Post-Concussion Symptoms: What to Do After a Head Injury

Q: Post-Concussion Symptoms: What to Do After a Head Injury

Hello： Because you have sustained a severe head injury, common symptoms include the following： – Vomiting two times or more – Age over 65 or under 2 years – Drug or alcohol overdose – Persistent severe diffuse headache – Loss of consciousness for more than 30 minutes after the in

Concussion inquiries?

Hello Doctor: I was involved in a motorcycle accident four weeks ago as a passenger, wearing a full-face helmet.
I have no memory of the accident and when I opened my eyes again, I was already in the hospital.
I was unconscious when I was brought to the hospital, and a CT scan was performed, which showed no abnormalities or external injuries to my head.
I was hospitalized for about a week before being discharged.
I am not currently attending follow-up appointments.
My current symptoms include persistent dizziness, a feeling of pressure in my head, neck stiffness, neck pain, occasional nausea, frequent tingling in my right hand, excessive sleepiness, and easy fatigue.
I would like to ask the doctor what I should do.

Yufen, 20~29 year old female. Ask Date: 2018/03/14

Dr. Jiang Junyi reply Neurology

Hello: Because you have sustained a severe head injury, common symptoms include the following: – Vomiting two times or more – Age over 65 or under 2 years – Drug or alcohol overdose – Persistent severe diffuse headache – Loss of consciousness for more than 30 minutes after the injury – Dangerous mechanisms of injury (e.g., pedestrian struck by a motor vehicle, passenger ejected from a vehicle, fall from a height greater than 1 meter or more than 5 stairs) – Coagulation disorders – The likelihood of experiencing post-concussion syndrome is significantly higher in cases of multiple trauma compared to those with mild head injuries.
A CT scan is primarily used to check for bleeding.
Subtle brain injuries may not be visible.
Additionally, for the soreness and discomfort you described, you may seek treatment from a physical therapist.
If symptoms persist, it is advisable to consult a neurosurgeon for further evaluation and treatment.
Wishing you good health and safety.
Best regards, Tao Medical Center, Shen Nei, caring for you.

Reply Date: 2018/03/14

More Info

After experiencing a head injury, especially in the context of a car accident, it is crucial to monitor and manage post-concussion symptoms effectively. Your situation, having been unconscious at the scene and experiencing ongoing symptoms such as dizziness, a feeling of pressure in the head, neck stiffness, nausea, and fatigue, indicates that you may be dealing with post-concussion syndrome or other complications resulting from the injury.

Understanding Post-Concussion Symptoms
Post-concussion syndrome can manifest in various ways, including cognitive, physical, and emotional symptoms. Common physical symptoms include headaches, dizziness, fatigue, and neck pain, which you are experiencing. Cognitive symptoms can involve difficulties with concentration and memory, while emotional symptoms may include irritability or mood swings. The presence of these symptoms can significantly impact daily life and overall well-being.

Recommendations for Management and Recovery
1. Rest and Recovery: One of the most important aspects of recovery from a concussion is adequate rest. This includes both physical and cognitive rest. Avoid activities that require intense concentration, such as reading, using a computer, or playing video games, as these can exacerbate symptoms.

2. Gradual Return to Activities: Once symptoms begin to improve, a gradual return to normal activities is recommended. Start with light activities and slowly increase intensity as tolerated. However, if symptoms worsen, it is crucial to scale back and allow more time for recovery.

3. Hydration and Nutrition: Staying hydrated and maintaining a balanced diet can support recovery. Foods rich in omega-3 fatty acids (like fish), antioxidants (fruits and vegetables), and proteins can be beneficial for brain health.

4. Physical Therapy: Given your neck stiffness and pain, consulting a physical therapist may be beneficial. They can provide exercises to improve neck mobility and reduce pain, which may also help alleviate some of the headaches and dizziness.

5. Pain Management: For headaches, over-the-counter pain relievers like acetaminophen can be used, but it is essential to consult with a healthcare provider before taking any medication, especially if you have other ongoing symptoms.

6. Follow-Up Care: Regular follow-up with a healthcare provider is crucial. If symptoms persist or worsen, further evaluation may be necessary. This could include imaging studies or referrals to specialists, such as a neurologist or a concussion clinic.

7. Monitor Symptoms: Keep a diary of your symptoms, noting when they occur and their severity. This information can be valuable for healthcare providers to tailor your treatment plan effectively.

8. Avoid Alcohol and Drugs: These substances can interfere with recovery and exacerbate symptoms, so it is advisable to avoid them during your healing process.

9. Seek Support: Emotional support from friends, family, or support groups can be beneficial. Sharing your experiences and feelings can help alleviate some of the emotional burdens associated with recovery.

When to Seek Immediate Medical Attention
If you experience any of the following symptoms, seek immediate medical attention:
- Severe or worsening headaches
- Repeated vomiting
- Seizures
- Increasing confusion or difficulty waking up
- Weakness or numbness in limbs

Conclusion
Recovering from a concussion can be a gradual process, and it is essential to listen to your body and give yourself the time needed to heal. By following these recommendations and maintaining open communication with your healthcare provider, you can effectively manage your symptoms and work towards a full recovery. Remember, every individual’s recovery journey is unique, and it’s important to be patient with yourself during this time.

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