A Diagnosis

Highlights: Very bad headache when Jack woke up. Gave Tylenol in the morning; ineffective. Pediatrician dx atypical migraine and arrhythmia; waiting on call from referrals to neuro and cardiologist. Gave Ibuprofen at 12:30 PM. May have helped some. Began first dose of Cyproheptadine (5 mL) at night. A warm bath and darkness did not help.

 

Jack has been complaining about headaches and nausea almost daily for at least a couple of months. We used Pataday eyedrops nightly and tried to be consistent with Zyrtec. They did not help. Tylenol also did not help. He wakes up with the migraines and complains of worsening pain when active. Some phonophobia and minimal photophobia. He cried when I was taking him to school, so we went to the doctor instead. He claimed 9 out of 10 pain.

 

At the doctor, he was diagnosed with atypical migraines and arrhythmia of his heart. We were referred to a neurologist and cardiologist; waiting on a call back.

 

I gave Ibuprofen around 12:30 PM. He said it didn’t help, but he watched TV and seemed a little OK—noise did not bother him. Later around 6:00 PM, he took a hot bath and we rested in bed. He seemed to feel worse. Perhaps the Ibuprofen wore off.

 

He took his first dose of Cyproheptadine (5 mL) around 6:00 PM. He got out of bed around 6:30 PM to color and watched some TV with his brother. He went to bed around 7:45 PM.