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Suggest Remedy For Sweating And Excessive Crying After Head Injury
Question: Doc, my son fell off from bed last night 10PM hit the ground pretty hard from back of head, started crying immediately and was sweating like anything. he then slept for 30 min and again started crying a lot . he vomit a lot and vomit again after 15 min. i reached hospital and CT scan was done which was normal and he vomited 3-4 times again . came home around 4AM and he was crying a lot ... he slept at 6 AM finally . doctor gave him one injection for vomit. also oral medicines for vomit , combiflame, .CT scan report shows minor swellng in tissues. i m very tensed, what ahould i do . attaching CT scan report
Brief Answer:
Most of the time it resolves within 24-48 hours
Detailed Answer:
Hello XXXXXXX
The symptoms like vomiting,headache(exceesive crying suggestive of headache) suggests that there is traumatic brain injury.
Traumatic brain injury can be mild to very severe form.Milder for of traumatic brain injury is known as concussion, in which there is no significant injury to brain parenchyma.In this patient may present with headache,irritability and vomiting but loss of conciousness is uncommon.
In severe form of traumatic brain injury(intracerebral bleeding/depressed fracture) patient usually experiences loss of conciousness. The duration of loss of conciousness may vary from few minutes to several hours.
CT scan done after head injury detects the major abnormalities. Based on the CT finding immediate management is based.
I have gone through the CT report of your son and it rules out any significant traumatic brain injury. It appears that he had symptoms due to concussion.
Concussion should be managed conservatively as in your case it has been done.Like analgesic and antiemetic.
Symptoms of concussion should be resolved within 48-72 hours. If it is not resolving then consult your doctor. As sometimes although it is uncommon,there can be a form of traumatic brain injury in which there is injury at the neuronal level(Diffuse axonal injury) which can be missed in CT scan and better detected by MRI.The diffuse axonal injury is usually suspected when there is no improvement in symptoms after 72-96 hours of head injury.
So you need not to worry. Continue the medication as prescribed. It appear to be concussion with mild scalp hematoma. Scalp hematoma resolves on its own.Be careful about the persistence of symptoms. If symptoms like vomiting,irritability persists consult your doctor.
I will be glad to answer if you have any further query.
Wish him early recovery.
Regards
Most of the time it resolves within 24-48 hours
Detailed Answer:
Hello XXXXXXX
The symptoms like vomiting,headache(exceesive crying suggestive of headache) suggests that there is traumatic brain injury.
Traumatic brain injury can be mild to very severe form.Milder for of traumatic brain injury is known as concussion, in which there is no significant injury to brain parenchyma.In this patient may present with headache,irritability and vomiting but loss of conciousness is uncommon.
In severe form of traumatic brain injury(intracerebral bleeding/depressed fracture) patient usually experiences loss of conciousness. The duration of loss of conciousness may vary from few minutes to several hours.
CT scan done after head injury detects the major abnormalities. Based on the CT finding immediate management is based.
I have gone through the CT report of your son and it rules out any significant traumatic brain injury. It appears that he had symptoms due to concussion.
Concussion should be managed conservatively as in your case it has been done.Like analgesic and antiemetic.
Symptoms of concussion should be resolved within 48-72 hours. If it is not resolving then consult your doctor. As sometimes although it is uncommon,there can be a form of traumatic brain injury in which there is injury at the neuronal level(Diffuse axonal injury) which can be missed in CT scan and better detected by MRI.The diffuse axonal injury is usually suspected when there is no improvement in symptoms after 72-96 hours of head injury.
So you need not to worry. Continue the medication as prescribed. It appear to be concussion with mild scalp hematoma. Scalp hematoma resolves on its own.Be careful about the persistence of symptoms. If symptoms like vomiting,irritability persists consult your doctor.
I will be glad to answer if you have any further query.
Wish him early recovery.
