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Child hit her head after falling. Badly bruised, swollen above eye socket. Any home remedy?

My daughter is 2 years and 4 months old she fell and hit her head on a mantel. It s right above the eye socket and is bruised badly and swollen. She has a fever of 99.9 and is tired but did not nap today due to playing with cousins. I am wondering if I should take her in to the er or monitor her through the night. She has been around family that is sick so I am wondering if her fever could have anything to do with a head injury? Anything I can do at home to help? I don t mind going to the er if nessasary but would like to avoid exposing her to more germs if at all possible.
Asked On : Mon, 31 Dec 2012
Answers:  3 Views:  1248
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Pediatrician 's  Response
I appreciate your concern for your daughter.
she is having hematoma formation after soft tissue injury.fever mentioned is unlikely due to head should see for warning signs which are any abnormal behaviour.vomiting.any seizures.loss of consciousness,bleeding from ear or nose.In case you report any of them you must take her to doctor.Meanwhile you can give her paracetamol for pain and fever and apply cold compresses over bruised area.
your daughter will be fine.God bless.
Answered: Thu, 3 Jan 2013
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Emergency Medicine Specialist Dr. Sheeba Stephen's  Response
Hello and welcome to Healthcare Magic. Thanks for your query.

I understand that you are concerned about your daughter's head injury. It appears that she has developed a hematoma (a localized collection of seeped-out blood) and this is obvious from the local swelling and bruising.

The fever may be unrelated to the head injury and could be due to a common viral infection (more likely since other people in the family are also sick).

If your daughter has not had any black out or any ear / nose bleeds following the injury, and if she is active and alert, then you can follow a wait-and-watch approach. I would suggest the following simple remedies:
- Keep giving cold fermentations - this will reduce the inflamation as well as be soothing
- You can give her some mild analgesic like Paracetamol syrup
- Ensure that she gets adequate rest

Watch for the following danger signs:
- Severe headache or vomiting
- Incessant crying or irritability
- Drowsiness and lethargy (other than during her sleeping time)
- Bleeding from the ear or nose
- Seizures

In case she develops any of these danger signs or any other out-of-the way complications, please seek urgent medical attention.

Wish you all the best.

Dr. Sheeba Stephen
Answered: Mon, 31 Dec 2012
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Emergency Medicine Specialist Dr. R.A. Singh's  Response
Hi Steiny,
Thanks for writing your query.

It seems that your daughter had suffered from soft tissue injury resulting in swelling and bruises.
Injury will not result in fever unless infected. So, you should evaluate for other causes of fever like cold, viral, etc.

Cold compress will decrease the swelling and pain initially. If the swelling or pain persists, you can give her pain killers after getting her examined by a doctor. Application of local antibiotic cream on the bruises wll heal them quickly.

If her day to day activities are normal, it is a good sign and indicates that there is no internal injury.

I hope this is helpful to you.
Answered: Mon, 31 Dec 2012
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