Should You Take Your Child to the Doctor After a Head Injury? - Orthopedics

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An 8-year-old child was struck on the head with a hand?


An 8-year-old child was struck on the head.
I have examined the external appearance and found no abnormalities.
The child shows no unusual symptoms, but when touching the area that was struck, the child complains of pain.
The appetite is good, and there are no signs of dizziness, nausea, or visual disturbances.
Should I take the child to the hospital for further examination? Is there a risk of intracranial bleeding?

Mao Ma, 30~39 year old female. Ask Date: 2022/01/02

Dr. Li Wenhong reply Orthopedics


Hello: If there are no other symptoms besides localized tenderness, you can observe the situation first.
If symptoms occur, please seek medical attention, and the physician will decide whether further examination is necessary.
Changhua Hospital Orthopedics Dr.
Li Wen-Hong.

Reply Date: 2022/01/02

More Info


When it comes to head injuries in children, especially after an incident like being struck on the head, it is crucial to approach the situation with caution. While your child may appear to be fine and show no immediate signs of distress, there are several factors to consider before deciding whether to seek medical attention.

Firstly, it is important to understand that head injuries can sometimes lead to delayed symptoms. This means that even if your child seems fine at the moment, they could develop symptoms later that indicate a more serious issue, such as intracranial bleeding. Common signs to watch for include persistent headaches, vomiting, confusion, difficulty waking up, or any changes in behavior. If your child experiences any of these symptoms, it is essential to seek medical help immediately.

In your case, since your child is experiencing pain at the site of the impact but shows no other symptoms like dizziness, nausea, or changes in appetite, it may not be immediately necessary to go to the hospital. However, the fact that they are complaining of pain at the impact site is a sign that the injury may require further evaluation. Pain can indicate that there is some level of trauma that might not be visible externally, such as a bruise or a more serious injury beneath the surface.

The general recommendation for head injuries, especially in children, is to monitor them closely for at least 24 to 48 hours after the incident. During this time, keep an eye on their behavior and any physical symptoms. If they start to exhibit any concerning signs, it would be prudent to take them to a healthcare provider for a thorough examination.
Additionally, if your child has a history of previous head injuries or if the force of the impact was significant, it may be wise to err on the side of caution and consult a doctor regardless of their current state. Medical professionals can perform a physical examination and may recommend imaging studies, such as a CT scan, to rule out any serious injuries.

In terms of prevention, it is essential to create a safe environment for children to minimize the risk of head injuries. This includes using appropriate safety gear during activities, ensuring that play areas are free of hazards, and teaching children about the importance of being cautious while playing.

In summary, while your child may not show immediate signs of a serious injury, the pain at the impact site warrants careful observation. If any concerning symptoms develop, or if you have any doubts about their condition, it is always better to consult a healthcare professional for peace of mind and to ensure your child's safety.

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