Is It Normal for a Bump on a Toddler's Head to Feel Soft After Injury?

After hitting the head, a soft swelling has developed?

Hello, I apologize for the interruption.
I would like to ask about my niece who is around 2 years old.
A few days ago, she bumped her head on the upper right side, and it became swollen and felt hard to the touch.
We applied ice immediately, and since then, she has not experienced any dizziness, vomiting, or excessive sleepiness, and her energy levels seem fine.
However, the previously swollen area now feels soft to the touch.
Is this normal? Should we take her to the hospital for further examination?

Wanzi, 20~29 year old female. Ask Date: 2017/06/05

Dr. Lin Yishou reply Pediatrics

Dear Parent, please visit the pediatric neurology clinic for consultation.
Thank you for your message.

Reply Date: 2017/06/05

More Info

When a toddler experiences a head injury, it is common for parents and caregivers to be concerned about the symptoms that follow. In your case, your niece bumped her head, resulting in a swelling that initially felt hard but has since become soft. This change in texture can be concerning, but it is important to understand the normal healing process after a head injury.

After a head injury, particularly in young children, it is not unusual for a bump (or hematoma) to develop. Initially, the area may feel firm due to swelling and the accumulation of blood or fluid beneath the skin. This is often a result of the body's natural response to injury, where blood vessels may break and lead to localized swelling. The hard bump you felt initially is likely a hematoma, which is a collection of blood outside of blood vessels.

As the body begins to heal, the hematoma can change in texture. It may become softer as the blood is reabsorbed by the body. This process can take days to weeks, depending on the size of the hematoma and the individual’s healing response. The fact that your niece is active, without any signs of dizziness, vomiting, or excessive sleepiness, is a positive indicator that she may not have sustained a serious injury. These symptoms are often red flags that warrant immediate medical attention.

However, the softening of the bump does raise questions about whether further medical evaluation is necessary. In general, if the child is behaving normally, is not exhibiting any concerning symptoms, and the bump is simply changing in texture, it may not require immediate medical intervention. Nonetheless, it is always wise to err on the side of caution, especially with young children. If you notice any changes in her behavior, such as increased irritability, difficulty waking, or any new symptoms, it would be prudent to consult a pediatrician or a pediatric neurologist.

In summary, the softening of the bump on your niece's head after her injury can be a normal part of the healing process. However, it is essential to monitor her closely for any changes in her condition. If you have any lingering concerns or if her symptoms change, seeking medical advice is always the best course of action. It's better to be safe and have a professional assess her condition to ensure her well-being.

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