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Dr. Andrew Rynne
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Dr. Andrew Rynne

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Child Hit Is Right Side Of Forehead, Has Swelling. Is It Common To Have Swelling?

Hi my 4 year old ran into a storage trailer yesterday on his 4 wheeler and he hit the right side of his forhead above his eye. As soon as he hit it it was very soft and immediately started getting big like a golf ball. So we put ice on it and it went down a little. Today it looks smaller but in betwee hen his eyes going down his nose is swollen.he acts the same running around and playing and is eating fine so should i take him to the doctor?
Mon, 7 Jan 2013
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Pediatrician 's  Response
Hi
Because of hit on forehead your child developed a contusion which is due to collection of blood in the scalp layers and it may track down to invilve eyelids and nose. For pain relief you can give paracetamol or ibuprofen if the pain is significant with food in prescribed dosage. If there are any vomitings, persistent headache, abnormal behavior or movements, alteration in sensorium and paucity of limb movements consult your doctor immediately.
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Pediatrician Dr. Synthyia Bhagat's  Response
Hi.
Thanks for your query,
there is formation of hematoma over the injury site,do ice fomentation over the affected part.
You have also mentioned that your child is playing well,eating well,so there is nothing to worry.
The warning signs which should be kept in mind after head injury are,level of consciousness,any vomiting,bleeding from ear or nose,
Your child is going to be wel soon.
God bless.
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Pediatrician, Cardiology Dr. Pradeep Kumar Jain's  Response
Hello

Head trauma without vomiting, altered sensorium and headache indicates that chances of injury to the brain is very very less.

Your main concern is swelling. As it is around eyes and nose, and bone in these area can get fractured easily, I will suggest you to consult the physician to rule out injury to the soft tissue or bone if any.

Regards

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  User's Response
Dr. Harmandip Singh's  Response
hello keonyamoni2
i think you should apply ice one again and use anti-inflammatory like ibupfren plus paracetamol combination for thrice daily.
if this subside next day then i think there is no need for doctor advice

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Child Hit Is Right Side Of Forehead, Has Swelling. Is It Common To Have Swelling?

Hi Because of hit on forehead your child developed a contusion which is due to collection of blood in the scalp layers and it may track down to invilve eyelids and nose. For pain relief you can give paracetamol or ibuprofen if the pain is significant with food in prescribed dosage. If there are any vomitings, persistent headache, abnormal behavior or movements, alteration in sensorium and paucity of limb movements consult your doctor immediately.