasons: Nervousness and excessive fatigue are common causes of headaches, especially when you are weak, have insufficient sleep and rest, and suffer from headaches when you are hungry or have insufficient nutritional supplies.
Headaches often worsen before meals, and children may feel tired and weak.
With proper rest, increased nutrition, or control of the primary disease, headaches can gradually ease.
(3) Hypertension: There are not many patients with hypertension in childhood. Most of them are caused by kidney diseases (such as acute nephritis, chronic nephritis, renal dysplasia, etc.).
Most children with hypertension will have headaches, often with general head pain or bilateral temporal headache.
If there is a persistent, severe headache with vomiting, diplopia, etc., attention should be paid to the development of hypertensive encephalopathy (cerebral edema).
⑷ metabolic disorders: such as uremia, acidosis, early diabetic coma, hypoglycemia and so on.
⑸Various poisoning: carbon monoxide poisoning, aniline poisoning, metal poisoning, phosphorus, chlorine, sulfur pesticides and pesticides, cyanide, nitrite, carbon tetrachloride, gasoline, hydrogen sulfide and other poisoning can cause headaches,The child also developed other symptoms of poisoning at the same time, which can be identified in combination with the history of poisoning.
⑹ Nerve functional headache: The severity and location of the headache vary, and no abnormal signs can be detected.
This condition is relatively rare in childhood, and other causes should be carefully excluded before considering this disease.
⒉Craniocerebral local factors: In childhood, headaches due to diseases of the eyes, nose, nasopharynx, ear, and neck are very common, and the symptoms are also different.
⑴ Eye diseases: headaches are more common in refractive errors (myopia, hyperopia, astigmatism), and increased intraocular pressure.
Among them, the headache caused by refractive error is the most. At this time, the headache mostly occurs in the forehead, sometimes radiating to the back of the pillow, and manifests as persistent pain, sometimes more severe. The headache worsens after reading or focusing on a little.
Corneal stroma, iritis, iridocyclitis, uveitis, congenital lens dislocation, congenital glaucoma, intraorbital tumors and other eye diseases can increase intraocular pressure and cause obvious headache symptoms in children.
⑵ Sinusitis: Acute and chronic sinusitis are often accompanied by headaches.
The location of the headache is on the same side as the inflamed sinus mucosa, which is related to the position and emptying of nasal secretions, and there is a certain time.
(3) Nasopharyngeal diseases: adenoid hypertrophy, post-pharyngeal abscess, and craniopharyngioma of the nasopharynx can cause pain in one or both sides of the forehead.
⑷ Otitis media: Acute and chronic otitis media can cause headaches.
The headache is reflex and is on the same side as the affected ear.
⑸Neck disease: Headache can be found in cervical muscle injury or inflammation, cervical spondylosis (osteomyelitis, tumor), inflammation of neck skin or subcutaneous tissue.
This kind of headache mostly occurs in the posterior occipital region, which occurs simultaneously with neck pain, and there is tenderness at the junction of the craniocervical neck, and some have a radioactive headache, which can last for several months, and is mild and severe.
⒊Craniocerebral diseases: almost all headaches in children with craniocerebral diseases are caused by increased intracranial pressure, direct dural stimulation or traction, and abnormal contraction, relaxation, or pulsation of cerebral blood vessels.
In addition, the cerebral and cervical nerves are more sensitive to pain, and headaches can also occur when damaged.
Headaches due to craniocerebral diseases are often accompanied by other neurological symptoms, such as disturbances of consciousness, meningeal irritation, abnormal superficial and deep reflexes, autonomic dysfunction, localization and movement disorders, ataxia and paresthesia.
Headaches caused by craniocerebral diseases are common in the following situations: ⑴ Central nervous system infectious diseases: meningitis, encephalitis, toxic or infectious encephalopathy.
⑵Craniocerebral injury: concussion, subdural hematoma, subarachnoid hemorrhage, brain tissue damage.
(3) Intracranial space-occupying lesions: various intracranial tumors and metastases, cerebral parasitic diseases, and brain abscesses.
⑷Cerebrovascular disease: If the face of the child has obvious vascular nevus and neurological symptoms appear, the possibility of intracranial meningeal hemangioma should be considered.