Dizziness After Head Trauma: When to Seek Medical Help

Dizziness in the back of the head?

Hello, I am currently a student.
During tutoring today, a classmate with a rather excitable personality hit me on the back of the head several times.
Since he tends to be very animated, I didn't stop him at the moment, but afterward, I noticed that my head feels very dizzy.
I would like to ask if this kind of symptom is considered normal, or if I should seek medical attention if it persists for a few days?

Guo, 10~19 year old female. Ask Date: 2016/06/05

Dr. Gao Chunde reply Neurology

If symptoms worsen, such as experiencing headaches, vomiting, or drowsiness, along with signs of neurological symptoms like lethargy or unsteady gait, it is important to seek medical attention promptly.
If symptoms gradually subside, then there is no cause for concern.

Reply Date: 2016/06/05

More Info

Experiencing dizziness after a head trauma, such as being struck on the back of the head, can be concerning and warrants careful consideration. In your case, since you mentioned being hit multiple times and subsequently feeling dizzy, it is essential to understand the potential implications of such an injury.

Dizziness following head trauma can arise from several factors, including concussion, which is a mild traumatic brain injury. Symptoms of a concussion can include dizziness, headache, confusion, nausea, and balance issues. While some dizziness may be a normal response to a sudden impact, persistent or worsening symptoms should not be ignored.

Here are some key points to consider regarding your situation:
1. Immediate Symptoms: After a head injury, it is crucial to monitor your symptoms closely. If you experience dizziness, headaches, or any other unusual symptoms immediately after the incident, it is advisable to seek medical attention. This is especially true if the dizziness is severe or accompanied by other symptoms such as vomiting, confusion, or difficulty with coordination.

2. Observation Period: Generally, after a head injury, a period of observation is recommended. This can range from a few hours to a couple of days, depending on the severity of the impact and the symptoms you experience. If your dizziness persists for more than a few days or worsens, it is essential to consult a healthcare professional.

3. When to Seek Help: If you notice any of the following symptoms, you should seek medical attention promptly:
- Persistent or worsening dizziness
- Severe headaches that do not improve with over-the-counter pain relief
- Nausea or vomiting
- Confusion or difficulty concentrating
- Changes in vision or hearing
- Difficulty walking or maintaining balance
4. Potential Complications: While many head injuries resolve without significant issues, there is a risk of complications such as intracranial bleeding or a more severe concussion. These conditions may not present symptoms immediately and can develop over time. Therefore, if you have any concerns about your symptoms, it is better to err on the side of caution and consult a healthcare provider.

5. Follow-Up Care: If you do seek medical attention, the doctor may recommend imaging studies, such as a CT scan, to rule out any serious injuries. They may also provide guidance on rest, hydration, and gradual return to normal activities. It is essential to follow their recommendations closely.

In summary, while some dizziness after a head injury can be a normal response, it is crucial to monitor your symptoms closely. If dizziness persists or worsens, or if you experience any concerning symptoms, do not hesitate to seek medical help. Your health and safety should always come first, and it is better to be cautious when it comes to head injuries.

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