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A 48-year-old male asked:

Son received concussion playing foot ball it now been a couple of days his lip have swelled and he says there num, headache, pupils dilated, feels week, feels like he's going to puke but never does. do we need to be concerned?

2 doctor answers5 doctors weighed in
Dr. Laura McMullen
Pediatrics 22 years experience
The : The american academy of pediatrics recommends that you call your child's doctor for advice for anything more than a light bump on the head. If your child is alert, moving normally and responsive to you, then it's most likely a mild injury and you can follow up with your child's doctor in a day or two. It's ok to let them sleep/nap at this point if they are tired. If your child worsens, however, then that would be a reason to go to the emergency room. Other reasons to seek emergency care are: -vomiting -worsening headache -confusion -loss of consciousness -slurred speech -changes in behavior such as increasing irritability or fussiness -worsening coordination such as trouble walking or clumsiness -seizures -changes in pupils such as one larger than the other -lasting or recurrent dizziness -blood or fluid coming from the nose or ears - large bumps or bruises on areas other than the forehead - especially in infants a good rule of thumb is when in doubt, get it checked out! you may also want to talk with your child's doctor about impact testing and whether it is available in your area. It is a series of cognitive tests your child can do to monitor when it will be safe for him to return to sports.
Dr. Richard Perlman
Orthopedic Surgery 59 years experience
Yes: Don't wait around for many answers. He needs to be checked out. Possibly just the result of direct hits to the face but some of those symptoms are very worrisome.

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Last updated Oct 3, 2016

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