Head Injury: When to Seek Medical Attention After a Fall

Head injury

Hello, doctor.
Last Saturday, I was walking while using my phone and didn't watch where I was going, which caused my face and head to hit a metal gate hard.
At the time, I had bruising on my head and nose and applied ice immediately.
However, since that day, I've been experiencing severe dizziness and headaches, along with difficulty concentrating and frequent daydreaming.
I've also been going to bed early at night, but I still feel very fatigued when I wake up the next day.
Today is the seventh day, and I'm still experiencing these symptoms.
Should I seek medical attention? Can you help me analyze my current condition?

A Ci, 10~19 year old female. Ask Date: 2016/04/03

Dr. Zhang Junwei reply Neurosurgery

Please visit the neurosurgery outpatient clinic for an examination.

Reply Date: 2016/04/03

More Info

After a head injury, especially one that involves a significant impact like hitting a metal door, it is crucial to monitor for symptoms that may indicate a more serious condition, such as intracranial bleeding or a concussion. Given your description of the events and your ongoing symptoms, it is advisable to seek medical attention.

Symptoms to Watch For
1. Persistent Headache: While headaches can be common after a head injury, a severe or worsening headache can be a sign of complications such as intracranial bleeding.

2. Dizziness and Confusion: The dizziness and difficulty concentrating you are experiencing are concerning. These symptoms can indicate a concussion or other brain injury, which may require further evaluation.

3. Fatigue: Feeling excessively tired or lethargic days after the injury can also be a sign of a concussion or other issues. It is not uncommon for individuals to feel fatigued after a head injury, but if this persists, it warrants further investigation.

4. Changes in Mood or Behavior: If you notice any changes in your mood, irritability, or behavior, these can also be signs of a concussion.

5. Nausea or Vomiting: Although you did not mention these symptoms, they can also indicate a more serious issue.

When to Seek Medical Attention
You should seek medical attention if you experience any of the following:
- Worsening headache
- Repeated vomiting
- Seizures
- Weakness or numbness in limbs
- Difficulty waking up or staying awake
- Slurred speech
- Any changes in vision
Given that you have been experiencing significant symptoms for seven days, it is prudent to consult a healthcare professional. They may perform a neurological examination and possibly imaging studies, such as a CT scan, to rule out any serious complications.

What to Expect at the Doctor's Office
During your visit, the doctor will likely:
- Conduct a thorough history and physical examination, focusing on your neurological status.

- Ask about the specifics of the injury, your symptoms, and any changes since the injury.

- Assess your cognitive function, balance, and coordination.

- Depending on their findings, they may recommend imaging studies to check for any internal bleeding or structural damage.

Conclusion
In summary, while some symptoms after a head injury can be normal, your ongoing issues of severe headache, dizziness, and difficulty concentrating are concerning and warrant a medical evaluation. It is always better to err on the side of caution when it comes to head injuries, as early intervention can significantly impact recovery and outcomes. Please do not hesitate to seek medical attention as soon as possible to ensure your health and safety.

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