More than two episodes of vomiting at least 10 minutes apart
Becomes confused or unaware of their surroundings
Loses consciousness, becomes drowsy or difficult to wake
Has a convulsion or fit
Develops difficulty speaking or understanding what you are saying
Develops weakness in their arms and legs or starts losing their balance
Develops problems with their eyesight
Has clear fluid coming out of their nose or ears
Does not wake for feeds or cries constantly and cannot be soothed
Bruising around eyes or ears
You need urgent help
Go to the nearest Hospital Emergency (A&E) Department or phone 999
If your child has any of the following:
Bruise or palpable bump in child under the age of 1 year
Develops a persistent headache that doesn’t go away (despite painkillers such as paracetamol or ibuprofen)
Develops a worsening headache
You need to contact a doctor or nurse today
Please ring your GP surgery or contact NHS 111 - dial 111 or for children aged 5 years and above visit 111.nhs.uk
If your child:
Is alert and interacts with you
Vomits, but only up to twice
Experiences mild headaches, struggles to concentrate, lacks appetite or has problems sleeping
If you are very concerned about these symptoms or they go on for more than 2 weeks, make an appointment to see your GP
Continue providing your child’s care at home. If you are still concerned about your child, contact NHS 111 – dial 111 or for children aged 5 years and above visit 111.nhs.uk
Ensure that they have plenty of rest initially. A gradual return to normal activities/school is always recommended.
Increase activities only as symptoms improve and at a manageable pace.
It is best to avoid computer games, sporting activity and excessive exercise until all symptoms have improved.
Symptoms of concussion include mild headache, feeling sick (without vomiting), dizziness, bad temper, problems concentrating, difficulty remembering things, tiredness, lack of appetite or problems sleeping – these can last for a few days, weeks or even months. Some symptoms resolve quickly whilst others may take a little longer
Concussion can happen after a mild head injury, even if they haven’t been “knocked out”.
9 out of 10 children with concussion recover fully, but some can experience long term effects, especially if they return to sporting activities too quickly. It is really important that your child has a gradual return to normal activities and that they are assessed by a doctor before beginning activities that may result in them having another head injury
If you are very concerned about these symptoms or they last longer than 2 months, you should seek medical advice from your doctor
For more information about concussion, visit the Children's Trust "Bumps Happen" page with information for their Brain Injury Community Service which you can self referral to if you have ongoing concerns about your child.
Don’t allow your child to return to school until you feel that they have completely recovered
Do not leave your child alone after a significant head injury
Repeated head injury during recovery from concussion can cause long term damage to a child’s brain
Expect to stay off sport until at least 2 weeks after symptoms are fully recovered
Always discuss with your child’s school and sports club to discuss a gradual return to full activity
Feedback Question: Has the advice on this page helped you with a healthcare decision?
Saving this page to a PDF file.
Step 1: Click the "Print this page" button. Alternatively, press Ctrl + P (on Mac, use Cmd + P)
Step 2: In the resulting pop-up window, click the Down Arrow to the right of Destination and select Save As PDF in the drop-down menu. You can also optionally choose to hide 'Headers and Footers' with a checkbox.
Step 1: Click the "Save / print page" button. Alternatively, press Ctrl + P (on Mac, use Cmd + P)
Step 2: On the following dialog, under Printer, choose 'Microsoft Print to PDF'
Click 'Print' and you have saved your webpage to a PDF file.