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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Are Throwing Up And Dilated Pupils In A Toddler Post Head Injury A Concern?

My 4 year old son was sitting on a stool eating dinner and tipped and fell and hit his head. He cried, said he had to throw up, threw up. He wanted chewable medicine, gave him son. His pupils are dilated and he s playing now. Do I need to take him to urgent care?
Mon, 28 Jan 2019
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General & Family Physician,  's  Response
Hello,

Whenever there is an injury to head followed by vomiting, its advisable to take your child to a neurologist.

First of all, children can not explain everything they feel the way adults do on getting hurt, sometimes they are not aware of the symptoms they have.

So its better to take him to the doctor. Secondly, you said his pupils are dilated which is normal and can be seen in different medical conditions especially on head injury (concussion).

Whenever a patient comes to me with such injury and symptoms even though he appears normal.

Do a complete physical examination and next thing if there is need of some imaging studies like CAT scan, it should be performed with a neurologist’s advice.

So take your kid to the doctor and follow his advice. Its always better to be sure and clear of your doubts than having a doubt non-stop.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Manisha Auradkar, General & Family Physician
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Are Throwing Up And Dilated Pupils In A Toddler Post Head Injury A Concern?

Hello, Whenever there is an injury to head followed by vomiting, its advisable to take your child to a neurologist. First of all, children can not explain everything they feel the way adults do on getting hurt, sometimes they are not aware of the symptoms they have. So its better to take him to the doctor. Secondly, you said his pupils are dilated which is normal and can be seen in different medical conditions especially on head injury (concussion). Whenever a patient comes to me with such injury and symptoms even though he appears normal. Do a complete physical examination and next thing if there is need of some imaging studies like CAT scan, it should be performed with a neurologist’s advice. So take your kid to the doctor and follow his advice. Its always better to be sure and clear of your doubts than having a doubt non-stop. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Manisha Auradkar, General & Family Physician