Your Baby & Toddler - - BABY FILES: TODDLER -

How can you tell if the bump is a lit­tle more se­ri­ous?

If the bump on his head gets big­ger over hours or days or your tot de­vel­ops a tem­per­a­ture

“This sug­gests an un­der­ly­ing skull frac­ture, and there is noth­ing spe­cific in terms of first aid that you can do re­ally. The best thing to do in this in­stance is to get your tod­dler to a doc­tor im­me­di­ately prefer­ably one with CT scan fa­cil­i­ties,” says pe­di­atric emer­gency con­sul­tant Dr Deirdre O’Don­nell.

If he falls over, doesn’t cry and loses con­scious­ness and/or vom­its more than three times after the injury

“Vom­it­ing after a head injury is very com­mon, but per­sis­tent vom­it­ing, re­gard­less of whether the child lost con­scious­ness or not, is con­sid­ered an in­di­ca­tor for a CT scan, as it can be a sign of in­creased pres­sure on the brain in­side the skull from bleeding or brain swelling. Don’t force your child to eat or give them any­thing to stop vom­it­ing, just keep giv­ing them flu­ids – small amounts, and fre­quently. This can in­clude any sort of ‘wet’ foods, such as yo­ghurt, jelly, ice lol­lies or fruit.”

If you no­tice any de­for­mi­ties on his limbs or ten­der swelling on his wrists, above his el­bow or on his shoul­der line (col­lar bone)

“If you see any­thing on your child that you are un­sure about, you should have it as­sessed by a doc­tor. Th­ese can be any­thing from sim­ple bruises to frac­tured bones,” she says.

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