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Headache

Headaches in children are common, they are usually mild and only happen from time to time.

  • There are plenty of things you can do to help your child to feel better such as, making sure they drink plenty of water, take regular exercise and ensure they are sleeping well

  • Stress can often play a part in children's headaches, especially the older they get.  Make sure you have regular chats about what is going on in their life

  • Sometimes headaches can be a sign of something more worrying

  • A minor head injury can cause headaches, as can colds or a runny nose

When should you worry?

If your child has any of the following:

  • They are very sleepy: difficult to wake up or keep awake

  • They are confused or behaving strangely

  • New, persistent blurring of vision, seeing double, a new squint or unusual eye movements

  • New weakness, loss of balance, coordination problems, are holding their head tilted to one side or have difficulty walking

  • Vomiting overnight or persistent daytime vomiting without diarrhoea 

  • Breathing very fast or breathing that stops or pauses

  • Working hard to breathe, drawing in of the muscles below the rib, unable to talk or noisy breathing (grunting)

  • Becomes pale, blue, mottled and or unusually cold to touch

  • Weak, high-pitched, continuous cry or extremely agitated

  • Has a fit (seizure)

  • Develops a rash that does not disappear with pressure and seems unwell (see the 'Glass Test')

You need urgent help

Go to the nearest Hospital Emergency (A&E) Department or phone 999

If your child has any of the following:

  • Neck stiffness or pain

  • Discomfort with bright lights

  • A headache waking them from sleep

  • A headache worse on coughing or straining

  • A headache impacting on school attendance

  • Concerns about early or late puberty

  • Needing to use paracetamol or ibuprofen more than 3 days a week for their headache

  • A headache that does not get better after advice or treatment from your doctor or nurse

  • Breathing a bit faster than normal or working a bit harder to breathe

  • Dry skin, lips, tongue or looking pale

  • Not had a wee or wet nappy in last 8 hours

  • Poor feeding in babies (less than half of their usual amount)

  • Irritable (Unable to settle them with toys, TV, food or hugs even after their fever has come down)

  • Temperature of 38°C or above for more than 5 days or shivering with fever (rigors)

  • Getting worse or you are worried about them

You need to contact a doctor or nurse today

Please call your GP surgery or contact NHS 111 - Go to 111.nhs.uk or call 111.(111 online does not currently take questions about children aged under 5, so if your child is 4 or younger,  please call 111).

If symptoms persist for 4 hours or more and you have not been able to speak to either a member of staff from your GP practice or to NHS 111 staff, recheck that your child has not developed any red features.

If none of the above features are present:

  • Watch them closely for any change and look out for any red or amber symptoms

  • If your child has a long term condition or disability and you are worried please contact your regular team or follow any plans that they have given you

Self care

Continue providing your child’s care at home. If you are still concerned about your child, call NHS 111 – dial 111

How can you help your child’s headache?

  • Start a headache diary. Record date, time, triggers, severity and any other associated symptoms

  • Ensure your child is drinking plenty of fluid (no caffeine or fizzy drinks)

  • Ensure your child is eating regular meals and doesn’t skip meals

  • Ensure your child is getting good sleep

  • Ensure your child is having regular exercise

  • Consider limiting screen time

  • Paracetamol or ibuprofen can be given but less than 3 times a week. Using these more often can make headaches worse

  • Book your child an eye test with your local optician

Where should you seek help?

For wear and tear, minor trips and everything in between

Self-care

You can treat your child's very minor illnesses and injuries at home.

Some illnesses can be treated in your own home with support and advice from the services listed when required, using the recommended medicines and getting plenty of rest.

Sound advice

Children can recover from illness quickly but also can become more poorly quickly; it is important to seek further advice if a child's condition gets worse.

For information on common childhood illnesses go to What is wrong with my child?

Pharmacists are experts in many aspects of healthcare and can offer advice on a wide range of long-term conditions and common illnesses such as coughs, colds and stomach upsets. You don’t need an appointment and many have private consultation areas, so they are a good first port of call. Your pharmacist will say if you need further medical attention.

Sound advice

  • Visit a pharmacy if your child is ill, but does not need to see a GP
  • Remember that if your child's condition gets worse, you should seek further medical advice immediately
  • Help your child to understand - watch this video with them about going to the pharmacy

For information on common childhood illnesses go to What is wrong with my child?

The 0-19 Service for children and young people is delivered by Oxford Health NHS Foundation Trust and offers a single point of access for Health Visiting, School Nursing and the Family Nurse Partnership. You can contact the teams using the details below:

Single Point of Access (SPA): 01865 903 800

Email: cyp0-19@oxfordhealth.nhs.uk

Chat Health Parentline

Text us any time for confidential advice and support and you will have a response the next working day (Monday-Friday exluding Bank Holidays).

Parents and carers for children aged 0-4: Text 07312 263 081

Parents and carers of children aged 5-11: Text 07312 263 227

Young people aged 11-19 and their parents and carers: Text 07312 263 08

Health Visitors

Health visitors are registered nurses or midwives who have additional training in community public health nursing. They provide a universal service, targeted to individual needs for children aged 0-5 years. Learn more about the Oxfordshire Health Visiting Service here!

School and college Health Nurses

School Health Nurses are specialist public health nurses and have offices across Oxfordshire. They work very closely with Health Visitors to support school aged children. They are available for young people to access in secondary schools and colleges, and offer a service to children who are home educated. They work closely with children, young people and their families to support and promote health and wellbeing. Learn more about the Oxfordshire School and college Health Nursing Service here!

Family Nurse Partnership

The Family Nurse Partnership service supports parents who are aged 19 years or under at conception, or under 21 years if they have been in care. The Family Nurse works alongside younger parents in their home, offering health, wellbeing and development support and information from the early stages of pregnancy, usually up until your child is two. Learn more about the Family Nurse Partnership service here!

GPs assess, treat and manage a whole range of health problems. They also provide health education, give vaccinations and carry out simple surgical procedures. Your GP will arrange a referral to a hospital specialist should you need it.

Sound advice

You have a choice of service:

  • Doctors or GPs can treat many illnesses that do not warrant a visit to A&E
  • Help your child to understand – watch this video with them about visiting the GP or going to a walk in centre

For information on common childhood illnesses go to What is wrong with my child?

If you’re not sure which NHS service you need, you can call 111 or use 111 online.

Please note that 111 online is for people aged 5 and over. Call 111 if you need help for a child under 5.

An adviser will ask you questions to assess your symptoms and then give you the advice you need, or direct you straightaway to the best service for you in your area.

Sound advice

Use NHS 111 if you are unsure what to do next, have any questions about a condition or treatment or require information about local health services

For information on common childhood illnesses go to What is wrong with my child?

Emergency Departments (A&E) provide vital care for life-threatening emergencies, such as loss of consciousness, suspected heart attacks, breathing difficulties, or severe bleeding that cannot be stopped. If you’re not sure it’s an emergency, call 111 for advice.

Sound advice

  • Many visits to A&E and calls to 999 could be resolved by any other NHS services
  • If your child's condition is not critical, choose another service to get them the best possible treatment
  • Help your child to understand – watch this video with them about going to A&E or riding in an ambulance
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