These types of bruises are very scandalous, heal on their own and are not usually important. But you have to watch for 24 hours in case it is more than a blow.
The boldness, the lack of balance, the greater weight of the head with respect to the body, the distribution of the furniture of the home … Everything seems to be allied so that during the first years of the child the majority of the blows suffer his head. We tell you how to act if your child hits and hits a bump.
Factors that favor the appearance of bumps
Between the bones of the skull and the skin there is not much tissue that cushions the blow, which favors that after the impact there is an immediate inflammation and a rupture of blood or lymphatic vessels that accumulates in the area and generates what we know as bump .
Although the age of the child must always be assessed (a blow to the head in a 6-12 month old baby is not the same as in a 4 year old child), the damaged area (the frontal bone is much harder and stronger than the rest), the height of the fall or the acceleration with which it has occurred and the subsequent manifestations or symptoms…, in general, the bumps, although painful and alarming, are not serious , evolve (with time the inflammation disappears, blood degrades and reabsorbs ) and everything is usually scared . In any case, you should know what to do when pain, intense crying and inflammation appear after a stroke.
Your child needs calm, comfort and that you act in the right way .
When the bump is accompanied by a wound
If in addition to the bump a wound has occurred you have to proceed like this:
- Wash it with cold water . Do not dramatize or shout, the presence of blood scares them a lot. Apply a clean cloth, tissue or cellulose paper from the kitchen ( do not use hydrophilic cotton ) and press together both edges of the wound.
- As soon as you stop bleeding, apply cold without direct contact (ice in a bag and wrapped in a light cloth) for 20 minutes.
- If the wound is very deep and still bleeding, you may need stitches . Take the child to the nearest health center or to the emergency department that corresponds to you
What to do if the child has only left the bump…
When “only” is the bump, without injury, and except for pain, the child is well:
- Apply the ice for 20 minutes , rest another 10 and reapply it, until you complete at least one hour . The ice closes the blood vessels that have ruptured, soothes the pain and lowers the inflammation , but this therapy is only effective after the blow; of little use days later (if the bump is done while on the street, put a can of soda).
- In addition, you can apply some product, cream or stick, based on arnica or with pentosan polysulfate sodium , indicated for bruises (ask in pharmacies).
- When he calms down after the tantrum the child will want to sleep . You can leave him in your arms or lay him down, but try to keep himhead higher than the rest of the body (put a pillow, use your little gandulita if it is a baby, or leave it on your shoulder). If you feel sore when you wake up, you can give the analgesic that you usually take and at the dose that your pediatrician has indicated on previous occasions.
On the day of the blow, during the night’s sleep, you should wake up the child every three to four hours to check if his general condition is correct. It is not necessary to lift or submit an interrogation. You know their normal reactions well. If he recognizes you and knows where he is , if he wants water, the pacifier or asks to be left, it is enough.
Although a normal bump, without other manifestations, does not require the attention of the doctor, it is prudent to see your pediatrician when you have the opportunity.
In the case of children under 1 year of age , after a stroke they should always go to the doctor, especially if they have fallen from a height of more than one meter (changing table, bathtub, carrycot …).
Alarm signs after a bump or blow to the head
Although it is normal for the bump to be nothing, circumstances around it may arise that advise you to go immediately to a health or emergency center:
- He has lost consciousness (do not shake him to come back to himself!).
- He is confused and very irritable (crying continued, he does not calm down with pampering or with your voice, he does not want you to hoist him or cuddle him). Or is more sleepy than normal.
- It is difficult for him to stand, coordinate the movements of the crawl or stay seated.
- Don’t hit the words and babble.
- Blood appears from the nose or ears (when the blow has not occurred there) or a clear liquid comes out.
- In addition to the bump, a bruise arises around the eyes or ears .
- Your pupils are not equal.
- nstead of inflammation there is a sunken area .
In addition, during the 24 hours after a blow to the head you must be aware of the possible appearance of symptoms that require medical attention. Among them:
- If you say your head hurts and the pain does not subside in a couple of hours (it does not count if the pain is because the bump is touched).
- If, when asked, he tells you that he doesn’t remember the coup or know where he has the “pupa”.
- Vomits several times and it is not because of the tantrum.
- Has seizures or strange movements or notes that a member cannot move .
And then what to do?
Both during the day of the coup and the next, it should limit intense games , jumps, sharp manipulations, etc. If all is well, at 24 hours, put hot cloths on the bump to favor the reabsorption of the hematoma.
Normally, this is how a bump usually evolves:
The heme group of hemoglobin in the blood that is extravasated degrades and different colorations appear during the resorption process.
- In the immediate moments the color is deep red , the bump is painful to the touch and is inflamed .
- From the 2nd to the 4th day it is violet , the inflammation decreases and the pain to the touch as well.
- From the 4th to the 10th day the bump and the surrounding area have a greenish hue . The inflammation is minimal although it is still sensitive.
- From the 10th to the 15th day the color is yellowish , there is no inflammation or pain.
Signs that suggest that the bump is not going well
- If you lose the original form and it lengthens.
- It has a central area sunk or that crackles to the touch.
- Instead of decreasing, it increases in the next 24 hours.
- Notes on it a soft and mobile part .
- After 20-30 days it remains the same . In the latter case it may be an abscess, an encapsulated or calcified bump ( do not make the mistake of puncturing it , the risk of infection is very high). If it causes discomfort or aesthetic problems, the pediatrician will tell you if you need surgery.
Any questions that arise about the evolution of the bump, the area in which it has occurred or the inconvenience caused to the child should be consulted with his pediatrician.