Managing Head Injuries in Young Children: What Parents Should Know

Head trauma

Hello, my daughter is 1 year and 4 months old.
Last night, while she was running, she lost her balance and fell, hitting the back of her head.
At the moment, she was conscious and had normal eating and drinking in the evening.
However, this morning she started vomiting after drinking milk.
She only drank half of it before stopping, and everything she drank (including snacks) has been vomited out.
What should I do?

An, 0~9 year old female. Ask Date: 2016/02/19

Dr. Zhang Junwei reply Neurosurgery

Please continue to monitor the situation.
If symptoms persist or worsen, please schedule an appointment with the neurosurgery outpatient clinic.

Reply Date: 2016/02/19

More Info

When managing head injuries in young children, especially those under the age of 2, it is crucial for parents to be vigilant and informed about the signs and symptoms that may indicate a more serious condition. In your case, your daughter, who is 1 year and 4 months old, experienced a fall that resulted in a bump on the back of her head. Initially, she seemed fine, but now she is experiencing vomiting after drinking milk. Here’s a comprehensive guide on how to handle this situation and what to look out for.

Immediate Actions to Take
1. Monitor Symptoms: After a head injury, it is essential to closely observe your child for any changes in behavior or physical symptoms. Key signs to watch for include:
- Persistent vomiting (especially if it is projectile).

- Increased drowsiness or difficulty waking her up.

- Irritability or unusual behavior.

- Loss of balance or coordination.

- Seizures or convulsions.

- Clear fluid or blood coming from the nose or ears.

2. Seek Medical Attention: Given that your daughter is now vomiting after the injury, it is advisable to consult a healthcare professional. Vomiting can be a sign of increased intracranial pressure or a concussion. If she continues to vomit or exhibits any of the concerning symptoms mentioned above, you should take her to the emergency room for further evaluation.

3. Avoid Certain Activities: Until you have consulted with a doctor, keep her from engaging in any activities that could lead to another fall or injury. This includes running, jumping, or any rough play.

What to Expect at the Doctor’s Office
When you take your daughter to the doctor, they may perform a physical examination and ask about the incident and her symptoms. Depending on their assessment, they may recommend imaging tests such as a CT scan to rule out any serious injuries like a skull fracture or intracranial bleeding.

Long-Term Considerations
1. Recovery: If the doctor determines that your daughter has a mild head injury, they will likely advise you on home care. This may include rest, hydration, and gradually reintroducing food as tolerated. It’s important to follow their instructions closely.

2. Follow-Up: If your daughter experiences any ongoing symptoms, such as headaches, dizziness, or difficulty concentrating, a follow-up appointment may be necessary.
3. Preventive Measures: To prevent future head injuries, consider childproofing your home. This can include securing furniture, using safety gates, and ensuring that play areas are free from hazards.

Conclusion
Head injuries in young children can be concerning, and it’s always better to err on the side of caution. Since your daughter is experiencing vomiting after her fall, it is crucial to seek medical attention promptly. Monitoring her symptoms and following the advice of healthcare professionals will help ensure her safety and well-being. Remember, as a parent, being proactive and informed is key to managing your child's health effectively.

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