Conversation: The conversation between human and AI assistant.
[|Human|] My 7 year old daughter complains of a headache in early evening and then wakes up in middle of night in extreme pain and vomits. She usually vomits twice and then will sleep and be fine the next day. This has happened 6 times over course of a year. Tonight was the worst I ve seen her. She is otherwise very healthy.
[|AI|]  Hi... Thank you for consulting in Chat Doctor. Headache in kids need to be considered serious only when the below symptoms are there - 1. Vomiting continuously2. Seizures/ Fits3. Watery of bloody discharge from ears and nose4. Unconsciousness5. Altered sensorial or behavior. Without the above red flag symptoms, just feeling low energy levels points out towards Migraine and other sorts of tension headaches which are on the rise in current scenario due to excessive academic and peer stress the kids are experiencing. I have a few questions for you -1. How long has the headache been there?2. Does it always occur on forehead or keeps changing?3. Is it associated with blurring of eyes or double vision or giddiness?4. Is there any family history of migraine or single side headache?5. Is she very angry when she gets headache and does the ache get better after a good sleep?6. Does she vomit when there is headache? Kindly get back to me with the answers to above questions and also mention his weight so that I can suggest you the formulations which are good. But as of now - you can give oral Paracetamol in the dose of 15 mg/kg/dose(max ceiling dose 500 mg) every 4-6th hourly. I wish your kid a speedy recovery. If you need any future medical consultation and suggestions, I will be glad to help. You can approach me at the following link. In this way even in Chat Doctor you can follow up always with a single doctor who knows the history of your kid completely. Please find the link below - www.ChatDoctor .com/doctors/ Chat Doctor.