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Headaches

I get headaches a lot. Is there something wrong with me?

A headache is not a disease, but it may indicate that something is wrong. Headaches are common among teenagers and generally are not serious. In fact, 50% to 75% of all teens report having at least one headache per month. However, more frequent headaches can be upsetting and worrisome for you and your family. The most common headaches for teenagers are tension headaches and migraines. Sometimes these problems may be associated with health concerns that require a visit to your pediatrician.

Types of headaches

Tension headaches often feel like a tight band is around your head. The pain is dull and aching and usually will be felt on both sides of your head, but may be in front and back as well.

Pressure at school or at home, arguments with parents or friends, having too much to do, and feeling anxious or depressed can all cause a headache.

Migraines often are described as throbbing and usually are felt on only one side of your head, but may be felt on both. A migraine may make you feel light-headed or dizzy, and/or make your stomach upset. You may see spots or be sensitive to light, sounds, and smells. If you get migraines, chances are one of your parents or other family members also have had this problem.

A third, less common, type of headache is called a psychogenic headache. Psychogenic headaches are similar to tension headaches, but the cause is an emotional problem such as depression. Signs of depression include loss of energy, poor appetite or overeating, loss of interest in usual activities, change in sleeping patterns (trouble falling asleep, waking in the middle of the night or too early in the morning), and difficulty thinking or concentrating.

When to see your pediatrician

If you are worried about your headaches—or if this problem begins to disrupt your school, home, or social life—see your pediatrician. Other signs that may mean you should visit your pediatrician include:

  • Head injury—Headaches from a recent head injury should be checked right away—especially if you were knocked out by the injury.
  • Seizures/convulsions—Any headaches associated with seizures or fainting require immediate attention.
  • Frequency—You get more than one headache a week.
  • Degree of pain—Headache pain is severe and prevents you from doing activities you want to do.
  • Time of attack—Headaches that wake you from sleep or occur in early morning.
  • Visual difficulties—Headaches that cause blurred vision, eye spots, or other visual changes.
  • Other associated symptoms—If fever, vomiting, stiff neck, toothache, or jaw pain accompany your headache, you may require an examination—including laboratory or x-ray tests.

 

Published online: 4/07
Source: Important Information for Teens Who Get Headaches (Copyright © 1991 American Academy of Pediatrics)

Healthcare professionals may order this publication in multi-copy packs.
Parents can find more information on this topic in Caring for Your Teenager. To order a copy of this book visit the AAP Bookstore.

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The information contained in this publication should not be used as a substitute for the medical care and advice of your pediatrician. There may be variations in treatment that your pediatrician may recommend based on individual facts and circumstances.





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