Should You Worry? Head Injury Symptoms in Teens After a Fall

The back of the head hit the floor?

Hello Dr.
Chang: My son turned 16 in September.
Last night, he was playing with his brother in their room and was lying on a mattress on the floor.
He didn't realize that his head extended beyond the mattress and hit the ground.
This morning, he told me that his head hurts because of the impact last night and mentioned feeling a bit nauseous.
After eating a little for breakfast today, he lost his appetite and now just wants to lie still to avoid the pain.
Opening his eyes or hearing loud noises also causes him pain.
I would like to ask if his condition requires a doctor's visit.

Sandy, 40~49 year old female. Ask Date: 2017/07/04

Dr. Zhang Junwei reply Neurosurgery

Observe first, and if there is severe and persistent vomiting, then schedule an outpatient appointment.

Reply Date: 2017/07/04

More Info

When it comes to head injuries, especially in teenagers, it is crucial to take any symptoms seriously. Your son's situation, where he experienced a fall resulting in a bump on the back of his head, followed by symptoms such as headache, nausea, decreased appetite, and sensitivity to light and noise, raises several concerns that warrant medical attention.

Firstly, the symptoms your son is experiencing could indicate a concussion, which is a type of traumatic brain injury (TBI). Concussions can occur even without a loss of consciousness and can manifest with a variety of symptoms, including headaches, dizziness, nausea, and sensitivity to light and sound. The fact that he felt nauseous and is now experiencing a headache that worsens with movement or noise is particularly concerning. These symptoms suggest that his brain may be reacting to the injury, and it is essential to monitor them closely.

In general, the following symptoms after a head injury should prompt immediate medical evaluation:
1. Persistent or worsening headache: If the headache does not improve or gets worse over time, it could indicate a more serious issue.

2. Nausea or vomiting: While nausea can be a common symptom of a concussion, persistent vomiting is a red flag.

3. Confusion or difficulty concentrating: Any changes in mental status, such as confusion, difficulty remembering events before or after the injury, or trouble concentrating, should be taken seriously.

4. Balance problems or dizziness: Difficulty walking or maintaining balance can indicate a more severe injury.

5. Sensitivity to light or noise: Increased sensitivity can be a sign of a concussion.

6. Seizures: Any seizure activity following a head injury is an emergency.

Given your son's symptoms, it is advisable to seek medical attention as soon as possible. A healthcare professional will likely perform a neurological examination and may recommend imaging studies, such as a CT scan, to rule out any serious injuries like skull fractures or intracranial bleeding.

In the meantime, it is essential to ensure that your son rests and avoids any activities that could exacerbate his symptoms, such as physical exertion or screen time. Encourage him to stay hydrated and monitor his symptoms closely. If he experiences any worsening of symptoms, such as increased headache, repeated vomiting, or any signs of confusion, seek emergency care immediately.

In conclusion, while many head injuries can be mild and resolve on their own, the symptoms your son is experiencing suggest that he should be evaluated by a medical professional. Early intervention can help prevent complications and ensure a safe recovery.

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