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Signs of Concussion in Toddler & Infant: A Parent’s Guide

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Watching your little one explore the world is one of the joys of parenting, but it often comes with bumps and bruises. Toddlers are naturally unsteady on their feet, and falls are a common part of growing up. However, when a fall involves a hit to the head, it can be terrifying for parents. Understanding the signs of concussion in toddlers and infants is crucial for ensuring their safety and long-term health.

At Colonia Pediatrics, serving families in Avenel, Woodbridge, and Edison, NJ, we know that head injuries can be confusing because young children cannot always communicate how they feel. This guide will help you recognize toddler concussion symptoms, understand infant concussion signs and symptoms, and know exactly when to seek help from a Pediatrician in Edison, NJ.

 

What is a Concussion?

A concussion is a type of mild traumatic brain injury (TBI) caused by a bump, blow, or jolt to the head or body that causes the head and brain to move rapidly back and forth. This sudden movement can cause the brain to bounce around or twist in the skull, creating chemical changes in the brain and sometimes stretching and damaging brain cells.

While often described as “mild,” the effects of a concussion can be serious. Recognizing concussion symptoms in toddlers early allows for better management and recovery.

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Common Causes of Concussions in Young Children

Toddlers and infants are top-heavy and still developing their coordination. Common scenarios that lead to head injuries include:

  • Falls from beds, changing tables, or high chairs (infant concussion)
  • Tripping while running or walking on uneven surfaces
  • Collisions with furniture or other children
  • Car accidents (even minor ones)

 

Whether it is an infant head injury from rolling off a couch or a toddler head injury from a playground mishap, the potential for concussion exists.

 

Recognizing Signs of Concussion in Toddler and Infant

Detecting a concussion in a child who can’t speak fluently is challenging. You cannot ask a 1-year-old if they have a headache or blurred vision. Instead, you must rely on observation.

 

Immediate Signs of Concussion in Toddler

  • Loss of consciousness: Even for a few seconds.
  • Vomiting: Especially vomiting after head injury child more than once.
  • Crying uncontrollably: Inconsolable crying that lasts a long time.
  • Dazed appearance: The child may look blank or not respond to their name.
  • Balance issues: Trouble walking or standing more than usual (toddler walking pneumonia is unrelated, but balance issues here are strictly physical coordination).

 

Delayed Concussion Symptoms Child

Sometimes symptoms don’t appear immediately. Toddler head injury delayed symptoms can show up hours or even days later.

  • Sleep disturbances: Sleeping more or less than usual, or difficulty falling asleep.
  • Irritability: Extreme crankiness or mood swings.
  • Loss of interest: Not wanting to play with favorite toys.
  • Sensitivity: Avoiding bright lights or loud noises.

 

 

Signs of Concussion in Baby and Infants

Infant concussion signs and symptoms can be subtle. Watch for:

  • Bulging fontanelle: The soft spot on the head may bulge or swell.
  • Changes in feeding: Refusing to nurse or eat.
  • High-pitched crying: A cry that sounds different from their normal hunger or tired cry.
  • Lethargy: Being unusually sleepy or hard to wake up.

 

If you suspect concussion in baby or notice signs of a concussion in a infant, immediate medical evaluation is necessary.

 

 

How to Check for Concussion in Toddler at Home

If your child bumps their head but remains conscious and calm, you can monitor them at home initially. Here is how to tell if toddler has concussion:

  1. Check Pupils: Concussion pupils may be unequal in size (one pupil larger than the other) or fail to react to light. This is a danger sign of concussion.
  2. Observe Movement: Watch them play. Are they stumbling more than usual? Are they using their limbs normally?
  3. Monitor Alertness: Ask simple questions or see if they can follow simple commands suitable for their age.
  4. Watch for Vomiting: Throwing up after head injury child is a red flag.

 

Note: If you see unequal pupils or persistent vomiting, go to the ER immediately.

