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Pediatrician vs family doctor
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<blockquote data-quote="smallworld" data-source="post: 187416" data-attributes="member: 2423"><p>Like SRL, I have a great working relationship with our pediatrician, who serves as my kids' case manager, so to speak, and is also quick to refer to specialists when the situation (like migraines) and medications prescribed are beyond his expertise. When my son was experiencing debilitating migraines likes yours, our pediatrician referred us to an excellent pediatric neurologist, who took my son's pain seriously and ordered diagnostic tests and then got him on a medication regime that solved the problem.</p><p> </p><p>So . . . I agree with everyone that you first need to find a pediatrician who treats adolescents and will work with you to find the right specialist to help your son. I have to believe your son needs to see a competent pediatric neurologist. And I say pediatric neuro because the medications used for adults are not always used for kids (like Fiorecet).</p><p> </p><p>If diagnostic tests are run to rule out all physical causes beyond migraine, the thing you have to remember is that there are two types of medications to treat migraines. One is the type that treats the pain once the migraines has started. The second is the type that PREVENTS the migraine from even starting. Given the frequency and level of pain your difficult child is experiencing, I strongly believe he needs a medication to PREVENT migraines. These include blood pressure medications like Propranolol, tricyclic antidepressants like Nortriptyline and anticonvulsants like Depakote and Neurontin.</p><p> </p><p>Hang in there.</p></blockquote><p></p>
[QUOTE="smallworld, post: 187416, member: 2423"] Like SRL, I have a great working relationship with our pediatrician, who serves as my kids' case manager, so to speak, and is also quick to refer to specialists when the situation (like migraines) and medications prescribed are beyond his expertise. When my son was experiencing debilitating migraines likes yours, our pediatrician referred us to an excellent pediatric neurologist, who took my son's pain seriously and ordered diagnostic tests and then got him on a medication regime that solved the problem. So . . . I agree with everyone that you first need to find a pediatrician who treats adolescents and will work with you to find the right specialist to help your son. I have to believe your son needs to see a competent pediatric neurologist. And I say pediatric neuro because the medications used for adults are not always used for kids (like Fiorecet). If diagnostic tests are run to rule out all physical causes beyond migraine, the thing you have to remember is that there are two types of medications to treat migraines. One is the type that treats the pain once the migraines has started. The second is the type that PREVENTS the migraine from even starting. Given the frequency and level of pain your difficult child is experiencing, I strongly believe he needs a medication to PREVENT migraines. These include blood pressure medications like Propranolol, tricyclic antidepressants like Nortriptyline and anticonvulsants like Depakote and Neurontin. Hang in there. [/QUOTE]
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