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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Does The Forehead Swelling And Bruising Need Further Investigation?

My daughter just fell on our metal bed frame and banged the spot between her nose and her forehead and between her eyebrows. It looks alittle swollen and looks like there might be bruising behind skin. We iced it and all she wants is to go to bed which we obliged. Should we be concerned? Anything we can do or be aware of?
Tue, 22 Nov 2016
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General & Family Physician 's  Response
Hi there,

You did well by icing it early, there is usually not much else to do for bumps such as this. Some paracetamol for the pain would be useful if it bothers her, but if she can sleep fine, then there is no need.

Things to watch out for would be signs of internal injury, like nosebleeds, repeated vomiting, severe headache, irritability, or drowsiness (more than you would expect) to the point of it being difficult to wake her up. This is quite unlikely, from how her injury sounds, but you should still keep an eye on her for the next 24 hours or so.

Also note that if there is significant swelling, the bruising will highly likely track down around her eyes over the next few days. This is normal due to gravity and the loose fatty tissue around the eyes, and she might look like she has been punched in the face, but it will soon fade.

Hope this helps, and keep well.

Regards,
Dr. Teh
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Does The Forehead Swelling And Bruising Need Further Investigation?

Hi there, You did well by icing it early, there is usually not much else to do for bumps such as this. Some paracetamol for the pain would be useful if it bothers her, but if she can sleep fine, then there is no need. Things to watch out for would be signs of internal injury, like nosebleeds, repeated vomiting, severe headache, irritability, or drowsiness (more than you would expect) to the point of it being difficult to wake her up. This is quite unlikely, from how her injury sounds, but you should still keep an eye on her for the next 24 hours or so. Also note that if there is significant swelling, the bruising will highly likely track down around her eyes over the next few days. This is normal due to gravity and the loose fatty tissue around the eyes, and she might look like she has been punched in the face, but it will soon fade. Hope this helps, and keep well. Regards, Dr. Teh