Bump on head,vomiting,pain.Head injury?
Thanks for writing to us.
After a fall with a suspected injury to the head followed by vomiting indicates that the intracranial tension is raised. This is a warning symptom and indicates that the injury is not mild in nature.
Immediate medical attention is needed.
I would advise you to not to wait till morning and immediately take your child to ER for proper investigations.
Earlier the diagnosis, better will be the treatment and prognosis.
The bump that has appeared on his head is probably a hematoma which can be reduced till you reach ER by giving a cold compress by wrapping ice cubes in a towel.
Head and neck injuries can be external or XXXXXXX
Children exhibit screaming and crying if they feel pain in the neck area. They may rub at their necks, especially the back of the neck. They may complain of neck pain or cry when you touch their neck.
Then other symptoms observed are shallow breathing, trouble taking a breath or trouble taking XXXXXXX breath, difficulty for the child to move his neck, nausea and vomiting, pupils may become dilated or one pupil may appear larger than the other in a serious neck injury.
Children may also become highly irritable or inconsolable. Then there may be unconsciousness and seizures, bleeding or clear fluid from the nose, ear, or mouth, feeling anxious or irritable for no apparent reason and sensitivity to light as well.
In such a case, it is always better to get a physical examination and a CT/ MRI head done to rule out any subdural hemorrhage. Symptoms of subdural hemorrhage have a slower onset than those of epidural hemorrhages because the lower pressure veins bleed more slowly than arteries. Thus, signs and symptoms may show up within 24 hours but can be delayed as much as 2 weeks.
I hope my answer and recommendations are adequate and helpful. Waiting for your further follow up queries if any.
Thanks for writing again.
Vomiting even once after the head injury is a warning sign and needs to be investigated. The vomiting could happen out of fear or gastric disturbance also but it is always best to rule out any serious head injury before it is too late.
Wishing your son an early recovery.