Recently, my daughter got kicked in the head during a soccer game. She seemed fine at the time, but later developed a sizable lump on her forehead. Is this a concern?
Answer From David J. Daniels, M.D., Ph.D.
Probably not. Head trauma from play or sports is a common concern for parents, but rarely does a bump on the head result in serious injury.
The forehead and scalp have a large blood supply. Injury to these areas often results in bleeding under the skin. When the bleeding is in just one area, it causes bruising and swelling, known as a hematoma. Keep in mind that even a minor head bump can cause a large swelling.
The speed, momentum and size of the children involved, such as teenagers versus young children, can increase the possibility of a serious injury. The forces involved, such as impact with a concrete floor or hard surface, also can raise the risk of a serious injury.
When to see a doctor
The American Academy of Pediatrics recommends that you call a member of your child's healthcare team for anything more than a light bump on your child's head.
If your child remains alert, moves as usual and responds to you, the injury is probably mild. A mild injury usually doesn't need further testing.
Occasionally, a blow to the head may be bad enough to cause bleeding in or around the brain. This type of bleeding can cause an intracranial hematoma, a serious condition that puts pressure on the brain.
See a healthcare professional within 1 to 2 days of a head injury with ongoing symptoms, even if emergency care isn't required.
Seek emergency medical attention if your child experiences:
Loss of consciousness, confusion or disorientation after a head injury.
Also seek emergency attention if your child has the following symptoms after a head injury, which could signal a concussion:
A headache that is getting worse.
Trouble with balance.
Vomiting.
Blood or clear fluid coming from the nose or ears.
Memory loss or confusion.
Mood changes, such as being irritable.
With
David J. Daniels, M.D., Ph.D.
April 24, 2024
Show references
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