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Child fell down from bed and vomited twice. Is it normal? - Online Doctor Chats

Date : 06-Jun-2013
User rating for this question
Very Good Posted in: Child Health
Answered by

General & Family Physician
Practicing since : 2002
Answered : 106 Questions
Doctor:Good afternoon.
User:Good afternoon.
Doctor:How can I help you?
User:I have a question related to my 2 years old Baby Boy.
User:who has vomited twice after he fell down from the bed while he was sleeping in the morning today.
Doctor:Please proceed.
User:In fact last month also he fell down from the bed but while playing and he vomited once.
User:after that he was normal and active.
User:but today he vomited twice and i thought i get a medical opinion.
Doctor:Did he lose consciousness after the fall?
Doctor:What was the height of fall (from what height did he fall)?
User:first time it was 4 feets( last month)
User:today it was about 2 feets.
Doctor:Did anybody see when he fell?
User:yes i saw him as soon as i hear the noise. He started crying but then he was all right.
Doctor:Let me brief you
Doctor:There are 2 concerns now.
Doctor:1. Is this vomiting something serious?
Doctor:2. What was the reason for fall?
Doctor:Before I answer your main query, that is about vomiting
Doctor:I want put your attention to the second question, the reason for fall.
User:the reason in my opinion, he first time he was playing in a spring mattress and he fell down while playing.
User:today, he fell down while sleeping on a sofa.
User:first time he was okay. since he vomited twice today we are worried.
Doctor:Generally the fall may have occured due to some unknown factor like a slip while playing / turning around while sleeping
Doctor:However in one of the medical condition known as seizure (fits)
Doctor:a patient can fall from the bed without any provocation.
Doctor:This needs to be considered.
Doctor:The vomiting after the fall may be associated with interal injuries to the head secondary to the fall - though clinically based on what you say is unlikely.
Doctor:So in simple terms, though everything now - he is active and playing - seems normal;
Doctor:I am concerned because of the fall (unknown reason) and the recurring episode of vomiting.
Doctor:A scan of the brain with or without EEG can help us rule out serious problem.
Doctor:Hence I encourage you to take him to a neurologist / neurosurgeon for evaluation.
Doctor:Have you followed?
Doctor:Do you have any other query?
User:generally these types of vomiting is non-stop or what?
User:because the baby used to have food in the morning but today he had milk. will it help us to find out better reason.
User:sorry i am little concerned hence i am asking this question.
Doctor:Vomiting following fall / intracranial injuries occur due to increased pressure inside the skull (known as intracranial pressure).
Doctor:And vomiting stops as the pressure reduces.
Doctor:This may take a few weeks.
Doctor:It is most likely he is normal and everthing is fine. Vomiting could just be related indigestion.
User:We had given him electrol powder and there was no vomiting for mins. But later he vomited very lightly and last 3 hours ther is no vomiting he is sleeping now.
Doctor:But since you gave history of fall, considering this in the back ground I would want you to rule out head injury by scans.
Doctor:I understand what you say XXXXXXX
Doctor:it is most likely that he is normal
Doctor:and all the vomiting is probably related to gastrointestinal problems - indigestion or irritation
User:let me do the scan in the evening and come back to you if anything else required.
Doctor:However since he had a fall yesterday and started vomiting repeatedly,
User:thanks for the timely chat. thanks again.
Doctor:it is good that we get a scan and rule out serious problem.
Doctor:If the scan is normal, then all is fine.
Doctor:He should not have any problem.
User:sure. i hope for that.
Doctor:Hope it is clear to you.
Doctor:Do you have any other query?
User:no thanks.
Doctor:Thanks for consulting me.
Doctor:Bye for now.
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