medical
When To Worry About Baby’s Soft Spot (Fontanelle) Changes

There’s a moment every new parent remembers:
You’re holding your baby, and your fingers brush over that soft, slightly sunken patch on their head.
It feels fragile. Exposed. A place you instinctively want to protect.
That’s the fontanelle.
And when it looks different—sunken, bulging, or firm—you wonder:
Is this normal? Or is it something more?
Let’s decode that fear. With facts, not panic.
Doctor Q&As from Parents like you
What Exactly Is The Fontanelle?
The fontanelle is a temporary open space between your baby’s skull bones.
There are two main ones:
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Anterior fontanelle: The larger, diamond-shaped soft spot on top of the head
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Posterior fontanelle: The smaller triangle at the back
They exist for a reason. They allow a baby’s skull to flex during birth. And they make space for the brain to grow during those explosive first two years.
It’s not a flaw. It’s a feature.
But yes—because it's visible and feels different, parents worry. And that’s okay.
When Changes Are Just Part Of The Process
Not every change means trouble.
Here’s what’s normal with fontanelle behavior:
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Slight pulsing: Matches the heartbeat. Totally normal.
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A little sunken: Especially if baby is crying, tired, or a bit dehydrated
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Flat and soft to the touch: This is baseline healthy
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Gradually closing: Posterior by 2-3 months. Anterior by 12-18 months.
Babies don’t come with dashboards, but the fontanelle is the closest thing we’ve got to a health indicator light.
The trick is knowing which changes signal routine vs red flags.
When To Pay Attention: Fontanelle Warning Signs
Think of the fontanelle like a messenger. If something’s off inside, it might show up here first.
Here are 3 major signs to take seriously:
1. A Deeply Sunken Fontanelle
This can mean dehydration.
Look for other signs:
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Fewer wet diapers than usual
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Dry mouth
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Listlessness
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Crying without tears
What to do: Offer fluids. For breastfed babies, nurse more frequently. If symptoms persist or worsen, consult your pediatrician or head to urgent care.
2. A Firm, Bulging Fontanelle
This could signal increased pressure inside the skull—called intracranial pressure. Sounds scary because it is.
Possible causes:
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Meningitis
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Encephalitis
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Hydrocephalus
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Head trauma
Red flag symptoms often seen with it:
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High fever
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Vomiting
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Seizures
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A very irritable or unresponsive baby
What to do: Get medical help immediately. This isn’t wait-and-watch territory.
Recommended Reads:
3. Fontanelle Closes Too Early
The soft spot shouldn’t vanish before 6 months. If it closes too soon, the skull may not expand properly with the brain—this is known as craniosynostosis.
What you might notice:
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An unusually shaped head
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Slow head growth
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A fontanelle that feels fused
What to do: Bring it up at your child’s wellness check-up. Early diagnosis makes a big difference.
How Often Should You Check Your Baby’s Fontanelle?
Short answer: You don’t need to obsess over it.
Your pediatrician already checks fontanelle size, tension, and closure during every visit.
But you can do quick checks if:
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Your baby has a high fever
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Is unusually fussy or lethargic
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Hasn’t peed in several hours
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You notice a visible change in the soft spot
This isn’t about hyper-vigilance. It’s about pattern recognition.
What Parents Often Get Wrong (And Why That’s Okay)
A lot of first-time parents confuse a pulsing fontanelle with a heartbeat issue.
Or worry that any sinking means malnutrition.
Or think touching the fontanelle can hurt the brain.
Let’s clear that up:
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Pulsing is normal
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Touching gently doesn’t harm anything
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Sunken doesn't always mean something's wrong
The fontanelle is covered by a thick, protective membrane. You’re not going to "damage" it by checking.
So... When Should You Actually Worry?
Let’s simplify.
If your baby has any of these symptoms, alongside a fontanelle change, act fast:
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Persistent vomiting
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High-pitched cry
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Lethargy or unresponsiveness
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Seizure activity
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Fever + bulging fontanelle
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Refusal to feed
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Unusual head shape developing rapidly
Because here’s the truth:
The fontanelle is like the check-engine light.
Helpful if you know what you're looking at. Dangerous if ignored.
The Bigger Picture: Your Baby’s Growth Is A System, Not A Series Of Events
The fontanelle doesn’t operate in isolation.
It reflects what’s going on beneath the surface. Growth spurts. Infections. Dehydration. Neurological shifts.
It’s not about reacting to every change. It’s about knowing which ones matter.
Parenting is information overload. But patterns make things simpler. That’s where trusted platforms like Parentune step in.
At Parentune, pediatricians, experts, and fellow parents help you spot those patterns—what’s normal, what’s not, and what’s next.
Final Wisdom For The Overthinking Parent (We See You)
If you’re worried about the soft spot, that means you’re paying attention. And that’s good.
Most fontanelle concerns are:
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Temporary
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Harmless
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Resolved with a little hydration or rest
But when in doubt, trust your instincts—and your pediatrician.
And if you’re ever unsure, you’re not alone.
Parentune’s expert community is a space where those doubts turn into clarity.
Not by guessing. But by sharing, learning, and supporting—together.
Because that’s the real soft spot. The one we all carry when raising a child.
Memorable Insight:
The fontanelle is not a flaw to fear—it’s a window into growth. Learn its language, and you’ll parent with confidence, not panic.
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