Persistent Dizziness and Pain: Should You See a Specialist?

Dizziness and vertigo?

Hello, I had a car accident two years ago, and the doctor said that the X-ray showed no issues.
The dizziness I experienced was attributed to impaired balance function (I have no memory of that day).
However, the small bump on my head has not gone away, and it hurts when I press on it.
Recently, the bump has been painful at times, and I've been feeling dizzy occasionally, with one instance of brief vertigo lasting about a second.
Should I go to the hospital for an examination? Which department should I visit? Thank you for your help.

Lin, 30~39 year old female. Ask Date: 2016/07/27

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 occurred two years after the car accident, they are likely less related to the accident.
It is important to first rule out anemia or dehydration as causes of insufficient cerebral circulation.
Symptoms may improve with hydration and electrolyte replenishment.
Regarding the small lump, it may be necessary to consider local soft tissue fibrosis.
It is recommended to visit a hospital and consult a rehabilitation physician for a soft tissue ultrasound for diagnosis.
Wishing you good health and peace.
Dr.
Tao, Neurology, cares about you.

Reply Date: 2016/07/27

More Info

Hello, thank you for reaching out with your concerns regarding persistent dizziness and pain following your car accident two years ago. Based on your description, it sounds like you are experiencing a combination of symptoms that could be related to your previous injury. It is essential to address these issues comprehensively, as they can significantly impact your quality of life.

Understanding Your Symptoms
1. Persistent Dizziness: Dizziness can arise from various causes, including vestibular dysfunction, which affects balance, or it could be related to neurological issues stemming from your head injury. Given that you mentioned a loss of memory from the day of the accident, it is crucial to consider the possibility of a concussion or other traumatic brain injury (TBI).

2. Painful Bump on the Head: The small bump on your head that remains painful to the touch could indicate a few things. It might be a hematoma (a localized collection of blood outside of blood vessels) that has not fully resolved or a sign of underlying issues such as a bone bruise or other soft tissue injury. The fact that it causes pain and has episodes of increased discomfort is concerning and warrants further investigation.

Recommended Steps
1. Consult a Specialist: Given your symptoms, I recommend that you see a neurologist. A neurologist specializes in disorders of the nervous system, including the brain, and can evaluate your dizziness and any potential neurological implications of your head injury. They will likely perform a thorough neurological examination and may recommend imaging studies, such as an MRI or CT scan, to assess any structural issues in your brain or skull.

2. Consider an ENT Evaluation: If your dizziness is primarily related to balance issues, it may also be beneficial to consult an ear, nose, and throat (ENT) specialist. They can evaluate your vestibular system, which plays a crucial role in maintaining balance. They may conduct tests to determine if there are any issues with your inner ear that could be contributing to your symptoms.

3. Follow-Up Imaging: If you haven't had any imaging studies since your accident, it may be prudent to have a CT or MRI scan performed. These imaging modalities can help identify any structural abnormalities that may have developed since your initial evaluation.

4. Document Your Symptoms: Keep a detailed record of your symptoms, including when they occur, their intensity, and any triggers you notice. This information can be invaluable for your healthcare providers in diagnosing and treating your condition.

5. Pain Management: While you seek further evaluation, consider discussing pain management options with your primary care physician. They may recommend over-the-counter pain relief or other therapies to help manage your discomfort.

Conclusion
In summary, your persistent dizziness and the painful bump on your head warrant further evaluation by a neurologist and possibly an ENT specialist. It is essential to address these symptoms promptly to rule out any serious underlying conditions and to receive appropriate treatment. Don't hesitate to seek medical attention; your health and well-being are paramount. Please take care, and I hope you find relief soon.

Similar Q&A

Which Specialist Should You See for Persistent Dizziness and Pain?

Hello doctor, I would like to ask about my condition: I have been experiencing noticeable dizziness 24 hours a day for the past few days, and since yesterday, I have been feeling a distinct swelling and pain in the back right side of my head. My breathing is not as smooth as befo...

Dr. Cai Zongzhang reply Neurology
Hello: It is recommended to consult both an otolaryngologist and a neurologist for the above symptoms.

Chronic Dizziness and Neck Discomfort: Which Specialist to See?

Hello, doctor: I have been experiencing a tightness (a feeling of pressure) in my left neck for about 2-3 years. In recent months, it has been accompanied by dizziness, a sensation of swaying while at rest, and a feeling of spinning when I close my eyes. I also feel easily fatigu...

Dr. Cai Dongqi reply Family Medicine
Hello, I recommend that you see a neurologist.

Understanding Chronic Dizziness: When to See a Specialist

Hello, I have been experiencing dizziness for 4 to 5 years, almost every day. Sometimes it feels like I'm floating as if in a dream, and at other times, it feels like being on a boat, with moments of calm and moments of swaying with the wind. Occasionally, it feels like I&#x...

Dr. Gao Chunde reply Neurology
You can first consult a family physician to determine if there is anemia or low blood pressure. If those conditions are ruled out, then it is important to consider potential issues with inner ear function. If necessary, the physician may refer you to an otolaryngologist or a neur...

Understanding Headaches and Dizziness: When to See a Specialist

Hello, doctor: I have been experiencing headaches and have undergone an EEG, which showed no abnormalities. Recently, I have had elevated intraocular pressure, suspected to be glaucoma. The headaches have been troubling me for a long time, and during these episodes, I feel dizzy ...

Dr. Du Haojie reply Neurology
Glaucoma can cause pain in the eye socket and forehead, and if treatment is delayed, there is a risk of blindness. Therefore, it is important to see an ophthalmologist first to determine if it is glaucoma. The issues of headache accompanied by dizziness can be further evaluated w...