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Injury for an infant, no concussion - Online Doctor Chats

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

General & Family Physician
Practicing since : 2004
Answered : 37 Questions
User :   ok, hi doctor
Doctor :   How can i help you today ?
User :   I have questions about my son's head bumps
User :   my baby is 10 months old
Doctor :   ok, please proceed
User :   on Tuesday night about 8pm, he was standing in his cot, but lost his balance and fell, bumped his head against the cot end
User :   it sounds very bad
Doctor :   ok
User :   and what worries me the most is he remained there unmoved for about a few seconds
Doctor :   did he lose any conciousness ?
User :   he was facing down, so I am not sure whether he lost concisousness or not
User :   but a few seconds later, he sat up by himself and continued playing, laughing as usual
User :   he behaved absolutely normal after that
Doctor :   in that case there is nothing to be worried
Doctor :   he will be fine
User :   but, that a few seconds silence made me worry about concussion
Doctor :   this is not a concussion
User :   if he lost conciousness, isn't it a sign of concussion?
User :   I read lost of conciousness, even only a few seconds, is sign of concussion
Doctor :   if he had lost consciousness, actually , that would last for a long time, at least for about 15-20 mins
Doctor :   if u really suspect that he had a concussion, the best thing to do, would be to visit the ER and get a CT scan to rule out any brain damage
User :   but ct scan is not good for the baby
Doctor :   after a fall, usually any human being would be stunned
Doctor :   and would take a few moments, to recover from the stunning
User :   so, the a few seconds is becaused he was shocked?
Doctor :   in case any brain damage is not diagnosed then the complications would be higher than, the minor exposure to radiation by a CT scan
Doctor :   yes, he would have been shocked , that is the usual response after a traumatic episide
User :   do you think, in his case, a ct scan is needed?
Doctor :   since he is not affected, and does not have any symptoms, i do not suspect a concussion
Doctor :   but it seems that you are very anxious and worried
User :   I am worrying because today he bumped his head again
Doctor :   this anxiety can be overcome, if you consult a doctor, who can examine him and then determine the need for further intervention
Doctor :   kids at this age are prone to falls since they are trying to walk and run
User :   but for the baby's benefit, you think it's not needed?
Doctor :   he will continue to have such episodes in the future
User :   I don't want to do the baby any harm only for my benefits.
Doctor :   please understand, that the need for any intervention, depends on the clinical signs and symptoms
Doctor :   since he is not affected, the need for any intervention or CT would be very less
User :   ok, I understand.
User :   well, about an hour ago, he bumped his head into the wall
Doctor :   hes a kid
User :   I know baby often bumps his head
Doctor :   he will continue to do so
User :   but, it's only 2 days from he bumped his head in his cot
Doctor :   the best thing, would be to put a baby helmet , which is very soft, so that he would not hurt himself
User :   and especially that one sounds very hard
User :   I have bought one, but he refused to use it
User :   I mean would this head bump give some add up effects?
Doctor :   you have to put it in such a way, that it does not come out, and he is not able to remove it
Doctor :   no ., repeated bumps,, are not associated with onset of concussion
Doctor :   or any other brain damage
User :   but, if he had a concussion from the previous one, would this one add some worse effect?
Doctor :   if he actually had a concussion, then he would be symptomatic at the first time
Doctor :   one more thing to note -
Doctor :   the brain is supported by a strong skull, which protects against such damage
Doctor :   examples for incidents that can cause concussion include - the following
Doctor :   1. banging by a hard hammer with a lot of force
Doctor :   2. fall from a height of 5-7 feet straight - head down
Doctor :   shaken baby syndrome (in small babies)
Doctor :   any hard and protruding object, falling on the head, from a height of atleast 5 feet
Doctor :   all such falls, need 2 things into consideration - heavy mass of the falling object
Doctor :   and high speed of the fall
Doctor :   so small bangs and falls will not cause considerable damage or issues like concussion
Doctor :   if a baby has actually has suffered a concussion, there would be a severe damage of the skin of the head , where the contact occured
User :   so, falling from standing position, and bumped head against the cot end (made of solid wood), won't result in concussion?
Doctor :   like a red large swelling ,
User :   no, he didn't have any swelling
User :   I was just not sure about the a few seconds silence
Doctor :   yes, that would not cause any issues
User :   but, as you said, that probably because he was shocked
Doctor :   yes
Doctor :   that is right
User :   Ok, so in summary, you don't suspect concussion from his previous head bump in cot, and this new one won't have any add up effects to the brain?
Doctor :   yes
User :   ok, I feel much better. Thank you doctor.
Doctor :   you are welcome
User :   thanks again, bye
Doctor :   take care and bye for now
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