Managing Post-Concussion Headaches: When to Seek Further Medical Attention

Mild concussion with headache?

Hello Doctor: Last week, I collided with someone at school and fell, hitting my head on the ground.
I lost consciousness afterward and was taken to the nurse's office by my teacher and classmates.
After waiting for my family to arrive, they took me to the hospital (about an hour later).
I regained consciousness approximately five to six hours later.
I was observed in the hospital for four days and underwent relevant examinations, where the doctor diagnosed me with a mild concussion.
I was discharged two days ago, and the doctor did not prescribe any medication.
However, I am now experiencing intermittent headaches every day, and at night, the headaches make it difficult for me to fall asleep.
Should I return to the hospital for further examination, or is the headache a post-concussion symptom that can be managed with over-the-counter pain relievers? Can I attend school normally, or should I take some time off to rest at home?

zero point zero, 10~19 year old female. Ask Date: 2016/12/10

Dr. Lai Zhaokang reply Neurosurgery

It is recommended to return to the original hospital for examination and consultation.
Best wishes from the neurosurgery department.

Reply Date: 2016/12/10

More Info

Post-concussion headaches are a common occurrence following a concussion, and they can significantly impact your daily life, including your ability to concentrate and sleep. Given your recent history of a concussion, it is essential to monitor your symptoms closely and understand when to seek further medical attention.

Firstly, it is important to recognize that headaches following a concussion can vary in intensity and duration. They may present as tension-type headaches, migraines, or even a combination of both. The fact that you are experiencing intermittent headaches and difficulty sleeping is not uncommon in the post-concussion phase. However, there are specific signs and symptoms that warrant immediate medical evaluation.

You should seek further medical attention if you experience any of the following:
1. Worsening Headaches: If your headaches become progressively worse or change in character, this could indicate a more serious underlying issue, such as increased intracranial pressure or a secondary injury.

2. Neurological Symptoms: If you experience symptoms such as confusion, difficulty speaking, weakness in limbs, or changes in vision, these could be signs of complications that require urgent evaluation.

3. Persistent Symptoms: If your headaches persist beyond a few weeks or significantly interfere with your daily activities, it may be time to consult a healthcare provider. Chronic post-concussion headaches can sometimes require specific treatment strategies.

4. Sleep Disturbances: Difficulty sleeping due to pain can lead to a cycle of fatigue and increased headache frequency. If over-the-counter pain medications do not alleviate your symptoms, a healthcare provider may need to assess your situation further.

5. Mood Changes: Increased irritability, anxiety, or depression can also accompany post-concussion syndrome. If you notice significant mood changes, it is essential to discuss these with a healthcare professional.

In terms of management, while over-the-counter pain relievers can be effective for some individuals, they may not be sufficient for everyone. If your headaches are severe or persistent, your doctor may consider prescribing medications specifically designed for headache management or other therapies, such as physical therapy or cognitive behavioral therapy.

Regarding your return to school, it is crucial to listen to your body. If you find that your headaches are exacerbated by cognitive activities or stress, it may be wise to take some time off to recover fully. Gradually reintroducing academic responsibilities while monitoring your symptoms can help you gauge your readiness to return to a full schedule.

In summary, while post-concussion headaches are common, it is essential to monitor your symptoms closely. If you experience any concerning changes or if your symptoms persist, do not hesitate to seek further medical evaluation. Your health and well-being should always come first, and a healthcare provider can help guide you through this recovery process.

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