Post-Concussion Symptoms: When to Seek Medical Help

Q: Post-Concussion Symptoms: When to Seek Medical Help

Based on your description： First, it is important to consider the symptoms of syncope, with the most common causes being reflex syncope： excessive stimulation of the vagus nerve, which leads to bradycardia and decreased cardiac output. <br>This can occur when transitioning from a

Dizziness, headache, weakness in the limbs, and a lightheaded feeling..?

On December 17, I was hit on the head by a friend, resulting in swelling and bruising on my forehead.
After some time, I began to experience headaches and dizziness.
When I went to the emergency room, the doctor suspected a mild concussion.
I was given pain relief medication (Paracetamol) and anti-nausea medication, which significantly improved my symptoms, and I was discharged in less than three hours.

The next day, the headache returned, and I took the medications prescribed by the emergency doctor.
However, the following day, the left side of my head became so painful that I couldn't get out of bed.
On the third day, when I woke up and opened my eyes, I experienced dizziness around my temples and had episodes of nausea.
My family took me to see a traditional Chinese medicine practitioner, and after a week of treatment, my symptoms improved.

However, on January 3, just before bed, I started experiencing dizziness and nausea again.
The next day, when I woke up, the swelling and pain on the left side of my head returned.
When I visited a clinic, the doctor said it was a stress-related issue.
As for the previous dizziness and nausea, the doctor mentioned that since it comes and goes, it cannot be definitively linked to the earlier mild concussion.

Then, on the evening of January 4, I suddenly felt weak all over, and my limbs felt light.
I also started sweating cold.
Fearing that I might faint, I grabbed onto the wall, and suddenly my vision began to blur, and the sounds around me started to fade, making me feel like I was about to lose consciousness.
I am very scared… Which specialist should I see or what tests should I undergo? Please help me.

Ms. C, 30~39 year old female. Ask Date: 2017/01/04

Dr. Jiang Junyi reply Neurology

Based on your description: First, it is important to consider the symptoms of syncope, with the most common causes being reflex syncope: excessive stimulation of the vagus nerve, which leads to bradycardia and decreased cardiac output.
This can occur when transitioning from a supine to an upright position, standing up suddenly after squatting, certain medications causing hypotension, significant reductions in blood volume, peripheral vasodilation in a hot environment, or peripheral neuropathy, among others.
Additionally, metabolic causes of syncope, such as hypoglycemia or hyperventilation, should be considered.
It is also essential to differentiate syncope from seizures and vertigo.
I recommend discussing evaluation and treatment with a neurologist or cardiologist.
Wishing you good health, peace, and joy.
Dr.
Tao, Neurology, is concerned about you.

Reply Date: 2017/01/04

More Info

It sounds like you are experiencing a range of concerning symptoms following a head injury that was diagnosed as a mild concussion. Given the timeline and the progression of your symptoms, it is crucial to take these issues seriously and seek appropriate medical attention.

First, let’s clarify what a concussion is. A concussion is a type of traumatic brain injury (TBI) that occurs when a blow to the head or body causes the brain to move rapidly back and forth within the skull. This can lead to a variety of symptoms, including headaches, dizziness, confusion, and nausea. While many people recover from concussions within a few weeks, some may experience persistent symptoms, known as post-concussion syndrome (PCS).

Your symptoms, including persistent headaches, dizziness, nausea, and the recent episodes of feeling faint and experiencing cold sweats, are concerning and warrant further evaluation. Here are some steps you should consider:
1. Seek Immediate Medical Attention: Given your recent symptoms of faintness, blurred vision, and hearing changes, it is advisable to seek immediate medical attention. You should go to the emergency room (ER) or an urgent care facility. These symptoms could indicate a more serious condition, such as increased intracranial pressure or another complication from your concussion.

2. Consult a Neurologist: After addressing any immediate concerns in the ER, you should follow up with a neurologist. A neurologist specializes in conditions affecting the brain and nervous system and can provide a comprehensive evaluation of your symptoms. They may recommend imaging studies, such as a CT scan or MRI, to rule out any structural issues or complications resulting from your head injury.

3. Keep a Symptom Diary: Documenting your symptoms, including when they occur, their intensity, and any potential triggers, can be helpful for your healthcare provider. This information can assist in diagnosing the underlying issues and determining the best course of treatment.

4. Consider a Multidisciplinary Approach: If your symptoms persist, a multidisciplinary approach may be beneficial. This could include physical therapy, occupational therapy, and possibly psychological support, especially if you are experiencing anxiety or depression related to your symptoms.

5. Rest and Recovery: In the meantime, ensure you are getting adequate rest. Avoid activities that could exacerbate your symptoms, such as strenuous exercise or screen time, until you have been evaluated by a healthcare professional.

6. Educate Yourself: Understanding post-concussion syndrome and its potential long-term effects can help you advocate for your health. There are many resources available, including support groups and educational materials, that can provide additional information and support.

In summary, your symptoms following the head injury are concerning and should not be ignored. It is essential to seek immediate medical attention, consult with a neurologist, and consider a comprehensive approach to your recovery. Remember, your health and well-being are the top priority, and addressing these symptoms early can lead to better outcomes.

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