Is further examination needed for a suspected concussion?
Hello Doctor, I was in a car accident on December 11th where my head hit the ground, but I did not sustain any external injuries.
At the time, I was fully conscious and did not experience any nausea or vomiting.
The hospital examination resulted in a diagnosis of "suspected concussion." However, it has been nearly a week since the incident, and I still frequently feel a bit dizzy, have headaches, or experience a sensation of pressure in my head.
Sudden loud noises sometimes trigger tinnitus and an increased feeling of pressure in my head.
Additionally, my headaches are not limited to the area of impact.
Is this a normal phenomenon? Do I need to undergo further examinations, or will it improve over time? (My family's financial situation is not very good; on the day of the accident, they only checked my blood pressure and temperature and provided a diagnosis, which cost nearly a thousand, making me hesitant to return to the hospital...) Thank you, Doctor, for taking the time to help answer my questions.
Yú, 10~19 year old female. Ask Date: 2017/12/15
Dr. Jiang Junyi reply Neurology
Hello: Generally speaking, if there is no loss of consciousness, and no symptoms such as taking anticoagulants or obvious localized hematomas, head injuries are mostly minor.
Your symptoms are more indicative of cervical myofascial inflammation.
The high-risk period for delayed bleeding after a head injury is within one week.
If you experience any of the following symptoms, you should seek immediate medical attention in the emergency room: 1.
Deterioration of vision, seeing double (diplopia), or unequal pupil size.
2.
Watery fluid or blood coming from the ears or nose.
3.
Confusion or abnormal behavior.
4.
Numbness or inability to move limbs.
5.
Seizures.
It is recommended to visit the emergency room at a regional hospital, as most symptoms can be managed effectively.
If you go to a medical center's emergency room, the charges usually exceed $1000.
Wishing you good health, safety, and happiness.
Dr.
Shen from Taoyuan Hospital cares about you.
Reply Date: 2017/12/15
More Info
After experiencing a car accident where you hit your head, it's understandable to be concerned about potential concussion symptoms, especially since you are still feeling dizzy, having headaches, and experiencing a sensation of pressure in your head nearly a week later. While you did not lose consciousness or exhibit immediate severe symptoms, the fact that you are still experiencing discomfort warrants further attention.
Concussions are a type of traumatic brain injury that can occur even without a direct blow to the head, and symptoms can sometimes take time to manifest. Common symptoms of a concussion include headaches, dizziness, confusion, difficulty concentrating, sensitivity to light or noise, and changes in sleep patterns. The symptoms you describe, such as persistent headaches, dizziness, and sensitivity to loud sounds, are indeed concerning and could indicate that your brain is still recovering from the impact.
Given that you were diagnosed with "suspected concussion," it is crucial to monitor your symptoms closely. If your symptoms worsen or if you experience new symptoms such as severe headaches, repeated vomiting, seizures, or difficulty waking up, you should seek immediate medical attention. These could be signs of a more serious condition, such as a brain bleed or increased intracranial pressure.
In terms of further testing, it may be beneficial to undergo additional evaluations, such as a CT scan or MRI, to rule out any structural damage to the brain. While I understand that financial constraints can make it difficult to seek further medical care, your health should be a priority. Many hospitals and clinics offer payment plans or sliding scale fees based on income, so it may be worth inquiring about these options.
In the meantime, here are some steps you can take to help manage your symptoms:
1. Rest: Ensure you are getting plenty of rest. Avoid activities that require intense concentration or physical exertion, as these can exacerbate symptoms.
2. Hydration and Nutrition: Stay hydrated and maintain a balanced diet to support your recovery.
3. Limit Screen Time: Reducing time spent on screens (phones, computers, TVs) can help alleviate symptoms like headaches and dizziness.
4. Monitor Symptoms: Keep a diary of your symptoms, noting when they occur and their severity. This information can be helpful for healthcare providers if you seek further evaluation.
5. Gradual Return to Activities: Once your symptoms begin to improve, you can gradually return to normal activities, but do so cautiously and listen to your body.
6. Seek Professional Help: If symptoms persist or worsen, please consider seeking a second opinion or visiting a healthcare provider who specializes in concussions or brain injuries.
In conclusion, while some symptoms may resolve with time, the persistence of your symptoms suggests that further evaluation is warranted. Your health and well-being are paramount, and addressing these concerns sooner rather than later can help ensure a full recovery.
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