
Child Complaints Of Headache Followed By Fall With Fixed Eyes And Unconsciousness For Several Minutes

Needs immediate evaluation by pediatrician
Detailed Answer:
Hi,
Thank you for your query on Healthcare Magic.
I went through your description of the child complaints of headache followed by fall with fixed eyes and unconsciousness for several minutes.
This type of presentation is seen in the following conditions:
1.Seizure episode.
2.Syncope like vasovagal
3.Heart rhythm abnormalities
He needs investigations like CT Scan brain, EEG, 2D Echo after clinical examination by his pediatrician to look for the above problems.
ECG showing right bundle branch block (RBB) is an abnormal finding suggestive of heart rhythm abnormality and this finding has to be correlated by pediatrician and further opinion has to be taken from pediatric cardiologist.
And as he fell down on ground with this episode, he needs evaluation to rule out XXXXXXX injury to brain with clinical examination and imaging study such as CT Scan brain.
Feeling drunk and woozy are abnormal and concerning symptoms and needs immediate evaluation by his pediatrician.
Support the child while standing and walking to prevent further falls because of his symptoms of drunk and woozy.
And I suggest you to consult the pediatrician immediately for examination and for further investigations.
Hope I have answered your query, if you have any clarification please let me know.
Regards.


my son is sleeping now should I wake him up everyhour? or could wait for morning?
Pediatricin will assess for the need of CT scan.
Detailed Answer:
Hi,
Thank you for getting back.
As the child is sleeping now, no need to wake him up every hour.
But I suggest you to observe him for any concerning symptoms like abnormal movements of limbs, seizure like activity, or incoherent behavior and if you observe any of these findings, consult emergency immediately.
And in the morning consult his pediatrician as early as possible for clinical examination and discuss your concerns. And the doctor will order for appropriate investigations depending on the review of child complaints and clinical examination findings.
Hope I have answered your query, if you have any clarification please let me know.
Regards.


You are welcome.
Detailed Answer:
Hi,
Thank you for getting back. If you have any clarification please revert back to me and if you don't have any doubt I request you to close the discussion and rate my answer.
And I wish your child good health.
Best regards.


Observation. Give Tylenol for pain relief.
Detailed Answer:
Hi,
Thank you for getting back.
Closely watch the child sensorium, level of consciousness, activity, speech, behavior, and his coherence when he wakes up.
Watch for abnormal findings like severe headache, vomitings, abnormal and incoherent behavior and speech, seizures, paucity of limb movements and if you detect any abnormality, report to emergency immediately.
CT scan is associated with radiation effects and its need will be decided by the doctor depending on the child complaints if he feels its neccessity outweighs the risk of radiation.
There will be pain from where the blood is removed for blood work. Nothing to worry as this pain will subside.
Removing blood from vein doesn't lead to nerve damage. For pain relief, you can give Tylenol (paracetamol) in prescribed dose.
Hope I have answered your query, if you have any clarification please let me know.
Regards.


Welcome.
Detailed Answer:
Hi,
You are welcome.
Best regards.

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