Pain and swelling after a head injury?
Today, I accidentally stepped off the edge while going down from the third floor to the second floor and fell to the second floor.
I have bruises and pain from abrasions on my body, and I hit my head against the wall, resulting in a swelling about 9-10 square centimeters on the left side of my scalp, which is persistently painful but without any bleeding wounds.
I have applied ice to the area.
Should I seek medical attention promptly? Thank you!
Kaili, 30~39 year old female. Ask Date: 2017/02/14
Dr. Zhang Junwei reply Neurosurgery
If there is no headache or dizziness, you may continue to monitor.
Reply Date: 2017/02/14
More Info
When it comes to head injuries, especially those involving swelling and pain, it's crucial to approach the situation with caution. Based on your description, you experienced a fall from a height, which can potentially lead to serious injuries, even if they are not immediately apparent. The presence of a significant swelling (approximately 9-10 square centimeters) on the left side of your head, along with persistent pain, raises some concerns that warrant further evaluation.
Immediate Considerations
1. Symptoms to Watch For: After a head injury, it's essential to monitor for specific symptoms that could indicate a more serious condition, such as intracranial bleeding or a concussion. These symptoms include:
- Persistent or worsening headache
- Nausea or vomiting
- Dizziness or balance issues
- Confusion or difficulty concentrating
- Changes in vision (blurred or double vision)
- Weakness or numbness in limbs
- Loss of consciousness, even briefly
2. Swelling and Pain: The swelling you described could be a hematoma, which is a localized collection of blood outside of blood vessels, often caused by trauma. While some swelling is normal after a head injury, significant swelling combined with persistent pain should not be ignored.
3. Ice Application: It's good that you have applied ice to the swollen area, as this can help reduce swelling and alleviate pain. However, this should not replace medical evaluation if symptoms worsen.
When to Seek Medical Attention
Given the nature of your injury and the symptoms you are experiencing, it is advisable to seek medical attention promptly. Here are some guidelines:
- Immediate Evaluation: If you experience any of the concerning symptoms mentioned above, you should go to the emergency room or an urgent care facility immediately.
- Observation: If your symptoms remain stable but you are still experiencing significant pain and swelling, it would be wise to consult a healthcare provider within the next 24 hours. They may perform a physical examination and possibly imaging studies (like a CT scan) to rule out any serious injuries, such as fractures or intracranial bleeding.
Follow-Up Care
If you do seek medical attention and are diagnosed with a minor injury, your doctor may recommend rest, pain management (such as over-the-counter pain relievers), and monitoring for any changes in your condition. It's also important to avoid activities that could risk further injury, such as sports or heavy lifting, until you have fully recovered.
Conclusion
In summary, while not every head injury requires immediate medical intervention, the combination of your fall, the size of the swelling, and the persistent pain suggests that you should seek medical evaluation. It’s always better to err on the side of caution when it comes to head injuries, as early detection and treatment can prevent complications. Please take care and prioritize your health by consulting a medical professional.
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