Is a Bump on My Skull Normal? When to See a Doctor

Protrusion of the cranial bones?

Hello doctor, recently I noticed a bump on the top of my head that feels like bone.
Is this normal? I'm not sure if it has been there recently.
A few months ago, I bumped my head against the ceiling while in my dorm room; could that be the reason? Should I just monitor it, or do I need to see a doctor?

a, 10~19 year old female. Ask Date: 2023/06/24

Dr. You Dianqi reply Orthopedics

You can go to the orthopedic outpatient clinic for evaluation.
Thank you.

Reply Date: 2023/06/24

More Info

When it comes to noticing a bump on your skull, it’s essential to approach the situation with caution and awareness of your body’s signals. A bump on the skull can arise from various causes, and while some may be benign, others could indicate a more serious underlying issue.
Firstly, it’s important to consider the nature of the bump. If it feels hard and is located on the bone, it could be a normal anatomical variation, such as a bony prominence or a benign bone growth. However, if the bump is soft, tender, or associated with other symptoms like pain, swelling, or changes in skin color, it may warrant further investigation.
Given that you mentioned hitting your head against the ceiling a few months ago, it’s possible that the bump could be related to that trauma. Trauma to the skull can lead to various outcomes, including contusions, hematomas (a collection of blood outside of blood vessels), or even fractures. If the bump appeared shortly after the injury, it could be a result of the trauma, and monitoring it for changes is advisable.
However, if you experience any of the following symptoms, it is crucial to seek medical attention promptly:
1. Increased Pain or Tenderness: If the bump becomes increasingly painful or tender to the touch, it may indicate an underlying issue that needs to be addressed.

2. Swelling or Redness: If you notice swelling or redness around the bump, it could suggest an infection or inflammation that requires treatment.

3. Changes in Sensation: If you experience numbness, tingling, or weakness in any part of your body, this could indicate nerve involvement and should be evaluated by a healthcare professional.

4. Headaches: If you develop persistent headaches or if the bump is accompanied by severe headaches, it’s essential to consult a doctor.

5. Dizziness or Confusion: Any signs of dizziness, confusion, or changes in consciousness following a head injury should be taken seriously and warrant immediate medical evaluation.

6. Vision or Hearing Changes: If you notice changes in your vision or hearing, this could indicate a more serious condition that requires prompt attention.

In general, if the bump is new, has changed in size, or if you have any concerns about it, it’s best to err on the side of caution and consult a healthcare provider. A doctor can perform a physical examination and may recommend imaging studies, such as X-rays or a CT scan, to assess the bump further and rule out any serious conditions.

In summary, while a bump on the skull can sometimes be normal, especially if it’s been present for a long time and hasn’t changed, any new or concerning symptoms should prompt a visit to a healthcare professional. It’s always better to be safe and get a professional opinion, especially when it comes to head injuries and changes in your body.

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