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Swollen forehead after injury, did not lose consciousness. Have put ice and taken Ibuprofen. Anything else I should do?

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Practicing since : 2001
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My 15 month old just tripped and hit his forehead on our bed. He has a big goose egg on his forehead. He did not lose consciousness. I put some ice on it and gave him some children's ibuprofen. Is there anything else I should do?
Posted Sat, 21 Apr 2012 in Child Health
Answered by Dr. Naveen Kumar 30 minutes later

Thanks for the query

Don't be alarmed by how quickly these large bumps appear. 'The big goose egg' swelling over the forehead is because of collection of blood in the subcutaneous tissue (below the skin layer) and it is usually limited to the scalp and occasionally indicates that the underlying brain has been damaged. They reduce gradually with an ice pack and adequate pressure.

It is a good sign if the child does not have loss of conscious, but you still need to wait and watch for at least 24 hours. Try to keep him awake for at least an hour. After that, you can allow him to take short naps and not more than 20 minutes in each session. Also, you need to observe for any vomiting or excessive crying or loss of balance while walking and loss of conscious.

Ibuprofen you have given is enough for now, you can continue giving this only if you feel that the child is having pain. Just keep an eye over the child's activities, if you feel any of the above symptoms are there, immediately take him to a doctor and request for CTscan of the head.

Hope I have answered your query; I will available for the follow-up queries.

Dr. Naveen Kumar N.
ENT and Head & Neck Surgeon
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