Next Steps

Follow-up

Doctors sometimes cannot be absolutely be certain that a child has migraines, or they may suspect that he or she has a headache condition caused by an underlying neurologic disease. Such children should have appropriate follow-up care, so that they can be observed over time.

In children with an inborn tendency for migraine, minor head trauma may worsen the headaches, typically for a period of days to months. If this occurs, parents should make a follow-up appointment.

A follow-up appointment is also needed if the headaches worsen, if they do not respond to medications, or if drug side effects are intolerable. Several medication trials are often necessary before adequate headache control is achieved.