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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Baby Hit Head Above The Eye. Has Swelling, Bruise Turning Black And Blue. See The Doctor?

My daughter is 14 months and fell while running and hit her head on the coffee table leg right above her eye. She didnt lose consciousness but she has a dent in her head and it is swelling and turning black and blue. She has calmed down after about 10 minutes of crying and we tried to put some ice on it but it is hard to do because i am sure it hurts to the touch. Do you think we need to go to the ER and if not what should we be watching for to make sure nothing else is going on?
Mon, 21 Jan 2013
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Pediatrician 's  Response
Hi
Thanks for your query
Your daughter hit her head and there is contusion at the injury site due to injury ti small blood vessels.
I advise you to try to apply ice compresses over the area gently,give paracetamol for pain relief.
You have to observe danger signals like vomiting.altered behavior.any abnormal movement.bleeding from ear or nose and in case you report any take your child to ER.

Your baby will be fine.
God bless
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Pediatrician Dr. E Venkata Ramana's  Response
Hi,
Thank you for your query,
The swelling is due to formation of hematoma because of collection of blood in scalp layers above the skull bones.
Look for vomitings, altered behavior, decreased movements of the limbs and any fluid or blood leakage from nose or ears. If you find any abnormality consult Emergency immediately.
You can apply ice locally and give analgesic like ibuprofen in prescribed dosage for pain relief. And consult your Pediatrician for physical examination and further medical advise.
Hope i have answered your query.
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Pediatrician, Surgery Dr. Anand Sinha's  Response
HI,
Thank you for your query
In my opinion you should go to the ER. It might not turn out to be anything serious but it is never advisable to ignore such things. You are right that ice packs will help. Try to put it gently if you can. Your child will need a prescription of analgesics, booster of tetanus toxoid vaccine if not recently given and an X-Ray of the skull / head. The doctor in the ER will decide whether you need to get a CT scan done. But you should surely consult a doctor.
Hope that helps.
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Baby Hit Head Above The Eye. Has Swelling, Bruise Turning Black And Blue. See The Doctor?

Hi Thanks for your query Your daughter hit her head and there is contusion at the injury site due to injury ti small blood vessels. I advise you to try to apply ice compresses over the area gently,give paracetamol for pain relief. You have to observe danger signals like vomiting.altered behavior.any abnormal movement.bleeding from ear or nose and in case you report any take your child to ER. Your baby will be fine. God bless