by Jeffrey Lo, MD, Attending Doctor, Orthopedics and Sports activities Drugs Division, Boston Kids’s Hospital

Child concussion: What to know if your child takes a blow to the head

When a toddler tumbles to the ground from a blow to the top, a mother or father’s inside alarms ought to sound. The kid might have a mind damage.

Here is what dad and mom have to know:

What’s a concussion?

A concussion is a gentle traumatic mind damage (TBI) that outcomes from a direct hit to the top, face or neck.

Concussions might or might not contain a lack of consciousness. Signs might happen instantly or over the course of hours. They often resolve inside days.

What are the concussion signs in a toddler?

When a toddler receives a blow to the top, look ahead to these warning indicators of concussion:

  • Complications
  • Confusion, disorientation
  • Difficulties with reminiscence
  • Clean stare or a surprised look
  • Issue following instructions (inattentiveness)
  • Sluggish or incoherent speech
  • Dizziness
  • Steadiness issues
  • Vomiting
  • Emotional instability (inappropriate laughing or crying, elevated irritability, depressed temper)

What are widespread methods a toddler might get a concussion?

Any blow to the top, neck or face may cause a concussion. Nonetheless, the vast majority of concussions are related to contact/collision sports activities. Greater threat sports activities and actions embrace:

  • Soccer
  • Ice hockey
  • Soccer
  • Lacrosse
  • Wrestling
  • Basketball
  • Rugby

How is a concussion identified?

A concussion is a scientific prognosis primarily based on the affected person historical past and bodily examination executed by way of a wide range of standardized assessments carried out by a educated well being care supplier reminiscent of a doctor or an athletic coach.

There are not any particular lab checks or imaging research that diagnose a concussion.

Concussion remedies

Relaxation and avoidance of additional influence to the top are the ideas to permit time for the mind to heal.

Particular remedies for concussion give attention to relieving the signs. Some remedies that oldsters can provide at dwelling embrace:

  • Acetaminophen and ibuprofen for complications.
  • Sure nutritional vitamins and dietary supplements reminiscent of B complicated nutritional vitamins and both magnesium citrate or magnesium glycinate can assist with migraine complications.
  • Be sure that the kid drinks loads of water and eats a wholesome balanced food plan.
  • The kid might have extra relaxation than typical so be sure that they get loads of sleep.
  • A short interval (24 to 48 hours) of bodily relaxation adopted by resumption of non-contact train incorporating stretching, mild resistance coaching, and gradual progressive cardio exercise beginning with strolling and build up as tolerated might assist velocity restoration.
  • Avoiding loud noises and shiny lights from screens may additionally assist with restoration as loud noises and shiny lights could make signs worse particularly within the early phases of the concussion
  • Lastly, making an attempt to keep up as near a daily schedule and routine as doable is useful.

When does a toddler with concussion signs have to see to a physician?

Some signs of a concussion are thought of harmful and could also be related to a structural damage to the mind and cranium. These ought to immediate an grownup to hunt instant medical consideration. These embrace:

  • Headache that’s worsening and does not go away
  • Repeated episodes of vomiting
  • Slurred speech
  • Drowsiness or little one cannot be woke up
  • One pupil (the black half in the midst of the attention) seems bigger than the opposite
  • Elevated confusion, restlessness or agitation
  • Convulsions or seizures
  • Lack of ability to acknowledge individuals or locations

How lengthy does a concussion final?

Whereas each affected person with a concussion has a unique set of signs and restoration time, the bulk will get better 4 to 6 weeks from the damage. Lingering signs past six weeks must be examined by a sports activities drugs doctor, neurologist or one other doctor with experience in administration of concussions.

When can my little one return to sports activities after a concussion?

Kids can typically return to sports activities after concussion when they’re symptom-free and are off any drugs used to deal with concussion signs.

They need to have returned to highschool and resumed full educational calls for. They need to have a standard neurologic examination. If steadiness issues had been amongst preliminary signs, these must be again to to baseline ranges.

As soon as these standards are met, then the kid is cleared to start out a gradual return to common sports activities actions. The actions range for every little one and what sport they play, however youngsters can often return first to cardio train, sports-specific train, non-contact participation, full observe after which recreation play.

The timeline of returning to sports activities actions is totally different for every little one and their damage. It is suggested that the return to sports activities be gradual and with assist from a doctor, athletic coach or bodily therapist.

Extra info:
There’s extra about concussion on the U.S. Facilities for Illness Management and Prevention.

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Baby concussion: What to know in case your little one takes a blow to the top (2025, April 20)
retrieved 20 April 2025
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