Head Injury from Closet: When to Seek Medical Attention?

Hit head on the wardrobe?

Hello Dr.
Chang, I bumped the side of my head near the left crown against the edge of a wardrobe last night with some force.
At the time, I only felt scalp pain and did not experience any dizziness.
However, today I occasionally feel a bit lightheaded and slightly nauseous, although the sensation is not strong and I haven't vomited.
My energy levels seem normal.
By tonight, I've noticed a slight throbbing pain on the right side of my crown as well, but it’s not very pronounced.
Is this considered a normal reaction? Should I see a doctor?

Lin, 10~19 year old female. Ask Date: 2017/12/29

Dr. Zhang Junwei reply Neurosurgery

It can be observed, and if there are any subsequent discomforts, please schedule an appointment with the neurosurgery outpatient clinic.

Reply Date: 2017/12/29

More Info

When it comes to head injuries, particularly those resulting from blunt trauma like hitting your head against a closet, it’s essential to monitor your symptoms closely. Based on your description, it seems you experienced a significant impact, which can sometimes lead to complications such as concussions or intracranial bleeding, even if you initially feel fine.

In general, after a head injury, it’s crucial to be aware of specific symptoms that may indicate a more serious condition. These symptoms include:
1. Persistent or worsening headache: While it’s common to experience some pain after a head injury, if the headache becomes severe or does not improve, it could be a sign of a more serious issue.

2. Dizziness or confusion: Feeling faint or confused can indicate a concussion or other brain injury. If you notice these symptoms, it’s important to seek medical attention.

3. Nausea or vomiting: While you mentioned feeling a bit nauseous, if this progresses to vomiting, it could be a sign of increased intracranial pressure or other complications.

4. Changes in consciousness: If you experience any loss of consciousness, even briefly, it’s crucial to seek medical help.

5. Visual disturbances: Blurred vision, double vision, or any other changes in vision should be evaluated by a healthcare professional.

6. Balance issues: Difficulty walking or maintaining balance can indicate a problem with the brain's function.

Given that you are experiencing some dizziness and a feeling of nausea, along with a new pain on the opposite side of your head, it would be prudent to consult a healthcare provider. While these symptoms may not necessarily indicate a severe injury, they warrant further evaluation to rule out any complications.

In terms of timing, it’s generally recommended to seek medical attention if symptoms develop or worsen within the first 24 to 48 hours following the injury. This is because some complications, such as delayed intracranial bleeding, may not present symptoms immediately but can become serious over time.

In the meantime, here are some general recommendations for managing your symptoms:
- Rest: Ensure you get plenty of rest, as your brain needs time to heal after any injury.

- Avoid strenuous activities: Activities that require concentration or physical exertion should be avoided until you are cleared by a healthcare professional.

- Monitor your symptoms: Keep track of any changes in your condition, including the severity of your headache, any new symptoms, or changes in your mental status.

If you decide to wait and see how your symptoms progress, make sure to have a plan in place to seek medical attention if they worsen. It’s always better to err on the side of caution when it comes to head injuries.
In summary, while some symptoms may be normal after a head injury, the presence of dizziness, nausea, and new pain should prompt you to seek medical evaluation to ensure your safety and well-being.

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