How to Tell if My Child Has a Concussion

Parents could worry when their child hits their head, pondering if it’s just a bump or something more urgent. A concussion is a mild brain injury caused by a sudden jolt or blow, and identifying the signs promptly can make a substantial difference in recovery. While some symptoms appear right away, others take hours or even days to manifest. Understanding what to watch for—and when to take action—can help keep kids safe and on course for healing.

What Is a Concussion?

Although concussions are often discussed in sports, these injuries can happen anytime the head or body takes a hard hit. A concussion is a type of brain injury caused by sudden movement that jolts the head, making the brain shift inside the skull. This can happen to a child from falls, car accidents, or even rough play.

The impact disrupts normal brain function, though the effects are usually temporary. Since young brains are still developing, parents should take any head injury seriously, even if symptoms aren’t obvious right away.

While not all bumps lead to concussions, any forceful hit—whether to the head or body—can potentially cause one. Recognizing the signs promptly helps confirm proper care and recovery.

Common Symptoms of Concussion in Children

If a child takes a hard hit to the head or body, they could develop a concussion, even should they not lose consciousness or show immediate signs of injury. Common concussion symptoms include headaches, nausea, dizziness, or trouble focusing.

A child has a concussion might also seem confused, forgetful, or unusually irritable. Balance problems, sensitivity to light or noise, and changes in sleep patterns are other symptoms of a concussion to watch for. Younger children could cry more than usual or struggle with feeding and naps.

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Symptoms don’t always appear right away—sometimes they develop hours or even days later. Caregivers should monitor the child closely, looking for any shifts in behavior, mood, or physical coordination, as these can signal the need for medical attention. Prompt recognition helps ensure proper care and recovery.

Causes of Concussion in Children

One of the most frequent causes of concussion in children is a sudden impact to the head or body, often from everyday accidents like falls, sports collisions, or car crashes. Young children, especially toddlers, are prone to head injuries due to their unsteady movements and curiosity.

Falls from beds, playground equipment, or while learning to walk are common triggers. Sports like football, soccer, or biking can also lead to concussions should a child take a hard hit. Even minor bumps, like hitting their head on a table, can at times cause a concussion.

Parents should watch for symptoms like dizziness or confusion after any head injury. In the event that not every fall results in a concussion, it remains essential to stay alert, especially with young children whose developing brains are more vulnerable.

When to Seek Immediate Medical Attention

Certain severe symptoms or a worsening condition after a head injury require immediate medical care.

Should a child show signs like seizures, loss of consciousness, or repeated vomiting, they need urgent evaluation. Delaying treatment for these red flags can lead to dangerous complications.

Severe Symptoms Present

Some symptoms of a concussion demand urgent medical care and should never be ignored. Severe symptoms like seizures, repeated vomiting, or loss of consciousness require immediate medical attention. Slurred speech, unequal pupil sizes, or confusion also signal a serious issue. Should a child struggle to walk, remain dizzy, or cannot recognize familiar people, medical care is critical.

SymptomAction NeededWhy It Matters
Loss of consciousnessCall 911 immediatelyBrain injury risk is high
Repeated vomitingGo to the ER promptlyDehydration or swelling possible
Unequal pupilsSeek emergency evaluationCould indicate pressure on brain

Ignoring these severe symptoms delays treatment and worsens the outcome. Parents should act rapidly when signs suggest danger.

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Worsening Condition Observed

At what point should a caregiver be concerned that a concussion is deteriorating? When a child’s symptoms worsen or new ones appear, it’s time to seek medical care immediately. Here are four urgent signs requiring urgent care:

  1. Severe or worsening headaches – Should pain intensify or not improve with rest.
  2. Repeated vomiting – Especially if it continues beyond the first few hours.
  3. Difficulty waking up – Unusual drowsiness or confusion signals danger.
  4. Behavioral changes – Extreme irritability, slurred speech, or seizures.

Even if initial symptoms seemed mild, any decline in condition demands prompt attention. Caregivers should trust their instincts—should something feel off, err on the side of caution. Quick action can prevent complications, so do not hesitate to contact a healthcare provider or visit an emergency room. Monitoring closely will ensure the child’s safety during recovery.

How Concussions Are Diagnosed in Children

Diagnosing a concussion in a child involves a careful evaluation by a healthcare provider to understand the full impact of the injury. The process begins by reviewing the child’s signs and symptoms, such as headaches, dizziness, or confusion, alongside details of how the injury occurred. Health care professionals might use neuropsychological tests to check memory, focus, and reaction time. Imaging tests like CT scans or MRIs are seldom needed but help rule out severe brain injuries if symptoms worsen.

Diagnostic StepPurpose
Physical ExamAssess visible injuries and reflexes
Symptom ReviewIdentify concussion-related issues
Cognitive TestingEvaluate memory and concentration
Imaging (if essential)Rule out bleeding or fractures

Even without losing consciousness, a child can still have a concussion requiring medical attention. Timely diagnosis ensures proper care.

Treatment and Recovery for Childhood Concussion

  1. Rest & Gradual Return: Start with limited physical and mental activity, then slowly reintroduce schoolwork and play under medical guidance.
  2. School Adjustments: Teachers could need to provide extra time, reduced screen use, or breaks to avoid worsening symptoms.
  3. Healthy Habits: Hydration, balanced meals, and consistent sleep support recovery from *mild traumatic brain injury*.
  4. Monitor Symptoms: Watch for prolonged headaches, dizziness, or mood changes, and follow up with a doctor if concerns arise.
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Patience is key—rushing recovery can delay healing.

Tips for Preventing Concussion in Children

How can parents reduce the risk of concussion whenever kids are active? Initially, ensure they wear properly fitted helmets during physical activities like biking or skateboarding. This simple step helps protect your child from serious head injuries.

Careful supervision during play prevents falls or collisions, while teaching kids to avoid roughhousing lowers risks. At home, childproof spaces by securing furniture and using safety gates to minimize falls. Replace worn-out sports gear—like damaged helmets—to maintain proper care.

Encouraging safe play reinforces habits that shield them from harm. Small changes, like non-slip mats or clear play areas, add extra protection. By prioritizing safety measures, parents can substantially reduce concussion risks while keeping kids active and healthy

John Harvey
John Harvey

John Harvey, M.D., M.P.H., is an Internal Medicine physician and professor of public health. His work focuses on improving healthcare quality and cost efficiency through policy-driven research. He holds both a Doctor of Medicine and a Master of Public Health, and completed advanced fellowship training in health policy and healthcare delivery.