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Cellulitis problem - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Skin Hair and Nails
Answered by

General & Family Physician
Practicing since : 2009
Answered : 594 Questions
Doctor :   Hi
User :   Hi doctor
Doctor :   How can i help you ?
User :   My baby (8 month old) dropped a hard toy on his forehead
User :   he was lying in bed changing nappy
Doctor :   ok
User :   and was playing with a toy fish which is not very heavy
User :   the toy dropped just above his left eyebrow
Doctor :   ok
User :   and left a small lump there, which at first was white, then a few minutes later turned to red
User :   he cried immediatly, and stopped in seconds
Doctor :   when did this happen ?
User :   7 pm today
Doctor :   ok
User :   he was awake for 30 minutes after the event
Doctor :   how is he now ?
User :   then became sleepy and fell asleep
User :   he is fussy
Doctor :   is he active , playful, having proper feeds ?
User :   during the 4 hours sleep
User :   he was active, playful, and had a feed during the 30 minutes
User :   but then fell asleep
Doctor :   ok
User :   but during the sleep, he woke up 5 times now
Doctor :   ok
User :   I thought he might be hungry, but he refused bottle, only want breastmilk
Doctor :   ok
User :   that made me feel so bad
Doctor :   why is that ?
User :   I already have felt so bad that he hit his head, now he is acting fussy, which made me feel even worse
Doctor :   ok
User :   I don't know, I am thinking is he having headache?
Doctor :   is he sleeping well now ?
User :   he fell asleep now
Doctor :   In that case, there is no need to worry at all
User :   the toy is not heavy, I even didn't expect a lump from that drop
Doctor :   he has no headache
User :   really, he usually doesn't wake up so frequently
Doctor :   though you may think, that the toy , might have hurt him, the skull is a very strong and can withstand strong blows
Doctor :   and a toy, even if heavy is not strong enough to cause skull fractures
Doctor :   he might have woken up due to hunger
User :   but he refused bottle
Doctor :   the fact that he wakes up, is a good sign , indicating , NO BRAIN DAMAGE
User :   really? not because of headache?
Doctor :   that is fine, they can be choosy, thats not a thing to be worried about
User :   he woke up crying
Doctor :   yes , not due to headache, or due to skull fractures
Doctor :   that might be due to hunger pangs
Doctor :   since he is sleeping, now, he will be fine
User :   I heard he is crying again
User :   please spare me a minute, I will go to check
Doctor :   ok
User :   yes, woke up crying again
User :   his daddy just put him down 5 minutes ago :(
Doctor :   does he have symptoms like vomiting , etc ?
User :   no
Doctor :   can u describe the size of the lump u mentioned ?
User :   it's about 1cm long, 0.5cm wide
User :   it's just above his left eyebrow
Doctor :   you can give him advil for kids syrup , for any pain, that he might be having to subside
Doctor :   the bump, in question is most probably a cellulitis
Doctor :   it is skin inflammation caused due to collection of fluid under the skin
Doctor :   this is very harmless, and will soon resolve
User :   Yes, I think so, it's not hard, and it's much smaller now
Doctor :   so give him , the advil for kids, 5ml
Doctor :   this will reduce the pain
User :   but, is his fussy related to the accident?
User :   so, he is having headache?
Doctor :   in addition apply some cold packs , to the area
Doctor :   this is not a headache,
Doctor :   this is a pain due to the painful skin, swelling
Doctor :   this cannot be surely told, as i cannot examine the swelling
Doctor :   but if u press the swelling and the child cries, then this is a proof
User :   I tried, he didn't cry
User :   but moved his head away
Doctor :   it is a sign of pain, avoidance
User :   he is in my arm awake now, and stopped crying
Doctor :   you can give him the advil
User :   are you sure he is not having headache?
User :   I am worrying about that, since headache is a sign of concussion
User :   I don't have advil at home
Doctor :   please note that this is not a concussion and nothing to be worried about
User :   I will try some ice
Doctor :   that will be good
User :   so he is fussy is because of the skin pain, not because of headache, and he had no concussion?
