pediatric headache diary pdf

Please make sure that IF you need glasses or a new prescription that you have the correct prescription and wear your glasses EVERY DAY. HOLYOKE PEDIATRIC ASSOCIATES LLP 150 Lower Westfield Road 84 Willimansett Street Holyoke MA 01040 South Hadley MA 01075 413 536-2393 413 532-0300 HEADACHE.

Pdf Primary Versus Secondary Headache In Children A Frequent Diagnostic Challenge In Clinical Routine

Keeping a headache diary is very important to help track progress in managing headaches.

. Use a separate line for. The type of headaches you are having what may be causing the headaches and how best to treat them. Moderate headache not impairing.

Write down the following details about your headache. Please list what makes it BETTER and what makes it WORSE. Please list the TIME and DATE the headache STOPS.

Headache Diary Date. 352009 100251 PM. Please list TIME and DATE the headache STARTS.

A Headache diary is useful to record. 6202018 34317 PM. Children and adolescents ages 3-21 years whose chief complaint is headache.

Contact the Chronic Pain Medicine Headache Clinic. Please list anything that you suspect may be. Headache TimeDuration startfinish Location of pain Intensity of pain on a scale of 1 to 10 10 being the worst Activities or.

Warning Signs aura Medication time and dosage Stressors. The list may help to increase awareness of issues in your life that could be contributing to your headaches. Headaches are common in children 3 for ages 3-7 years and even more so in adolescents.

FPM AAFP Created Date. Can be on a piece of paper calendar or for smart phone uses try a migraine tracking app o. List all other foods eaten within 6-12 hours prior to headache onset 1.

Print this migraine andor headache diary and use it to keep track of your headaches or migraines. Severe headache impairing ability to function- Not able to go to school play or do enjoyable activitiesNeed to lay down and rest. Angela Lassetter Created Date.

Please fill out the diary every day on which you experience any head pain and remember to bring it in. It helps the doctor be able to treat them. Type of Pain pressing throbbing piercing etc.

Time of Headache Time Headache Ended. Headache diary helps doctors decide about the diagnosis and management. Record the number of headaches you had during this day.

Keeping a headache diary may help you understand what types of headaches you get and what treatment. Headache Diary Print this form so that you can track your headaches for a month. Scans of the head do not help in the diagnosis of migraine.

A pattern may become clear when a diary is kept that wouldnt be apparent without it. HEADACHE DIARY Keep track of your headaches. Request an Appointment Request a Second Opinion.

Headache caffeine diet soda chocolate hot dogs food with artificial sweeteners processed foods Important Stressful Events that Occurred Today. Warning Signs aura Location of Pain.

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