What to Do If Your Baby Hits Their Head: Concerns and Care Tips

If a child accidentally gets hit on the head, it is important to monitor them for any signs of a concussion or other head injury. Symptoms to watch for include headache, dizziness, confusion, nausea, vomiting, or changes in behavior. If any of these symptoms occur, or if the child loses consciousness, it

Hello Dr.
Hsiao: My younger brother is currently seven months old and has 0.3 cm of hydrocephalus.
However, last night while he was sleeping, I accidentally hit his head quite hard, but he did not react and continued to sleep.
Currently, I have observed no issues, except for some spitting up when he is in a stroller because his body leans forward, and his anterior fontanelle has not yet closed.
I am concerned whether this accidental hit to his head might cause any future problems or worsen the hydrocephalus.
Additionally, my brother is over seven months old but can only use his upper arms to lift his chest off the ground and cannot support his chest with his entire hands.
How should I train him?

Zhuang Tai Tai, 20~29 year old female. Ask Date: 2012/10/20

Dr. Xiao Kaiwen reply Pediatrics

Neurological symptoms following head trauma should be monitored for 3 to 7 days, including any changes in consciousness (such as drowsiness), limb weakness, persistent and significant vomiting, severe headaches, noticeable irritability, or even seizures.
The presence of intracranial hemorrhage and elevated intracranial pressure will not worsen hydrocephalus.
For rolling training, you can use toys that interest the baby, placing them alternately on either side to encourage rolling.
You can also place the baby's favorite toys or objects at a reachable height (not too far initially) to motivate the baby to reach up or forward, thereby training muscle strength while maintaining interest in the activity.
If there is significant muscle weakness, it is advisable to consult a pediatric rehabilitation specialist.

Reply Date: 2012/10/20

More Info

When a baby hits their head, especially one with a pre-existing condition like hydrocephalus, it can understandably cause significant concern for parents. Here are some important considerations and care tips to keep in mind:

Immediate Observations
1. Monitor for Symptoms: After a head injury, it's crucial to observe your baby for any unusual symptoms. Look for signs such as:
- Excessive crying or irritability
- Changes in alertness (e.g., lethargy or difficulty waking)
- Vomiting or unusual feeding patterns
- Seizures or abnormal movements
- Any visible swelling or bruising on the head
2. Response to Injury: Since your baby continued to sleep after the incident, this is generally a good sign. However, it’s essential to keep a close watch over the next few days for any delayed symptoms.

Hydrocephalus Considerations
Given that your baby has a history of hydrocephalus, it’s particularly important to be vigilant. Hydrocephalus can complicate head injuries, as the increased pressure in the brain may exacerbate any trauma. If you notice any of the symptoms mentioned above, or if you have any concerns about increased head size, changes in behavior, or other neurological symptoms, seek medical attention promptly.

Training and Development
Regarding your concern about your baby’s motor skills, particularly the ability to lift their chest off the ground, here are some tips for encouraging development:
1. Tummy Time: This is essential for strengthening the neck, back, and shoulder muscles. Make tummy time enjoyable by placing toys within reach or lying down next to your baby to encourage them to lift their head and look around.

2. Assisted Sitting: Support your baby in a sitting position using pillows or your lap. This helps them learn balance and strengthens their core muscles.

3. Playful Engagement: Use engaging toys that encourage reaching and grasping. This can motivate your baby to use their arms more actively.

4. Consult with a Pediatrician or Physical Therapist: If you have concerns about your baby’s motor development, it may be beneficial to consult with a pediatrician or a physical therapist who specializes in infant development. They can provide tailored exercises and strategies to support your baby’s growth.

When to Seek Medical Attention
If you notice any concerning symptoms following the head injury, or if you have ongoing worries about your baby’s development, do not hesitate to contact your pediatrician. They may recommend imaging studies or further evaluations to ensure everything is progressing normally.

Conclusion
In summary, while it’s natural to feel anxious after your baby experiences a head injury, especially with a condition like hydrocephalus, careful observation and proactive engagement in their development can help. Keep an eye on any symptoms, encourage physical activity through play, and consult with healthcare professionals as needed. Your attentiveness and care are vital in supporting your baby's health and development.

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