Is it routine for paediatrician to seen a teen with migraines?

[makingmiracles]

Ds started having migraines back last summer, after suffering the first couple with calpol and neurogenic with no effect we saw a go who prescribed anti sickness meds and Triptans. They have done the trick and now when he gets his pins and needle arms/blurry vision he takes the Tristan and it doesn’t progress to a full blown migraine nor is he sick.

In the summer they were 2 approx a month, at the moment they’re about once a month. A paediatric appt was booked when we saw the go back in the summer and the date has now rolled round but I’m wondering if there’s any point in attending as they are under control already with the meds the gp prescribed, it’s a two hr round trip in school time so if not necessary we’d rather not go.

Just wondered if they’d singled him out for some reason or weather it’s routine for paediatrition to see teens with migraines?

Apologies for numerous autocorrect sp mistakes

Grab the opportunity with both hands.
Someone made that referral for a reason. It may seem less needless inconvenience if you don't know what the reason was, but reason there will be.
I can't know what it is, but I'm aware that there are downsides to ' successful ' treatment of migraines. Many common medications can work for a while, but a rebound effect can actually lead to an increase in migraines after a while. Which then may be v difficult to treat.
If there's the opportunity to get his meds reviewed by an expert, and also maybe consider triggers and how they can be managed, please take it.

Some general paediatricians are very expert in migraine, some aren't, and the same is true of GPs. From what you describe you are pretty happy with the state of self-management you've reached, so you may end up with a consultation that doesn't feel like it's added anything.

One option would be to contact the consultant's secretary and report the current frequency and ask if they would still want to see. You could also ask for your appointment to be postponed or left open - that way if things get worse down the line it's easy to slot you back in than a whole new referral. I have done this with a recurring eye problem that was quite variable. You can always cancel the new appointment if they postpone and things have continued really well.

Definitely don't just no-show obviously, that capacity can be used for someone else.

I suspect they made the referral knowing wait time might be very long and not knowing in advance whether you'd be an "easy" or "difficult" case to resolve.

I would go to the appointment. A frequency of 1/month is around the territory for discussing whether or not to consider starting a preventer medication. Sounds like you probably wouldn't go for that at present, but can be useful to have a plan in place in case the triptans stop working as well.

And yes, it's pretty common for under 16s with migraine to see a paediatrician.