June 29, 2008,
K.H. asks from Heber City, UT on June 25, 2008
Toddler Hit Head
My 13 month old took a fall this weekend when he slipped on some water. He fell back and was crying for about 5-10 minutes. He then vomited a little but seemed fine afterwards. His eyes were fine and he went back to playing with his usual energy level. He was fussy going to bed and we wound up letting him sleep with us because he wouldn't stay asleep in his crib. Since then he has been "grumpier" than usual but this is sporadically throughout the day. He has been "funny" about eating, not eating as much and just wants to nurse (I had been nursing only once at night and once in the morning). Every time he falls, I jump (he fell backwards on the driveway today, knocked over by another child). Each website I look at has left me with a different feeling of the possible severity of his fall. Now I am feeling horrible about our decision to not call the doctor, and my husband thinks I am overly concerned. Any suggestions on what I should look for next time? Or how to calm myself down with falls? Luckily we have an appointment today for a weight check, so I will talk to the doctor then.
So What Happened?™
Thanks for all the advice. The doctor wasn't concerned at all about the fall. She said as long as he didn't vomit repeatedly and wasn't unconscious at all I shouldn't be concerned. She said he didn't fall a big distance (only off his own two feet) and kids fall all the time. He seems fine, as active as ever. Regardless of what she suggested, I WILL be calling if it happens again for peace of mind.
K.O. answers from Salt Lake City on June 26, 2008
When anyone hits their head, they need to be watched very closely for two weeks. If everything seems normal, then you probably dont need to worry, but if you notice changes in personality, forgetfulness, clumsiness, etc, you should go to the doctor just to be on the safe side. It could be signs of something serious.
A.W. answers from Denver on June 26, 2008
You know there is nothing like "mother's intuition" or just giving yourself piece of mind. So if you are worried and keep being worried about it, then go the doctor. Best case, it is a false alarm and you pay the co-pay, big deal. I have realized that most times I take my 13 month old boy to the doctor it is for my piece of mind more than his health. :) Hang in there, hope the check up went well today.
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L.B. answers from Denver on June 26, 2008
Okay - I am not doing this to scare you, but I am going to share my son's story from when he was 9 mo old.
We picked him up from the babysitter one night and he was not acting completely normal and then he threw up. The next day he was sick on and off, but I could tell he was just not right. I was afraid he would get dehydrated so I took him to the hospital. They sent me home and told me pedialyte would help.
The next day I followed up with his pediatrician. Still they told me he was fine.
He had no bump on his head, no bruise.
Long story short, we knew he was not acting right. He just wanted to snuggle on my lap. We took him to the hospital again. My husband demanded we do some tests because you have a feeling when something is wrong.
A CT scan showed he had a fractured skull and it severed an artery and was bleeding into his brain. They airlifted him to another hospital where he had a skull sugery to remove the blood. They told us if he comes out of this alive, he may never walk or talk.
Then the next day spinal fluid gathered in the space the blood was in and they had to repeat the sugery.
This was the scariest time of my entire life.
I am happy to report that he is a very smart, fun loving 5 year old now, but if you feel something is not right - FOLLOW YOUR GUT! I feel like God gave parents a gift for feeling when something is not right.
I don't want to scare you, but if we had gone another day, Nicholas would probably not be here today. And the injury was just from him beginning to cruise and hit his head "just right" or maybe just wrong.
K.G. answers from Denver on June 26, 2008
My advice is this - I am not a doctor, nor do I allow my husband to decide if he is one if my daughter falls, bangs her head, or whatever. Vomiting is not a normal thing, and neither is a drastic change in behavior, eating habits or attitude. We will pay the copay because at least I know it is better than stewing over it or wondering. Go to the doctor. That is what they are there for and unless you are a doctor - they are your best choice for really making sure your son is okay.
C.P. answers from Salt Lake City on June 26, 2008
It sounds like your child is doing ok, but vomiting after a blow to the head is a sign of a concussion. If it seems he's not remembering things well or his appetite is still bad, you should take him to the doctor.
M.R. answers from Boise on June 26, 2008
My son fell from a 7ft. slide ladder when he was 18 months old while at a park at daycare. Luckily I had just gotten there and took him right to emergency. What I learned has come in handy a few more times with all my boys. Vomiting and unconciousness is bad. Swelling is good, a dent or no bump from a serious hit is bad and my child should be seen immediately. These few suggestions from the emergency room nurse have been my guideline through the years and have always helped us decide when and if to see a doctor. It's just my opinion but I would take your son in right away even though it was a few days ago.
K.D. answers from Denver on June 25, 2008
I agree with Brookelyn. Our first never fell, it seemed. Our second is one permanent bruise that moves around his head. Vomiting is always serious, as is changes in personality, etc. I call our doctor all the time with this second guy. Our answers have ranged from keep an eye on him to bring him in right now. The one thing in common is always to come in immediately if there is vomiting or personality change. Thankfully we haven't had to do that. I wouldn't beat myself up about it. It's hard to know, and my second one is almost two, and I've only called the last few times. He had many hard falls that probably should have been checked out before that. It took me a lot to start calling. There are some kids who just have that tendency. I'd check with your doctor today and see if he can give you some guidelines to know when he's like you to call or come in. The reality is, there isn't a whole lot you can do other than ice for a concussion unless it's very serious, so you're in about the same boat as you would have been had you taken him in. Hope he returns to normal soon!
S.S. answers from Provo on June 26, 2008
Sounds like a concussion or even a skull fracture. You really can't be too careful with blows to the head, especially when there is vomiting. ASK THE DOCTOR FOR AN X-RAY! You never can tell how long head injuries can last. Please keep us informed.
M.H. answers from Boise on June 26, 2008
I always look to see if they get a bump on their head. If they get a bump it must come out and not go in. If they have a bump that swells up they are fine, but if they don't there could be a sign of concussion and concern to talk to the doctor. You checked out his eyes and his energy was fine so I think you did a good job. Just chat with your Dr. and see what they say. You're doing great!