Concerns About Head Bumping in Toddlers: When to Seek Help - Pediatrics

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Head issues


Hello Dr.
Zhao,
My daughter is currently one year and two months old.
Previously, family members played a head-bumping game with her, which has led to her curiosity about making sounds when she bumps her head.
She continues to bump her head against surfaces, such as the rails of her playpen, and sometimes against walls to make a noise.
Is this a concerning behavior? Should we consult a neurologist? I am really worried.
Thank you for your response.

kitty, 20~29 year old female. Ask Date: 2001/06/26

Dr. Zhao Yongkang reply Pediatrics


Hello Ms.
Kitty: It is recommended that you consult a pediatric neurologist for an examination! Our hospital has pediatric neurology outpatient clinics with Dr.
Su Yu-Hsien every Tuesday and Friday afternoon.

Reply Date: 2001/06/26

More Info


When it comes to toddlers and their behavior, particularly regarding head bumping, it is essential to understand both the normal developmental stages and the potential risks involved. At the age of one year and two months, children are naturally curious and often engage in exploratory behaviors, which can include bumping their heads against objects. This behavior can be a part of their play and learning process, as they discover the effects of their actions, such as the sounds produced when they bump their heads against surfaces.

However, it is crucial to monitor this behavior closely. While occasional head bumping during play is generally not a cause for concern, there are specific signs and symptoms that should prompt a visit to a healthcare professional, such as a pediatrician or a neurologist. Here are some considerations:
1. Frequency and Intensity: If your daughter is frequently and forcefully bumping her head, it may indicate a need for further evaluation. Occasional gentle bumps are typically normal, but if she seems to be doing it excessively or with significant force, it could be a sign of underlying issues.

2. Behavioral Changes: Pay attention to any changes in her behavior. If she becomes unusually irritable, lethargic, or shows signs of distress after bumping her head, these could be red flags that warrant a medical evaluation.

3. Physical Symptoms: Look for any physical symptoms following a head bump, such as swelling, bruising, or bleeding. Additionally, if she experiences vomiting, loss of consciousness, or difficulty with balance or coordination, these are serious symptoms that require immediate medical attention.

4. Developmental Milestones: Ensure that she is meeting her developmental milestones. If you notice any delays in her physical, cognitive, or social development, it may be worth discussing with her pediatrician.

5. Consulting a Professional: If you have ongoing concerns about her head bumping behavior, it is always best to consult with a healthcare professional. They can provide guidance based on her specific situation and may recommend a visit to a specialist if necessary.

In summary, while head bumping can be a normal part of a toddler's exploration, it is essential to monitor the behavior closely and be aware of any concerning signs. If you feel uncertain or worried about her actions, seeking advice from a pediatrician is a prudent step. They can assess her overall health and development and provide reassurance or further recommendations as needed. Remember, your instincts as a parent are valuable, and it is always better to err on the side of caution when it comes to your child's health.

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