Health tips · Uncategorized

Head injuries

My son spends most of the day falling on his head.

He also likes to alternate which side of his forehead he bruises so that at any one time he looks like the proud owner of two small asymmetrical horns.  (Much like a young billy-goat, if you will.)

Head injuries can be very frightening and it is good to know when you should be worried and seek urgent medical advice.

Here comes a plain-language summary of the guidance that we use as doctors (both in General Practice and in hospital A&E departments) so that you can all stay one step ahead of your billy-goats.


  • Vomiting 3 or more times

  • Any loss of consciousness/strange behaviour

  • Any fits since the injury

  • Problems with sight, speech, understanding speech, reading, or writing

  • Problems with balance or walking

  • Persistent headache

Also look out for signs of a skull fracture, such as:

  • Clear fluid running from the ear or nose

  • A black eye

  • Bleeding from ears or bruising behind ears

  • Visible damage to the scalp or skull


  • Give calpol for a mild headache if needed

  • Eat only light meals for 1 or 2 days

  • Avoid too much excitement (good luck with this one…)

  • Discourage too much ‘rough and tumble’ play for the next few days (as above…)


Keep a close eye on your little one and trust your instinct.  Seek urgent medical advice if your child:

  • Becomes unusually or increasingly sleepy

  • Complains of headaches getting worse (in the case of a young baby, if they cry constantly)

  • Appears unsteady when walking

  • Vomits repeatedly

  • Has a fit

  • Develops a squint or blurred vision or starts seeing double

  • Becomes unconscious

Thank you for reading and do share your billy-goat stories!

Dr Claudia x

Please note: The materials in this web site are in no way intended to replace the professional medical care, advice, diagnosis or treatment of a doctor. The web site does not have answers to all problems. Answers to specific problems may not apply to everyone. If you notice medical symptoms or feel ill, you should consult your doctor. Dr Claudia x

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