Is it okay if a one-year-old and three-month-old baby hits the baby out of anger?

Patient's question:

Doctor, the baby is three months old. Last night, I had an argument with my husband, and he hit the baby out of anger. The baby was standing at the time, and he slapped the baby hard on the face and head—I couldn’t see clearly, but he used a lot of force. The blow knocked the baby down, and it was very severe. Is there anything wrong? I’m very worried, afraid something is wrong with his ears or head. Today, during the day, he’s been in a good mood, eating dinner well, and hasn’t been crying. However, he occasionally shakes his head or nods, and sometimes covers his head with his hands. Is there anything wrong?

Doctor's answer:

Falling down or being knocked over are common occurrences during infancy. In most cases, they pose no serious harm, although a very small number of incidents may result in cranial brain injury. It is recommended to closely monitor the baby for 48 hours. If the baby shows no vomiting, normal dinner and nap patterns, good spirits, and is able to play freely without twitching, there is likely no issue.
If the baby has multiple scrapes, limb movement difficulties, lethargy, indifference, poor appetite, vomiting-like dry heaves, irregular breathing, poor complexion, or even twitching, it is essential to seek immediate medical attention. The doctor will likely recommend a head CT scan for a thorough examination to rule out cranial brain injury. A single CT scan will not have any adverse effects on the baby.

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