### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hi. My daughter fell out of bed (3 feet) and hit the back of her head last night. There is a goose bump there which hasn t gone away. She was in pain and crying for about an hour . She threw up 3 times, and is now resting (5 hours later) I wake her up every 30 mins, her pupils are responding and she still feels a little bit like throwing up. Should I take her to the doctor?

### output:

THANKS FOR YOUR QUERY. You do not mention your children & her exact behavior after falling down. Most likely it is an external injury. But vomiting is an ominous sign, and you should rush your child to the emergency room of a hospital immediately and get a CT Scan of brain done. The goose bump or swelling that may appear after a head blow is the result of the scalps veins leaking fluid or blood into (and under) the scalp. It may take days or even a week to disappear. Call the doctor if your child is an infant; has lost consciousness, even momentarily; or if a child of any age has any of these symptoms:won't stop crying complains of head and neck pain vomits repeatedly difficult to awakening walking normally your child is not an infant, has not lost consciousness:Apply an ice pack or instant cold pack to the injured area for 20 minutes every 3 to 4 hours. Observe your child carefully for the next 24 hours. If you notice any of the signs of internal injury(unconscious for few minutes), call your doctor immediately. If breathing is normal, and you observe or sense no other abnormalities, let your child sleep (unless the doctor has advised otherwise). There's no need to keep a child awake after a head injury. If you aren't comfortable with your children appearance, rouse your child partially by sitting her up. Your child should fuss a bit and attempt to resettle. If she doesn't protest, try to awaken your child fully. If your child can't be awakened or shows any signs of internal injury, call the doctor. HOPE THAT HELPS.