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Head bumps, 7 months old - Online Doctor Chats

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

General & Family Physician
Practicing since : 2009
Answered : 351 Questions
Doctor :   Hi
User :   Hi doctor
Doctor :  
Doctor :   How can i help you ?
User :   I am worried about my son's head bumps
User :   he is 7 month old
Doctor :   can you explain how this happened ?
User :   on thursday morning about 6am, he was lying in bed and was playing with his bottle. But the bottle accidently dropped on his forehead.
User :   The bottle is full of milk, so is a bit heavy.
User :   in fact, I have tried to drop it on my forehead to repeat the accident. It really hurts
User :   He didn't cry but shook his head and turned to my breast, and then fell asleep.
Doctor :   so how many bumps did he recieve ?
User :   I didn't notice any obvious bruise or lumps, it's a bit red and maybe a bit swollen (but not sure)
Doctor :   and the episode happened 2 days back ,
User :   I am a bit worried because he was playing before the accident, but fell asleep so quickly after it, and he didn't cry.
User :   yes
Doctor :   how is he now ?
Doctor :   is he active , playful, having proper feeds ?
User :   he is fine, behaving normally
User :   yes
User :   I just worried could it be a concussion? because he fell asleep after that
Doctor :   I hope he does not have symptoms like vomiting, irritability, unresponsiveness , etc
User :   no
Doctor :   In that case, there is no need to worry at all
Doctor :   and he did not have any concussion at all
Doctor :   though you may think, that the bottle might have hurt him, the skull is a very strong and can withstand strong blows
User :   oh, good:), I worried he didn't cry, but I am not sure is it because it's so minor that even couldn't cause him to cry
Doctor :   the cranial injuries causing, brain damage, results when there is fractures of the skull bones , or there is any dent or depression in them
Doctor :   and a bottle of milk , even if heavy is not strong enough to cause skull fractures
User :   oh, good:). how hard does it need to cause skull fractures?
Doctor :   also, the fact that the baby in supine position and the head was not in motion when the incident happened, there is no chance that any form of brain injury can occur
User :   so, you think it's a very minor head bump, no concussion at all?
Doctor :   consider a baby falls from about 5 feet , with the head impacting first can cause skull fractures
Doctor :   yes that is right, the bump, in question is most probably a cellulitis
User :   cellulitis? it's harmless?
Doctor :   yes, its skin inflammation caused due to collection of fluid under the skin ,
User :   Can I ask one more question?
Doctor :   this is very harmless, and will soon resolve within 2-5 days
Doctor :   sure
User :   my son had many head bumps (that makes him cry or makes me concerned) last weeks, much more than before, almost one or two every day.
User :   Although none of them are considered significant, but could these frequent head bumps have a commulative effect?
User :   I mean one probably is fine, but is one after another too much?
Doctor :   the chances that your son has had a lot of bumping at structures at home , due to which he has developed skin bumps
Doctor :   until the problem lies within the soft tissues of the head, there is no damage to the brain
User :   even they happen frequently?
Doctor :   even multiple soft tissue bumps at different places would not cause much issues
Doctor :   But you need to take steps to prevent further bumps
Doctor :   like making the home child proof
User :   Yes, I definitely will
User :   he is at the stage of sitting up and crawling
Doctor :   cover up all hard structure with soft cushions including the floor
Doctor :   yes thats the stage, when they move around, exploring and cause small bumps to themselves
User :   is the normal carpet enough?
Doctor :   the carpet is ok,
Doctor :   but additional cushioning will help to prevent even the skin bumps
User :   yes, I will try what I can to prevent these happen again
Doctor :   ok
User :   is it normal for baby at his age to have head bumps once or twice per day?
User :   I feel so bad last week because there is head bump almost everyday
Doctor :   any injury can cause skin bumps in every hour too
User :   so as long as the head bumps are minor, only cause skin bumps (or even not), there won't be any cumulative effect to affect the brain, right?
Doctor :   yes
Doctor :   that is absolutely right
User :   Thank you doctor, I am much more reassured. And I will definitely child proof my home. Thanks again
Doctor :   you are welcome
User :   bye now
Doctor :   take care and bye for now
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