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38 years
I a m Rifa nasri . My age 10. i am a patient for headache. always pain to night. what problem that? wha t is the treatment for that?
May 23, 2013

Dr. Zakia Dimassi Pediatrics
At your age, common causes of headaches include:
A/ Primary Headaches, these are 4
1. Migraine: starts on both sides but may shift to affect only one side when you grow older. It starts gradually &becomes more intense, is pulsating you feel it with the beats of your heart), becomes worse with physical activity; you usually prefer to lie ion a dark quiet room. It lasts from 1 up to 72 hours, & you feel nauseated &may even vomit, you'll be irritated from light &noises; an aura (a visual experience that warns you that the headache is about to happen).
2. Tension-type headache: it feels like pressure on both sides of your head and between your head and back of your neck. It doesn't pulsate, may last from 30 min to days. You me get irritated by light and noise, but you don't get nausea/vomiting and physical activity doesn't make it worse.
3. Cluster headaches: these always occur on ONE side &in the area of the forehead &around the eyes. The pain is severe, &usually accompanied by tearing, runny nose, red eyes, &occasionally Horner syndrome (you get drooping of the eye + pupil constriction + drying of half of the face on the same side as the headache).
4. Chronic daily headache: present for more than 15 days a month for more than three months in the absence of detectable organic pathology. It includes 4 subtypes of daily headache: chronic migraine, chronic tension-type headache, new daily persistent headache, and hemicrania continua. Overuse of pain killers (analgesics) has been implied as an important reason for this type of headache.
B/ Secondary headaches: due to trauma, meningitis, high blood pressure, bleeding in the head, or tumor. These usually produce also vomiting (projectile), neurologic symptoms ...
So Rifa, you need to be evaluated by a physician to be able to tell which type of headache you suffer from, this is the only way to get the right treatment for you.
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Dr. Jean Esso Anesthesiology
My first guess would be eye strain. Another possibility is migraine.
It sounds like you need to look further into what is going on with her. What might be making her head hurt? Where is her pain (at one side)? How does it hurt (what type of pain/how much)? Is she getting headaches at school? Does she feel nauseated at the time of headache?
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