What is a bulging soft spot?

A bulging fontanelle is an outward curving of an infant's soft spot (fontanelle). The sutures or anatomical lines where the bony plates of the skull join together can be easily felt in the newborn infant.
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What does a bulging fontanel indicate?

A bulging fontanel often indicates that the baby has hydrocephalus. Hydrocephalus causes fluid accumulation in the brain's ventricles, which are spaces containing cerebrospinal fluid. The pressure of the fluid widens the ventricles, potentially placing pressure on the brain tissue and causing the fontanel to swell.
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When should I be concerned about my baby's soft spot?

Contact your baby's healthcare provider if your baby hits his soft spot. If you notice swelling/bulging of the soft spot and/or bruising around her eyes or behind her ears, it may be due to a concussion. Call 911 immediately.
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Is it normal for a babys soft spot to be raised?

When your child is crying, vomiting, or lying down, the anterior fontanelle may look raised or like it's bulging. As long as it goes back to normal once the baby is upright and calm, there is no cause for concern.
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How big should a soft spot be?

If the soft spot is small, it will usually enlarge over the first several months. Conversely, large ones tend to get smaller. By the time a baby is 2 months old, the anterior fontanel is usually about 1 and 1/4 inch across (actually one by one and a half inches), +/- 3/4 inch (Journal of Pediatrics, 80:749, 1972).
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CUTE BABY with a BULGING FONTANELLE (Extremely Rare) | Dr. Paul



What does a normal fontanelle feel like?

Your baby's fontanelle should feel soft and flat. If you softly touch a fontanelle, you may at times feel a slight pulsation — this is normal. If a fontanelle changes, or feels different to how it usually does, show your doctor or midwife as it may be a sign that your baby's health may need to be checked.
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What happens if you press the soft spot on a baby's head?

A baby's soft spots are called fontanelles. They allow your baby's brain to grow larger at a fast rate over their first year of life. It's important to avoid pressing into their soft spots, as it could cause damage to their skull or brain.
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What are the signs of craniosynostosis?

Craniosynostosis Symptoms
  • A full or bulging fontanelle (soft spot located on the top of the head)
  • Sleepiness (or less alert than usual)
  • Very noticeable scalp veins.
  • Increased irritability.
  • High-pitched cry.
  • Poor feeding.
  • Projectile vomiting.
  • Increasing head circumference.
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What happens if you hit a baby's soft spot?

Many parents worry that their baby will be injured if the soft spot is touched or brushed over. The fontanel is covered by a thick, tough membrane which protects the brain. There is absolutely no danger of damaging your baby with normal handling. Don't be afraid to touch, brush over, or wash over the soft spot.
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At what age does the fontanel close?

These soft spots are spaces between the bones of the skull where bone formation isn't complete. This allows the skull to be molded during birth. The smaller spot at the back usually closes by age 2 to 3 months. The larger spot toward the front often closes around age 18 months.
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When can babies start laughing?

Most babies will begin laughing around month three or four. However, don't be concerned if your baby isn't laughing at four months. Each baby is different. Some babies will laugh earlier than others.
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How old do babies speak?

Most children speak their first word between 10 to 14 months of age. By the time your baby is a year old, he or she is probably saying between one to three words. They will be simple, and not complete words, but you will know what they mean. They may say “ma-ma,” or “da-da,” or try a name for a sibling, pet, or toy.
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When can babies drink water?

If your baby is under 6 months old, they only need to drink breastmilk or infant formula. From 6 months of age, you can give your baby small amounts of water, if needed, in addition to their breastmilk or formula feeds.
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How do you rule out craniosynostosis?

Imaging studies.

A computerized tomography (CT) scan or magnetic resonance imaging (MRI) of your baby's skull can show whether any sutures have fused. Cranial ultrasound imaging may be used. Fused sutures can be identified by their absence — because they're invisible once fused — or by a ridging of the suture line.
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Is craniosynostosis life threatening?

Craniosynostosis can occur by itself or as a part of certain craniofacial (head and facial) syndromes. If left untreated, craniosynostosis can lead to serious complications, including: Head deformity, possibly severe and permanent. Increased pressure on the brain.
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What is Apert syndrome?

Apert syndrome, also called acrocephalosyndactyly, is a genetic syndrome characterized by anomalies of the skull, face and limbs. Gene mutations are responsible for causing the early fusion of the skull, hand and feet bones.
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What does a dipped fontanelle mean?

If the fontanelle on the top of his head isn't flat but rather significantly dips inward, it means your baby's fontanelle is sunken.
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Is it normal for a baby's head to be lumpy?

Bumps and lumps: Your baby might have a swelling or lump, usually on the top or back of the head right after birth. This might be fluid or blood collected under the scalp. This can happen from getting a bit bumped during birth. Baby's head lumps will normally go away in a week or two.
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Why is my baby's soft spot pulsing?

Why Is the Soft Spot Pulsating? At times, you may notice that your baby's soft spot is pulsating. While this may seem unsettling at first, it is completely normal. The pulsations correlate with your baby's heartbeat and the pulsing of blood through their body.
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What are signs of dehydration in infants?

Dehydration occurs when an infant or child loses so much body fluid that they are not able to maintain ordinary function. The warning signs can include dry skin, tongue and lips, rapid breathing, fewer wet diapers and tearless crying.
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What is Einstein Syndrome?

Einstein syndrome is a condition where a child experiences late onset of language, or a late language emergence, but demonstrates giftedness in other areas of analytical thinking. A child with Einstein syndrome eventually speaks with no issues, but remains ahead of the curve in other areas.
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When do babies say mama and mean it?

Babbling evolves over time, and some babies can say mama and dada from six months – although seven to eight months is more common. And then around their first birthday, some babies can say “mama” and “dada” plus another word to construct a mini sentence.
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Do boys talk later than girls?

Boys tend to develop language skills a little later than girls, but in general, kids may be labeled "late-talking children" if they speak less than 10 words by the age of 18 to 20 months, or fewer than 50 words by 21 to 30 months of age.
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Why do babies smile while they sleep?

A baby smiling in their sleep is a completely normal reaction and an expected part of their development. If your child frequently smiles in their sleep, it could mean nothing more than a reflex reaction, or perhaps they are merely replaying a happy memory from earlier in the day.
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