Conversation: The conversation between human and AI assistant.
[|Human|] My two Grandson s were playing and one was carrying the other. My 6 year old Grandson felt backward and hit the close to the crown where hair sticks up on a concrete floor. We put cold pack on it immediately. He has quarter size knot that came up. I gave him childrens tylenol ,1teaspoonful. He ate and drank milk and so far is doing okay. making him rest and keep ice on his head. Pupils look fine. No vomiting or anything. just trying to keep him still and lay down for awhile. Do I need to take him to ER?
[|AI|]  Thanks for posting your query at Chat Doctor. I understand your concerns. Look out for the following ominous signs of head injury:* Torrential vomiting* Severe headache* Unconsciousness* Convulsions any of these are seen, take the child immediately to a hospital and get a CT Scan of brain done to rule out any hemorrhage. But if any of these are not present, you can ignore it. Some amount of pain is acceptable. Stay relaxed. The dose of paracetamol/Tylenol seems inadequate, but I cannot comment unless I know the actual weight of the child. It is given in the dose of 15 mg/kg/dose at intervals of a minimum of 3-4 hours. Hope that helps. If you get back to me and I would try to help further.