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Head Injury, Dilated Eyes. Visit Pediatrician?

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Posted on Wed, 23 May 2012
Question: My five year old hit the back of his head on our headboard. He did not lose consciousness. He did not vomit. His eyes contract when I shined a small flashlight briefly but they do look very slightly dilated. Do we need to go to the e.r.? He is asleep now and I was going to check on him in an hour to see if he wakes up ok, and if his eyes look good and dilate okay. Should I just do this and take him to his pediatrician tomorrow morning?
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Answered by Dr. Radhika (40 minutes later)
Hi,

Thanks for the query,

I have gone through your query, I suggest you check his pupils after a few minutes and if they are in still a state of constant dilatation then you need to go to an E.R.

Otherwise it seems to me he is perfectly alright,there is no loss of consciousness and he did not vomit. When you hold a torch to the eyes it will be dilated and then briefly contract, there is no need to worry. But you should take him to the pediatrician tomorrow morning.

Just apply cold ice pack to the area.

Hope my answer is adequate and informative. In case of any doubts, I am available for the follow ups.
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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Radhika

General & Family Physician

Practicing since :2005

Answered : 436 Questions

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Head Injury, Dilated Eyes. Visit Pediatrician?

Hi,

Thanks for the query,

I have gone through your query, I suggest you check his pupils after a few minutes and if they are in still a state of constant dilatation then you need to go to an E.R.

Otherwise it seems to me he is perfectly alright,there is no loss of consciousness and he did not vomit. When you hold a torch to the eyes it will be dilated and then briefly contract, there is no need to worry. But you should take him to the pediatrician tomorrow morning.

Just apply cold ice pack to the area.

Hope my answer is adequate and informative. In case of any doubts, I am available for the follow ups.