 

When to Seek Medical Attention

You should call Colonia Pediatrics or head to the emergency room if you notice any of the following signs of concussion in toddler:

  • A fall from a significant height (more than 3 feet).
  • Any loss of consciousness.
  • Repeated vomiting.
  • Seizures or convulsions.
  • Fluid or blood draining from the nose or ears.
  • A dent in the skull or large swelling (goose egg on head toddler).
  • Toddler hit head and threw up immediately.

 

For less severe bumps, if your baby hit head but cried and then acted normally, you should still monitor them closely for 24 to 48 hours for delayed concussion symptoms.

 

Diagnosing a Concussion

When you visit a pediatrician for a toddler concussion, the doctor will:

  • Review the history of the injury.
  • Perform a physical exam to check balance, coordination, and reflexes.
  • Check the eyes and vision.
  • Assess alertness and memory (age-appropriate).

 

In severe cases, or if a brain bleed is suspected, a CT scan may be ordered. However, for most uncomplicated concussions, imaging is not necessary to avoid radiation exposure.

 

Treatment Options: Toddler Concussion Protocol

The primary treatment for a concussion is rest, both physical and mental.

  1. Physical Rest: Avoid rough play, running, or sports. For toddler concussion treatment, this means quiet play and avoiding playgrounds.
  2. Mental Rest: Limit screen time (TV, tablets, phones). Brain rest is essential for recovery.
  3. Observation: Keep a close eye on your child for worsening symptoms.
  4. Pain Management: Acetaminophen (Tylenol) may be used for headaches, but consult your doctor first to ensure it doesn’t mask other symptoms. Avoid ibuprofen (Advil / Motrin) immediately after the injury until a bleed is ruled out.

 

Most children recover fully within a couple of weeks, but concussion symptoms in kids can persist. Follow your pediatrician’s advice on when to return to normal activities.

 

Prevention Tips

While you can’t prevent every fall, you can lower the risk of head injury in toddler:

  • Childproof your home: Install gates at the top and bottom of stairs.
  • Secure furniture: Anchor bookshelves and TVs to the wall.
  • Use safety straps: Always strap infants into high chairs, changing tables, and strollers.
  • Playground safety: Supervise toddlers closely on playground equipment.
  • Car safety: Ensure car seats are properly installed and appropriate for your child’s size.

Frequently Asked Questions (FAQ)

Can a baby get a concussion from falling off the bed?

Yes. Concussion in baby can occur from falling off a bed, changing table, or sofa. Even a short fall can cause injury depending on how they land. Always monitor for signs of concussion in baby after fall, such as vomiting or lethargy.

It was once common advice to keep a child awake, but current concussion protocol for toddlers suggests that if the child is acting normally, it is okay to let them sleep. However, you should check on them periodically to ensure they are breathing normally and can be roused easily. If you cannot wake them, seek emergency care.

Signs of concussion in 2-year-old children often include behavioral changes. Look for extreme crankiness, changes in eating or sleeping habits, loss of new skills (like toilet training regression), or complaining of a “owie” on their head repeatedly.

Generally, a fever is not a direct symptom of a concussion. If your child has a fever with concussion, it may be coincidental (viral infection) or, in rare cases, indicate a problem with the brain’s temperature regulation center. However, high fever after a head injury warrants immediate medical attention to rule out infection or severe trauma.

You can have a concussion without a visible bump or “goose egg.” Internal movement of the brain causes the concussion, not the external bruise. Watch for toddler concussion symptoms like dizziness, vomiting, or mood changes regardless of whether there is a bump.

How to tell if infant has concussion involves looking for non-verbal cues: refusal to eat, inability to be comforted, vomiting, bulging soft spot, or unusual sleepiness. If you are unsure, call your pediatrician.

If you are concerned about a recent fall or head injury, contact Colonia Pediatrics today. Our team is dedicated to the health and safety of your children.

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