Conversation: The conversation between human and AI assistant.
[|Human|] my grand daughter was diagnosed several years ago with a hole in her heart.  Surgery to close the hole will occur when the doctors feel she is old enough.  Her and her mother are the typical boy who cried wolf complainers.  (I dont mean to be harsh, but she has 3 kids and numerous times shes said they were on their death beds for non-existent conditions, just for attention.) My grand daughter uses physical complaints for attention now too.  My question is, with a hole in her heart should she experience severe chest and stomach pains?  when its time for bed, for instance, she will say her heart is hurting and she will throw fits and demand pain pills.  (she is 8).  Just wondering if this is a legitimate symptom.  She is full of energy and runs around non-stop... until she gets told something she doesnt want to hear, like bed time.
[|AI|]  Thank you and pleased to answer you there is considerable evidence suggesting association between hole in the heart or congenital heart defect and pain in the head mostly migraine. The reason for this particular association is unclear (genetic??)  But medical literature reports many patients that undergone surgical closure reported a significant reduction or disappearance of migraine. Painkiller may relieve symptoms time to do surgery. May this help you.