DEAR DR MIKE,
I HAVE A 10 YEAR OLD DAUGHTER THAT IS ..HAVING SOME BAD HEADACHES ON THE LEFT SIDE OF HER HEAD, SHE EXPLAINS THEM A BEING A STEADY THROB THAT GOES FROM THE EAR TO THE TEMPLE, ABOUT 7 DAYS AGO WE STARTED GIVING HER BEYER ASPIRIN, AND THAT SEEMED TO DO THE TRICK, BUT IT DON’T DO IT ANYMORE, WE NOTICED THAT SHE IS GETTING DARK CIRCLES UNDER EYES AND WANTS TO SLEEP MORE THEN USUAL. BACK IN SEPTEMBER SHE HAD A BIKE ACCIDENT AND SPLIT HER KIDNEY OPEN AND WAS IN THE HOSPITAL FOR A FEW DAYS. SHE DIDN’T HAVE ANY OTHER INJURIES WITH THIS ACCIDENT, BUT SHE HAS HAD SEVERAL FALLS WHERE SHE HAS BUMPED HER HEAD PRETTY HARD. WE ARE CONCERNED THAT SHE MIGHT HAVE A PROBLEM THAT WILL NEED MEDICAL ATTENTION. IS THIS SOMETHING THAT I SHOULD GET IMMEDIATE MEDICAL ATTENTION TO?
THANK YOU IN ADVANCE TO YOUR ANSWERING MY QUESTION.
SINCERELY,
JEANETTE

Hi Jeanette,

A headache in a 10 year old can happen, especially with sinus infections, stress, menstrual periods, lack of sleep, visual problems, etc. But, the fact that the headaches are not responding to aspirin is more concerning.

Yes, I think it is best for you to take your little girl in to see her doc.

Your doc needs to start with a basic exam; check her heart rate, blood pressure, etc. Look in her nose, and palpate (press) on her sinuses to check to see if they are “infected”.

Your little girl also needs to have her neurological (brain) status examined: her cranial nerves, her balance, and inside her eyes. She needs to have a vision screening done, too.

Depending on what he/she finds on the exam, your doctor will determine if he/she thinks your daughter will need to have any further testing (e.g. MRI or CT scan of her brain).

Also, it’s better to use ibuprofen (Motrin or Advil) or acetaminophen (Tylenol) to treat headaches in children, and not aspirin.

The bike accident in September is most likely unrelated to these headaches.

In summary, it is important to have your little girl seen as soon as possible by her doc just to make sure everything is okay.

I hope that puts you in the right direction and she feels better soon. Mike