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Infant is cranky and has runny nose post a fall, getting teeth eruptions. Should I worry about concussion?

my 8 month old fell today. I am worried about head injury . he has been fine as far as his balance, etc. he doesnt have nausea and he seems ok. His balance is also ok. the only thing i noticed is that his nose is runny. he is very cranky. I must mention that he is also teething . Should i worry about a concussion? or could this just be tooth related?
Asked On : Tue, 6 Nov 2012
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Pediatrician, Neonatology 's  Response
If the runny nose started after fall - it could be due to CSF rhinorrhoea.

It is the condition when the Cerebro Spinal Fluid or CSF (the fluid in brain and spinal cord) leaks through a gap / fracture (which may be caused due to traumatic head injury) in skull.

Most often, the runny nose is one sided ( watery fluid coming out of one nostril only).

Clinical examinations and tests (like Beta-2-Trasferrin test, glucose test) are there to detect if the fluid is CSF.

In most cases, CSF-rhinorrhoea stops spontaneously. If not stopped by 7-10 days, may need corrective surgical management.

Get your child examined by doctor and take treatments as necessary. Other injuries / concussion, if present - will be detected.

Hope I could make it clear. Post if you have other queries.

Answered: Wed, 7 Nov 2012
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