Doctor :   yes , that is right
User :   Well, could you tell me how you can rule out headache?
Doctor :   presence of nausea, vomiting, are main symptoms of headache due to concussion
Doctor :   and the baby will not be consolable , if it has a headache
User :   ok, I see, he didn't have these sympotom
User :   well, I have one more question
Doctor :   ok
User :   you know, there is a hole like thing that can be felt at the inner sides of both the brow bones
Doctor :   yes, that is a normal feature
Doctor :   this is called the fontanelle
User :   and the swelling is very close to where the left hole is
Doctor :   this is to accomodate the growth and enlargement of the growing skull bones
Doctor :   that is fine
User :   no, not fontanelle at the top of head
User :   they are at the inner sides of eye brows, symmetric
Doctor :   YOU MEAN thee eye sockets ?
User :   well, I will find the name
User :   the supraorbital foramen
Doctor :   thats a very small hole and cannot be felt
User :   the toy hit somewhere very close to it
User :   yes, it's very small
User :   But I know there they are
Doctor :   you need not worry about it
Doctor :   the lump is not going to cause any issues
User :   I just wonder hitting that position, is it more dangerous?
Doctor :   no
Doctor :   there are neither any brain matter there that can be affected
User :   so, you mean, it even was not hitting the 'head'?
Doctor :   the lump as i said, is a skin swelling
Doctor :   and has nothing to do with either a head injury nor a concusion
User :   well, I am not worrying about the lump, I am worrying about the shock of the hit
Doctor :   it is the same as a skin injury, u might have on other part of the body, like the legs or the hands
Doctor :   for your information, the brain can be damaged only when either the weight of the object is considerably very high
Doctor :   and the brain is in motion , and has been stopped abruptly
Doctor :   as in shaken baby syndrome
User :   no, he is lying in bed
Doctor :   a simple fall of a toy, on the head is not going to cause a concussion , specifically, when the baby is lying in the bed
User :   ok, I see
User :   you said when brain is in motion and has been stopped abruptly may cause brain damage
User :   do you think, repeated falling back in bed is something to be concerned?
User :   the baby often does that when sitting in bed
Doctor :   no, that is not a concern, as there would be a pillow or a soft bed to support the head
User :   and sometimes falls back quite a few times in a short time (5,or 6 times in 10 minutes)
User :   no pillow, only the bed mattress
User :   directly onto the bed mattress
Doctor :   isnt it soft /
User :   well, it is padded thick
User :   but not as soft as quilt, especially our bed mattress is an extra firm one
Doctor :   if the bed is soft and considerablu thick, then its not going to cause any issues , and the baby will be fine
User :   is an extra firm mattress which padded thick considered 'soft'?
User :   well, it definitely not hard, but with thousands of springs inside which give very good support
Doctor :   yes, that is considered soft
User :   ok, I see, reassured now
User :   thank you very much
Doctor :   You are most welcome
User :   you are so kind to answer all my questions
User :   thank you
Doctor :   take care
User :   bye
Doctor :   and bye for now
User :   sorry doctor
User :   are you still there?
Doctor :   yes i am
User :   can I be sure about one more thing?
Doctor :   sure
User :   when I asking about falling back in bed
User :   I mean the baby sometimes does it very frequently in a short time (as I said 5 or 6 times in 10 minutes)
User :   is it also considered harmless?
User :   I am a bit worrying about cumulative effects
Doctor :   that is normal at the age of 7 to 10 months
Doctor :   and is a normal part of growing up
Doctor :   this is harmless as well as there will be no cumulative effects as well
Doctor :   i hope this clears your doubts
User :   ok, so frequent falling in bed is really nothing to be concerned
User :   thank you doctor
Doctor :   yes , it is not to be concerned about
User :   thank you, bye
Doctor :   bye for now , take care
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