Head Trauma: When to Seek Medical Attention After a Hit

Hit on the back of the head?

Hello, doctor.
During school, my classmates often jokingly tap each other's heads, and once a classmate hit me a bit harder than usual.
At that moment, I felt some discomfort in my head.
After that, I had difficulty concentrating in class, my reactions slowed down, and I felt a bit dazed.
My vision also seemed less clear, almost like I was in a fog.
After applying anti-inflammatory medication at night, I woke up the next day and my condition had not improved.
I would like to ask the doctor if this is temporary or if it will persist, and whether I need to seek outpatient medical care.

Niming, 10~19 year old female. Ask Date: 2016/04/22

Dr. Jiang Junyi reply Neurology

Hello, based on your description, there are many factors that can cause symptoms of dizziness, such as anemia, autonomic dysfunction, and inner ear imbalance.
Since your symptoms appeared after a head injury, it is essential to first rule out any issues related to the occipital lobe (which is primarily responsible for vision) in the brain.
If there are symptoms of a concussion or if the symptoms persist, you must seek medical attention.
I recommend discussing examinations and treatments in the emergency room to rule out any brain lesions.
Wishing you good health and peace.
Dr.
Tao, Shen Nei, cares about you.

Reply Date: 2016/04/22

More Info

When it comes to head trauma, understanding when to seek medical attention is crucial for ensuring your health and safety. Based on your description, it sounds like you experienced a significant impact to your head, which has led to symptoms such as difficulty concentrating, slowed reaction times, and visual disturbances. These symptoms can be concerning and may indicate a more serious underlying issue, such as a concussion or other forms of traumatic brain injury (TBI).

In general, after a head injury, it is important to monitor for specific symptoms that may warrant immediate medical attention. These include:
1. Loss of Consciousness: Even a brief loss of consciousness can indicate a more serious injury.

2. Severe Headache: A headache that worsens over time or is accompanied by other symptoms can be a sign of complications.

3. Confusion or Disorientation: Difficulty concentrating, feeling "foggy," or having trouble remembering events surrounding the injury can be indicative of a concussion.

4. Visual Disturbances: Blurred vision or other visual changes should not be ignored.

5. Nausea or Vomiting: These symptoms can indicate increased intracranial pressure or other serious issues.

6. Balance Problems: Difficulty walking or maintaining balance can suggest neurological involvement.

7. Seizures: Any seizure activity following a head injury is a medical emergency.

Given that you are experiencing symptoms such as difficulty focusing, slowed reactions, and visual disturbances, it is advisable to seek medical attention. While some symptoms may resolve on their own, others can indicate a more serious condition that requires intervention. A healthcare professional can perform a thorough evaluation, which may include a neurological examination and imaging studies like a CT scan or MRI to rule out any serious injuries.

In the meantime, here are some general recommendations for managing mild head trauma:
- Rest: Allow your brain to recover by getting plenty of rest. Avoid strenuous activities, both physical and mental, until you feel better.

- Hydration and Nutrition: Stay hydrated and maintain a balanced diet to support your recovery.

- Pain Management: Over-the-counter pain relievers, such as acetaminophen, can help manage headaches. However, avoid medications like ibuprofen or aspirin unless directed by a healthcare provider, as they can increase the risk of bleeding.

- Avoid Alcohol and Drugs: These substances can impair your cognitive function and may worsen your symptoms.

- Gradual Return to Activities: Once symptoms improve, gradually reintroduce activities, but be cautious and listen to your body.

In conclusion, while some symptoms of head trauma may be temporary, the presence of cognitive and visual disturbances following a significant impact to the head is concerning. It is best to err on the side of caution and consult with a healthcare professional for a proper assessment and guidance on your recovery. Your health and safety should always come first, and timely medical intervention can make a significant difference in outcomes following head injuries.

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