Should You See a Doctor After Hitting Your Head?

The back of the head was struck?

I was walking with my classmates to play in the water when I slipped and fell backward, hitting the back of my head on the ground.
At that moment, the back of my head hurt a lot, and it still hurts when I touch it.
Should I see a doctor? Is there a risk of intracranial bleeding? The painful area is on the top of my head.

Xiao Wen, 10~19 year old female. Ask Date: 2016/07/10

Dr. Zhang Junwei reply Neurosurgery

For safety reasons, please schedule an appointment with the neurosurgery outpatient clinic!

Reply Date: 2016/07/10

More Info

After experiencing a head injury, especially one that involves a significant impact like hitting the back of your head, it is crucial to assess the situation carefully. Based on the information provided, it is advisable to seek medical attention. Here’s why:
1. Understanding Head Injuries: Head injuries can range from mild concussions to severe traumatic brain injuries. The symptoms can sometimes be delayed, meaning that even if you feel fine immediately after the incident, complications could arise later. Common symptoms to watch for include headaches, dizziness, confusion, nausea, vomiting, and changes in consciousness.

2. Signs of Serious Injury: If you experience any of the following symptoms after your injury, you should seek immediate medical attention:
- Loss of consciousness, even briefly
- Persistent or worsening headache
- Nausea or vomiting
- Confusion or difficulty concentrating
- Weakness or numbness in any part of your body
- Seizures
- Clear fluid or blood leaking from the nose or ears
- Changes in vision or balance
3. Risk of Intracranial Bleeding: One of the significant concerns after a head injury is the risk of intracranial bleeding, which can occur even if there is no visible external injury. This bleeding can lead to increased pressure in the skull and potentially life-threatening complications. Symptoms of intracranial bleeding may not appear until hours or even days after the injury, which is why monitoring is essential.

4. Initial Assessment: When you visit a healthcare provider, they will likely perform a physical examination and may conduct imaging tests, such as a CT scan or MRI, to assess for any internal injuries. They will check for signs of concussion and evaluate your neurological function.

5. Management and Follow-Up: If your injury is deemed mild, your doctor may recommend rest, hydration, and over-the-counter pain relief. However, if there are signs of a more severe injury, further treatment may be necessary, which could include hospitalization for observation or surgery to relieve pressure on the brain.

6. Self-Monitoring: If you decide to monitor your symptoms at home, ensure that someone is with you to observe any changes in your condition. It’s essential to avoid activities that could lead to another head injury, such as sports or heavy physical exertion, until you have been cleared by a healthcare professional.

In conclusion, given the nature of your injury and the potential risks associated with head trauma, it is highly recommended that you see a doctor. They can provide a thorough evaluation and ensure that you receive the appropriate care. Remember, it’s always better to err on the side of caution when it comes to head injuries.

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