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Small child, forehead injury due to fall, large swelling spreading to nose. Cause of worry?

My 15-month old baby has a swollen forehead . He fell and appears to have hit his forehead on the floor but he didn t cry and there was no abnormal behavior. He continued to be his usual active and playful self. But the swelling is large and goes all the way to the bridge of his nose . It s looks scary and I m very worried. What should I do?
Asked On : Thu, 13 Dec 2012
Answers:  2 Views:  1058
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Emergency Medicine Specialist 's  Response
Thanks for writing your query.

Swelling is common in head injury due to soft tissue injury of the scalp area. If your child is active with no abnormal behaviour, you should not worry much. Swelling will subside in due course of time. Paracetamol can be given after discussing with your doctor for mild antiinflammatory effect.

You should feel concerned if following symptoms appear:-
1. Swelling donot subside
2. Excessive crying
3. Vomitting
4. Episode of seizures
5. Abnormal behaviour
6. Excessive lethargy
If the problem persists, you should get your child examined by your doctor and get a scan of his head done.

I hope this is helpful to you.
Answered: Fri, 14 Dec 2012
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Pediatrician Dr. Sudha Shree Venkataraman's  Response

After injury to head if there are no ear/nose bleeds, no seizures, no blackish discoloration around eyes, no loss of consciousness etc you need not worry.

It would be just a soft tissue injury.

Apply cold compresses/ ice packs to reduce the swelling.

You may also give him Acetaminophen syrup in a dose of 15mg/ kg/ dose repeated thrice a day for pain. He will be okay.

If it still bothers you, pay a visit to your doctor and get things clarified.

Hope my answer helps you.
Best wishes.
Answered: Fri, 14 Dec 2012
I find this answer helpful
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