Head Injuries in Children: A Guide for Parents

What is it?

Minor head injuries are a common occurrence in children, particularly those who are active or participate in sports. While most head injuries are mild and have no complications, they should be taken seriously and monitored carefully.

What symptoms do you get?

Symptoms can vary but may include headache, dizziness, nausea or vomiting. Some children may also experience changes in sleep patterns or mood disturbances. It’s essential to monitor your child closely for any new or worsening symptoms, especially in the first 24 to 48 hours after the injury.

How is it diagnosed?

It is typically diagnosed based on a combination of the child’s symptoms and a physical examination by a healthcare professional. In very rare cases, additional tests may be done to rule out more serious injuries. It’s important to seek medical advice if your child experiences a head injury, especially if they have lost consciousness, vomited repeatedly, or if their symptoms are severe or worsening.

What is the treatment?

Treatment for a mild head injury focuses on managing symptoms. In most cases, rest and avoiding activities that could worsen symptoms are recommended. You can use over-the-counter pain relievers such as paracetamol or ibuprofen to help with headaches or discomfort. It’s also important to ensure your child stays hydrated and gets plenty of rest while recovering from the injury. It is okay for your child to sleep, as long as they can be woken up easily and they have a normal breathing pattern.

Worsening Advice and Advice for Concussions:

If your child’s symptoms worsen or if they develop any concerning signs seek medical attention immediately.

• Your child’s behaviour is different to normal
• Your child appears confused or disoriented
• Your child is unconscious and cannot be woken
• There is bleeding or fluid coming from the ears or nose
• Your child vomits more than twice
• Your child has a seizure
• Your child has a severe headache that does not go away with simple painkillers
• Your child is unable to walk or is uncoordinated

These could be signs of a more serious head injury that requires prompt evaluation and treatment. It’s essential to ensure your child gets a lot of rest and returns to activities gradually. They should avoid physical exertion, sports, and screen time until they feel better. Be sure to monitor your child closely for any new or worsening symptoms.

Remember, most head injuries in children resolve on their own with rest and supportive care and your child should be completely back to normal by 2 weeks following the initial injury. It’s important to seek medical advice if you have any concerns about your child’s symptoms or if their condition is not improving.