Childhood headache and H. pylori--a possible association
Lucy Bradbeer1, Swetha Thakkar, Anthony Liu
1Discipline of Paediatrics, Sydney Medical School - Nepean, University of Sydney, New South Wales, Australia. l.bradbeer@gmail.com
Insights
Helicobacter pylori (H. pylori) infection in a child was linked to recurrent headaches. Eradicating the H. pylori infection led to rapid symptom resolution, suggesting a potential connection.
Area of Science:
- Pediatric Neurology
- Infectious Diseases
- Gastroenterology
Background:
- Helicobacter pylori (H. pylori) infection is prevalent, affecting approximately 40% of individuals in developed countries.
- Many H. pylori infections remain asymptomatic, complicating prevalence assessments.
- Recurrent headaches, particularly migraines, are a common pediatric concern.
Observation:
- A case study involved a 7-year-old child experiencing recurrent headaches and gastrointestinal issues.
- The child was diagnosed with H. pylori infection.
- Literature suggests a potential association between H. pylori infection and migraine.
Findings:
- Eradication of H. pylori infection in the pediatric patient was followed by rapid resolution of both headaches and gastrointestinal symptoms.
- The case suggests a possible link between H. pylori infection and the child's recurrent headaches.
Implications:
- This case highlights a potential, though unconfirmed, association between H. pylori and pediatric migraines.
- Further research is needed to validate these findings and establish clinical guidelines.
- Consideration of H. pylori testing (e.g., using a (13)C-urea breath test) and triple therapy may be warranted for children with recurrent headaches.
Background:
The prevalence of Helicobacter pylori is thought to be about 40% in developed countries. However, rates are difficult to determine due to many cases being asymptomatic.
Objective:
We present a case study in which eradication of H. pylori infection in a child, aged 7 years, was followed rapidly by resolution of the patient's recurrent headaches as well as gastrointestinal symptoms. Relevant literature regarding a possible association between H. pylori infection and migraine is discussed.
Discussion:
Migraine is the most common cause of recurrent headaches in children. Previous reports have suggested a possible association between H. pylori infection and migraine. In the case study presented, H. pylori infection may have been associated with the child's recurrent headaches. Further research is required to confirm these anecdotal findings and to provide guidance for clinicians on whether recurrent headache in childhood is an indication for testing for H. pylori infection with a (13)C-urea breath test and, if necessary, treatment with triple therapy.
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