My 10mos old has a gooseegg from rolling off the couch. his head is swollen but is otherwise himself. should i return to the dr? he is overall happy

Maybe. Maybe not.: Children often hit their heads on things. If a child is behaving differently after a mild injury, she should be evaluated by her primary doctor. Sometimes an emergency room visit is needed, depending on the symptoms. Head bumps in which there is low-impact on the head, little crying, no changes in behavior and no headache after the first hour, etc..., usually don't cause internal injuries.