To take DS to the GP again?

[Rosietru]

I don't want to be 'that' parent but...DS 14 has had a migraine since Sunday morning. Started with visual disturbances then headache across front of head. He slept on and off all day. Felt v sick.

Monday morning same, so took him to see advanced nurse practitioner, said to just continue with paracetamol and ibuprofen. She made me feel like an over anxious mother tbh.

Very quiet all day, not eating much and crying in the evening with the pain.

Today woke up feeling the same, very upset.

Temp slightly raised at 37.8 since yesterday.

He's had one migraine before last year, which lasted 36 hours.

Do I still carry on just waiting this out? He's not picked up his phone since Sunday morning, as an indicator.

Personally
I would go to A&E

My son’s first migraine - he was really frightened.

Of course we didn’t know it was a migraine.

We went to A&E because it was a Sunday & he was 14, and could not see to be able to read and was unable to balance.
They are not as bad now, very infrequent.

It could have been anything.

If there is no urgent care then take him to A&E, don't tell them its a migraine or they will focus on that.

Also watch for confusion, stiff neck, aching muscles, vomiting, sensitivity to lights or any rash.
Whilst sensitivity to lights might be expected with a migraine keep an eye on the bigger picture of meningitis symptoms.

Yes, get to the pharmacy. I started taking Migraleve at his age and it still works now; if I take it at the first signs of a migraine it never develops. I don’t know if it’s ok for kids his age nowadays but I’d recommend it. Virtual hugs for him…and you!

I’d call 111 and ask if you should take him to the ED.

This. Explain it's not normal for him, he never normally cries.

I didn't think your temp was raised with a migraine?

I would go back. He has a slight pyrexia now so could be coming down with something. My daughter gets migraines whenever she gets tonsillitis.

please go back, or go to A&E

If he has a temp its likely related to that, but after this length of time, if it isn't eating, and other symptoms are coming through he needs to be examined, and not by a NP.

You know they can give you medication to help with migraines, you don’t have to lie there and suffer as bad as you are.

Pretty nasty to be minimising this. I remember seeing my mums migraines when I was younger and it used to upset me so much seeing how much she was suffering. I’m sorry that it seems nobody seemed bothered about your suffering.

Do not diagnose migraine.

Take him to the GP.

Explain he has a very severe headache and a (slight) temperature. The headache has not gone away. He is not at all himself.

Let the GP decide it's a migraine, if it is. Hopefully that's what it is. But he should be properly checked in case it's anything else. And if it is a migraine attack that severe, there are other medications to consider.

YANBU to return, but I just came to say that I suffer with migraines and they do often cluster together. He does need to be officially diagnosed with migraines though to make sure that's what they are, and there's nothing else going on.

The only thing that would worry me (as a migraine sufferer) is his temperature, but that could be something else.

It might be that the advanced nurse practitioner can't prescribe anything, but perhaps a GP can.

My ds has had migraine since he was around ten. He’s on preventative medication. Currently on a combination of two types as his original wasn’t as effective as it had been.
But I just wanted to say that when his first started the doctor was fantastic. He was seen by neurology and had a brain scan etc to rule out anything else. So def worth seeing doctor.
Also found that blue vision tints in his glasses have helped.

Hope he improves soon.

Is it a migraine? Child has a temp and behaving out of character. Of course he should see a GP. Are you a doctor that can diagnose online?

Please take him back to your GP. Personally I’d even consider taking him to A&E. You don’t want to just make the pain and other symptoms go away, you want to know WHY he has these symptoms. It sounds to me like he needs some tests/scans to rule out anything worse than a migraine (and to diagnose a migraine, if that’s what it is.)

A normally stoic and 'brave' young man crying with pain definitely needs investigating to rule out anything like meningitis.

Migraines can be excruciating, and visual disturbance and nausea /vomiting are common with them.

Hope it's nothing serious, and that he feels better soon.

Yes, came here to write the above. Can sometimes present as cold symptoms or generally under the weather. I agree with other posters who say take him back as it's out of character, gone on fir a few days now and interrupting usual life.

Go back as often as you need to. We see time and time again people being dismissed.

I would probably call 111 and see if he needs to be seen as a walk in centre.

Ditto- a lifetime of ''sick headache'' from as young as 5 that developed in my late teens to the classic ''dazzling aura'' - agonising when the headache kicked in.

However, elevated body temperature isn't usual {in my limited experience} with migraines.

Meningitis is the obvious one to check for - assuming the GP checked him for this?

It does sound like a migraine. And you can have a temperature with a migraine. But teenagers without a history of migraine should see a GP if the migraine lasts longer than 72 hours. So I would take him back.
I hope you are giving him paracetamol and ibuprofen every 4 hours. That is the recommended first line treatment, and other medication is only supposed to be prescribed if that does not work.

The first time I had a ''visual'' migraine, I had no idea what was going on- it started with a dazzling spot that gets wider and shimmers and oscillates and hides my entire visual field -before disappearing like magic after 45 mins...then the pain starts.

My first migraine was the same. Really not helped by playing around with lights in Drama that day

I went home (half day thankfully) and just cried. The pain was just unbearable

I'm a GP and I'd want to see him. A fourteen year old unwell enough not to use his phone for days, crying with headache, fever and off food should be seen asap imo. If I got this in my triage list I'd be phoning you pretty much first to bring him down to see today. Don't say 'migraine' when you phone in, say 'severe headache and fever' as that is less likely to be downgraded in triage.