Regards
Above answer was peer-reviewed by :
Dr. Prasad
thanks a lot doctor for your valuable reply. today also i consulted his pediatrician and as per him he is ok. but he suddenly stopped eating his solids . since morning he just passed urine 2 times and he is only accepting breastfeed . he was not able to sleep much due to CT scan and all imveatigations. today he slept 1 nap for 3 hrs and one evening nap 1 hr. now he is sleeping from 7PM and accepted breastfeed once in between 7PM and now. is dere anything wrong at his stomach level or brain level:. i m extremely worried
Brief Answer:
Don't worry,Everything will be fine
Detailed Answer:
Hello
Welcome again
The behavioral and feeding abnormalities he is showing are may be due to the trauma.Gradually he will start feeding as before illness.The decreased frequency of urination may be due to decreased oral intake and vomiting.
Don't worry.Encourage him for feeds and try to feed him even during night time.Observe for frequency of urine and if he does not passes urine even after 8-10 hours consult your pediatrician.
Regards
Don't worry,Everything will be fine
Detailed Answer:
Hello
Welcome again
The behavioral and feeding abnormalities he is showing are may be due to the trauma.Gradually he will start feeding as before illness.The decreased frequency of urination may be due to decreased oral intake and vomiting.
Don't worry.Encourage him for feeds and try to feed him even during night time.Observe for frequency of urine and if he does not passes urine even after 8-10 hours consult your pediatrician.
Regards
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
thanks doctor for your response. it help us to handle situation better. but today morning tam he vomitted 2 times. cried a lot. was passing gas. this sudden cry is happening many a times . he lokks having acidity or gas becauae he is not eating anything. please suggest some medication.his weight is 13.5kg and age 11.6 months
Brief Answer:
You can give domperidone and lansoprazole
Detailed Answer:
Hello
Thanks for the query
You can give domperidpne(sup domstal) for
Vomiting and lansoprazole(junior lanzole) for acidity.
Dose of domperidone is 0.2-0.3 mg/kg/dose two to three times a day and lansoprazole 0.5-1.0 mg/kg/ day. Both these are prescription drugs, please get it prescribed by his doctor.
Watch for urine output as decreased frequency can occur in dehydration.
Regards
You can give domperidone and lansoprazole
Detailed Answer:
Hello
Thanks for the query
You can give domperidpne(sup domstal) for
Vomiting and lansoprazole(junior lanzole) for acidity.
Dose of domperidone is 0.2-0.3 mg/kg/dose two to three times a day and lansoprazole 0.5-1.0 mg/kg/ day. Both these are prescription drugs, please get it prescribed by his doctor.
Watch for urine output as decreased frequency can occur in dehydration.
Regards
Above answer was peer-reviewed by :
Dr. Shanthi.E
Hello Doctor. Its 4th day after injury . He looks fine. Playing well. Passing less urine every 6-7 hrs. But my tension is he is not yet accepting any solid food. He will only take some breastfeed. Can loss of appetites be because of any internal injury? I am not giving him any medicine now except colimax 3 times 1ml per day. Do we need to do any additional test or scan why he is not eating. Any medicine that we can give him.
Brief Answer:
This is not because of internal injury
Detailed Answer:
Hello
If he is playing well and accepting breast feed,it seems to be everything is OK.
If he is passing stool and there is no abdominal distension or vomiting there is no need to worry.
No investigation is required right now.Encourage him for breast feed and mashed home feed.
Sometimes parents get more worried and anxious due to the recent event.
Don't worry,keep trying frequent feed and consult your physician if you really find anything serious.
Wish you and your family a good health.
Reagrads
This is not because of internal injury
Detailed Answer:
Hello
If he is playing well and accepting breast feed,it seems to be everything is OK.
If he is passing stool and there is no abdominal distension or vomiting there is no need to worry.
No investigation is required right now.Encourage him for breast feed and mashed home feed.
Sometimes parents get more worried and anxious due to the recent event.
Don't worry,keep trying frequent feed and consult your physician if you really find anything serious.
Wish you and your family a good health.
Reagrads
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Above answer was peer-reviewed by :
Dr. Pradeep Vitta
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