Should You See a Doctor After a Head Injury? Key Symptoms to Watch For

Head trauma

Hello, doctor.
I fell and hit my head last night.
At the time, I was holding onto a colleague, so we both fell together due to gravity.
My head hit the wall, and I experienced dizziness and confusion for about 30 seconds (my colleague said the impact was very loud).
After 30 seconds, I returned to normal.
Since I had consumed a lot of alcohol, I didn't feel any discomfort at that moment.
When I got home and woke up the next morning, my neck was very sore (but it was no longer sore by the evening).
There is swelling on my head, and I feel slightly dizzy when I shake my head (the symptoms have improved).
The swollen area doesn't hurt unless I touch it.
Should I see a doctor, or is it sufficient to apply some ointment on my own?

Ruo Ying, 20~29 year old female. Ask Date: 2016/04/30

Dr. Zhang Junwei reply Neurosurgery

Rest for a few days; if symptoms improve, there is no need to see a doctor.
If not, then schedule an outpatient appointment!

Reply Date: 2016/04/30

More Info

After experiencing a head injury, it is crucial to assess the situation carefully and determine whether medical attention is necessary. Based on your description, you fell and hit your head against a wall, experienced dizziness for about 30 seconds, and now have some swelling and mild discomfort. Here are some key symptoms to watch for and considerations regarding whether you should see a doctor.

Key Symptoms to Monitor
1. Loss of Consciousness: If you lost consciousness for any period, even briefly, this is a significant indicator that you should seek medical attention.

2. Persistent Dizziness or Confusion: While you mentioned that the dizziness improved after 30 seconds, any ongoing feelings of dizziness, confusion, or difficulty concentrating warrant a visit to a healthcare professional.

3. Severe Headache: If you develop a severe headache that feels different from your usual headaches, it could indicate a more serious issue.

4. Nausea or Vomiting: If you experience nausea or vomiting after the injury, this could be a sign of a concussion or other serious injury.

5. Neck Pain: You mentioned having neck stiffness, which can be a sign of whiplash or other injuries. If the pain persists or worsens, it’s advisable to consult a doctor.

6. Swelling or Bruising: While some swelling is common after a head injury, if it continues to grow or is accompanied by severe pain, it could indicate a more serious injury.

7. Changes in Vision or Hearing: Any changes in your ability to see or hear should be evaluated by a medical professional.

8. Behavioral Changes: If you notice any changes in your mood, behavior, or cognitive function, this could be a sign of a concussion or other brain injury.

When to Seek Medical Attention
Given your symptoms, it is advisable to err on the side of caution. Although you may feel that your symptoms are improving, the fact that you experienced dizziness and have some swelling indicates that you should seek medical evaluation. A healthcare provider can perform a thorough examination and may recommend imaging studies, such as a CT scan, to rule out any serious injuries like a concussion or intracranial bleeding.

Self-Care Measures
While waiting for your appointment or if you decide to monitor your symptoms at home, consider the following self-care measures:
- Rest: Allow your body to recover by getting plenty of rest. Avoid strenuous activities and mental exertion.

- Ice Application: Applying ice to the swollen area can help reduce swelling and alleviate pain. Use a cloth to protect your skin from direct contact with ice.

- Pain Relief: Over-the-counter pain relievers like acetaminophen can help manage discomfort. However, avoid NSAIDs (like ibuprofen) immediately after a head injury, as they can increase the risk of bleeding.

- Monitor Symptoms: Keep a close watch on your symptoms. If they worsen or new symptoms develop, seek medical attention promptly.

Conclusion
In conclusion, while some symptoms may seem mild, head injuries can sometimes lead to serious complications. Given your history of dizziness and current symptoms, it is advisable to consult a healthcare professional for a thorough evaluation. They can provide the necessary care and guidance to ensure your safety and recovery. Remember, it’s always better to be cautious when it comes to head injuries.

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