Doctor insights on:
Baby Flat Spot On Head
Yes: Some babies develop a flattened head (positional plagiocephaly) due to spending a lot of time on their backs. The soft bones of the scalp facilitate brain growth during the first year and can be molded during this time. Make sure to rotate sleeping positions and give your baby supervised tummy time while awake. ...Read more
Anterior fontanelle: Should be easy to feel by gently touching with the soft part of the fingertips whether wet or dry. It usually closes at around a year of age, but the timing is quite variable. ...Read more
I am almost 5 months post natal and have a sore area at the top of my head almost where you would find a babies soft spot. What could this be?
Possibilities: Dermatology is pretty visual, so it's hard to know what is going on without seeing it. Tinea capitis (ringworm of the scalp) can present this way, as can an inflamed cyst, or even a localized bacterial infection (abscess or folliculitis). A dermatologist should be able to help sort this out either by close examination, culture, or perhaps skin biopsy. ...Read more
Very tender spot on top of head where babies get soft spots that burns when touched sometimes. Liquid comes out (clear smooth liquid). What is this?
Scalp lesion?: The bones of the skull should have been fused for a very long time now (you are 26, right?). I suspect that what you are referring to is a superficial scalp lesion; however, the only way to determine is to be seen by a physician so that they can examine the area of concern and then treat accordingly. Take care of you can make an appointment. ...Read more
Maybe: That depends on what it is and what it looks like. When you next visit your pediatrician, point it out and ask him/her. ...Read more
Dermatologist says my infant son has developed a congenital nevus (specifically a cafe au lait spot) on his face within past few weeks. How likely will this turn into a huge, black, hairy mole? Nervous! :- (
Not going to happen: The black hairy nevus (bathing trunk nevus) does not arise from a café au lait spot. The BHN is visible at birth in its true form. It can expand some as the kid grows, but is a separate issue from the more common café au lait spots. ...Read more
Spots will resolve: Milia are very common, and though frustrating for parents to see are not associated with any underlying problem. The little white bumps on the face will resolve with time and I generally recommend parents do nothing to make them go away any faster. They will not cause any permanent scarring and are not painful to the baby. Feel reassured your baby is ok and watchful waiting is the best medicine! ...Read more
My infant and toddler both have hand foot & mouth. Are they still contagious once the spots appear? Also my infant is 9mths old. Dangerous or ok?
Hand Foot and Mouth: Hand, foot, and mouth disease is usually not serious. The illness is typically mild, and nearly all patients recover in 7 to 10 days without medical treatment. Complications are uncommon except for dehydration. Hand foot and mouth is contagious roughly for a few days before the symptoms appear untill they start to feel better and the spots and ulcers have healed over, so usually about 7 to 10 days. ...Read more
Will a flat spot on a child's head, older than 2 years old, continue to minimize over time as their head grows? We were told our sons head would round
The practice of: Putting babies to sleep on their backs has contributed to more "flat heads." Some have treated this with a helmut, usually at 4-12 months of age, though it is not clear this is more effective than trying to avoid lying on back during the day. As the child and his skull grows, the flattening will improve. It may not be perfectly symmetrical, but is not a cosmetic/social/brain development problem ...Read more
Why on the rigth side of my 4 month old grandson head is flat we turn hem all the time it look like a baby that lay n 1 spot all the time but not hem?
See your Peds doc!: There are some congenital abnormalities that are related to premature closure of the cranial sutures (craniosynostosis). In layman terms- areas of the head that can close early resulting in skull deformities. Some need to be fixed by surgery. There are some that are clearly positional- with modifying sleep habits or using a helmet- these deformities can be solved. Some are completely normal. ...Read more
Depends: This issue has emerged since the 90's when we shifted to back sleeping to avoid SIDS. Many self correct when they begin to sit upright & get out of the position that prolongs it. Some who sleep leaning to one or other side develop a neck muscle issue and need stretching exercises. Rare kids might benefit from a helmet. These treatments are all dependent on a good evaluation done with your doc. ...Read more
Baby has flat spot right back side and in front left side. Will her head shape be fine later or will it be same. Worried. Birth time she was fine.?
"back to sleep": When it was established that putting an infant tummy side down increased the risk of SIDS, parents were told to put infants on their backs to sleep. Since an infant's skull is very malleable, it can cause flattening of the back of the skull. Give your baby plenty of tummy time while awake. As her brain grows and her sleep position varies, this flattening may get less apparent with time. ...Read more
No: I don't believe this would be the reason for premature closure. ...Read more
I have an area on the top of my head (where a baby's soft spot is) that is indented and it hurts very badly when I touch it. Is this serious?
