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Fell and banged head against cot, child - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Good Posted in: Child Health
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3397 Questions
Doctor :   Hi I am Dr AAAAAAA
User :   Hi doctor
User :   My son (10 months old) fell in cot and banged his head against the head board of his oct
User :   the head board is made of solid wood
Doctor :   when did this happen?
User :   and the head bang sounded really hard
User :   yesterday 8.00 pm
User :   there are two things made me worry
User :   he was standing in his cot, and fell and banged his head (top). He didn't cry immediately
User :   instead, he lay there face down and unmoved for a few seconds
User :   because he was facing down, so I am not sure whether he was concious or not at that moment
Doctor :   did you feel that he lost his conciousness?
User :   I don't know, that's what I am worrying
User :   but he remained unmoved for only a few seconds (3 to 4 seconds)
User :   and then sit up by himself and continued playing
Doctor :   ok did he cry inconsolably after that?
User :   no, he didn't cry
User :   I was expecting him to cry for that since it sounds a really hard bang. But he didn't.
User :   another thing made me worry is the sound of the bang
User :   it sounded like something cracking
User :   I worry whether he would break his skull
Doctor :   what was the approximate height from where he fell?
User :   he was standing in cot, about 70 cm
User :   where he banged his head was about 10cm above the cot mattress
User :   he was all fine after he sat up. playing well, eating well, no abnormal so far
User :   but the sound of the bang and the a few seconds he remained unmoved made me really worry
User :   whether he had a concussion, whether he had a skull fracture
Doctor :   ok his skull didnt crack because the baby doesnt have a completly calcified skull, so it is sufficiently flexible.
User :   I touched his whole skull, he didn't seem in pain
Doctor :   that is a good sign.
Doctor :   next time onwards be more diligent.
User :   what do you think about the a few seconds that he remained unmoved?
User :   Do you think it's a sign of concussion?
User :   that's what I am worrying the most
User :   But he became all fine after the few seconds. Could he have a concussion and behaved normal only a few seconds after?
Doctor :   your baby seems to be fine.
Doctor :   From the height you said he had a fall it seems he didn't have any concussion.
User :   he fell about 2 feet high. You mean falling from this height couldn't result in concussion?
User :   but it sounded a really bad bang
User :   And, the a few seconds silence sounds like a sign (may be a slight concussion?). Could he have a concussion without other obvious signs?
Doctor :   he is fine with out any symptoms, it is a good sign. If you feel it is a bad fall take to a pediatrician he will have a good general examination that would give fair details of injury if any.
Doctor :   Physical examination will reveal more details from the child?
Doctor :   and it will decrease your anxiety too.
User :   But, you think he is fine, no concussion no skull cracking?
Doctor :   yes i think so. No cracking of skull for sure.
Doctor :   I am sure you will be a great caretaker.
User :   I will take him for examination. But how could the doctor tell whether he had concussion or not?
Doctor :   He will have a look at the site of injury if needed may have a scan if needed.
User :   thank you
Doctor :   is there anything that I can help you with?
User :   no more I think
User :   sorry
Doctor :   thanks for consulting me.
User :   Can I ask
Doctor :   yes go on.
User :   in fact you are not sure whether he had concussion or not?
Doctor :   yes .
User :   ok, I would take him for examination, thank you.
User :   bye
Doctor :   bye for now.
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