Patient's question:
Baby fell from a height of about 80 cm last Sunday noon and hit the back of his head. It has been 72 hours since the fall, and his mental state is good, with normal deep sleep, a preference for light meals, and avoiding greasy food.Previous Treatment and Effects:
- Half an hour after the fall, a CT scan was performed, showing no abnormalities.
- Four hours later, another brain CT scan was done, also showing normal brain activity and no signs of bleeding. However, he didn’t eat lunch that day, only chips and Powerade to satisfy his hunger. Later at home, he vomited multiple times, emptying his stomach, and then stopped.
- On the third day, he drank some congee, which was also vomited out. He was taken back to the hospital. As soon as he arrived, he ate half an orange and started being mischievous, asking for milk. Seeing the doctor, he burst into tears. The doctor observed that if there were any serious issues, the child wouldn’t be so emotionally distressed. The doctor recommended a light diet of congee, juice, and avoiding greasy food to rest his stomach.
What kind of help is needed:
Over the past two days, greasy food has been avoided, and vomiting has not occurred. However, sometimes he says, "I’m going to vomit," but when asked to vomit, he says, "I don’t want to." It’s unclear if he’s feeling nauseous or just playing around.
Dear Doctor,
Why is it necessary to rest the stomach after a brain injury? Is nausea normal after the fall?
Doctor's answer:
What should be done if the baby falls and hits the back of the head? Due to the head injury, the patient needs to rest and recover. The patient has experienced symptoms of vomiting immediately after defecation again, and each time the food in the stomach is vomited out, the vomiting stops. Vomiting causes the patient to lose a significant amount of electrolytes, so it is necessary to replenish electrolytes to prevent further electrolyte imbalance. In addition to vomiting immediately after defecation, it indicates that the food has a negative impact on the gastrointestinal tract, leading to vomiting. Therefore, the gastrointestinal tract needs to be nourished.