Indentation: At your age you should not have a soft spot in your skull. I would see your doctor and possible a skull film to examine the thickness of your bone in your skull. It is possible you have an infection in your scalp but typically that would cause the skin to swell or stick out and bulge, not indent in. ...Read more
I have a flat spot on my crown area on my head but it just appeared recently. What should I do? It wasn't there when I was 15 but it appeared now
Do nothing.: It was probably always there but just noticed now. ...Read more
Normal or not?: Studies in the late 80's documented 2-4% of normal infants retain a detectable soft spot at 24mo. Persistence of this feature is common to medical conditions like hypothyroidism & a variety of named syndromes. If your child is growing & developing well, I see no need to worry over this issue. If there are developmental or other health issues, bring this to the attention of your doctor. ...Read more
Good day Dr. I have a 22days old baby boy with a pink spot at the back of his head neck, so I would like to know what must I do to remove it,?
Nothing: Without seeing the spot in person it's difficult to provide a certain diagnosis. Many babies are born with "stork bites" -red/salmon colored areas - on the back of their necks/heads. It is a birthmark and nothing to worry about and will fade over time on it's own. If you are still concerned please have a pediatrician evaluate it before subjecting your baby to unnecessary and potentially harmful tx ...Read more
Why would a 5 year old still have a soft spot on his head my sons 5 years old and he still has his sof spot on top of his head like a baby dose
See your doctor.: The soft spot (fontanelle) should close between 1 and 2 years of age. There are various medical conditions that can cause it to remain open longer. I encourage you to see your child's doctor as soon as possible to evaluate this issue. Good luck! ...Read more
Yes: The soft spot, or anterior fontanelle, remains open until about age 2 years. This allows the brain to grow freely without waiting for the skull bones to keep up. At 18 months the fontanelle may still be present, may be small, or it may seem closed. As long as the baby's head circumference is growing in the normal range, the fontanelle is fine. ...Read more
Swelling: If you didn't injure the spot where the head is tender (bumped your head) then it is most likely some skin irritation. You could have an allergic response to some shampoo or other hair treatment. As long as you are not an infant, the skull is closed and it is only the scalp you are feeling. There are rare situations when the skull is not closed from birth, but you would have known about that. ...Read more
Could my child have craniosynostosis if her head shape is normal but in the 10th percentile for circumference and a tiny soft spot?
Craniosynostosis: If the head shape is normal then it is unlikely craniosynostosis - if the development is normal then the small soft spot is likely not an issue. ...Read more
Is it possible for adult to develop flat spot on top of skull. Have a flat spot on half of top of head but not sure if always been there?
Not possible.: It is not possible to develop a flat spot without significant application of force. Hair generally covers it all up. ...Read more
I was born w/ no soft spot and as a result had big forhead when l was a baby and know asan adult I have no head deformaties. Do I have craniocynostosi?
Craniosynostosis: You made your own diagnosis, but its a shame that it might have not been discovered in infancy... At this point you cannot do anything to change that. The skull is formed and that's all the room you get for your brain! However, if you have neurological symptoms like seizures, learning problems (developmental delay) you probably should consult a neurologist and properly review your medical history. ...Read more
4 month old has mild flat spot on back of head. How do I correct this? Will it even out when she sits up more?
Plagiocephaly: It is not uncommon for babies to develop flat spots on their heads early on. Make sure your baby gets "tummy time" every day. That takes the pressure of those areas and also encourages development of neck and torso strength - both of which are vital for being able to sit unsupported. Most times these flat spots go away once the baby spends less time flat on their back. ...Read more
I have a brown spot on the shaft of my penis and I'm wondering what it is. Its right next to the head and flat?
How long does it take for flat spots of head to go away, my daughter is 11months has flat spot on left and back of head, which is noticeable.?
Depends: By the time baby is spending more of her time upright & not laying down, gravity is no longer aggravating the process as much & it has a chance to round out. If the skull is visibly distorted, shifting one ear& part of the face forward as seen from above, a specialized helmet can be worn to help speed the reshaping. Most become un-noticeable with time & as hair thickens. ...Read more
Light brown flat spot on right side of head near hairline not perfectly round but kinda symetrical about the size of a pencil eraserwhat could it be?
Nevus?: Sounds llike a brown nevus, or what people call a "birthmark". It sounds like it is flat, small and does not have discoloration or different colors or dark colors in it. These are all good characteristics and you should not worry about this lesion too much. However if it grows over time, if color changes, if it becomes raised, then consult physician. ...Read more
No: There is sometimes a squishy area on a baby's scalp following birth which is due to a small blood collection under the covering of the bone (called the periosteum). This will calcify and become part of the skull. It does not lead to learning disabilities. ...Read more
Yes: A newborn's soft spot can often show slight pulsation. It is nothing to worry about. As long as your baby is otherwise well you can ignore this. ...Read more
Yes: The soft spot is are region of the skull where the bones are not yet developed but will grow in with time. Major blood channels are located in this region, and the area will pulsate with the heart beat and with breathing in a normal manner. In cases of severe brain pressure the soft spot can bulge and the pulsing may stop. This becomes a serious problem that needs urgent evaluation. ...Read more
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