Persistent Head Issues After Injury: When to Seek Medical Attention?

Head issues

Hello, doctor.
I am currently a senior in college.
When I was in the third year of junior high, I was playing in the restroom and kicked water, causing myself to fly up and hit my head on the ground.
At that moment, I couldn't hear anything and was dazed for a while.
I immediately went to the emergency room afterward.
Since I didn't experience vomiting, only dizziness and a feeling of nausea, I was not diagnosed with a concussion.
However, during that time, whenever I lay down on the area where I hit my head or touched it, I would feel a spinning sensation.
Even moving my head too quickly would trigger it.
After the swelling went down, I felt better, but since that incident, I often forget things.
I used to not get motion sickness, but now I feel a bit dizzy even riding a motorcycle on mountain roads.
I used to be fine on amusement park rides, but now even the brakes of a roller coaster make me feel dizzy and uncomfortable.
I often feel very sleepy, and even when riding on the back of a motorcycle, I struggle to stay awake, despite having slept for a long time.
Occasionally, my head hurts and feels dizzy, and sometimes painkillers don't help; I can only force myself to sleep.
These symptoms have persisted from junior high until now, and I have been unsure whether they are a result of that incident or if there might be a blood clot in my brain.
I haven't thought much about it and haven't sought medical attention.
Is it possible for symptoms like this to continue from that time until now? Should I seek medical care?

33, 20~29 year old female. Ask Date: 2018/08/03

Dr. Zhang Junwei reply Neurosurgery

It is impossible for a blood clot from the third year of junior high to remain until now; it can only be said that this is a consequence of head trauma.
Alternatively, you may want to consult an otolaryngologist to check if there is an issue with your inner ear causing your dizziness.

Reply Date: 2018/08/03

More Info

It sounds like you have been experiencing a range of troubling symptoms since your head injury, which occurred several years ago. The symptoms you describe—persistent dizziness, headaches, memory issues, and increased sensitivity to motion—are concerning and warrant further medical evaluation.

First and foremost, it is important to understand that head injuries can have long-lasting effects, even if they initially seem minor. The symptoms you are experiencing could be indicative of post-concussion syndrome (PCS), a condition that can occur after a concussion or mild traumatic brain injury. PCS can manifest as headaches, dizziness, cognitive difficulties, and emotional changes, and these symptoms can persist for weeks, months, or even longer after the initial injury.

Given that your symptoms have persisted for several years, it is crucial to seek medical attention. A thorough evaluation by a healthcare professional, preferably a neurologist or a specialist in brain injuries, is necessary to determine the underlying cause of your symptoms. They may recommend imaging studies, such as an MRI, to rule out any structural issues, such as blood clots, brain swelling, or other complications that could be contributing to your ongoing symptoms.

In addition to imaging studies, a comprehensive neurological examination will help assess your cognitive function, balance, and coordination. This evaluation can provide valuable insights into whether your symptoms are related to the initial injury or if there are other factors at play.

It is also important to discuss your symptoms in detail with your healthcare provider. Be sure to mention all the changes you have noticed since the injury, including your increased sensitivity to motion, memory issues, and any changes in your sleep patterns. This information will help your doctor make a more accurate diagnosis and develop an appropriate treatment plan.

Treatment for post-concussion syndrome often involves a multidisciplinary approach. This may include physical therapy to address balance and coordination issues, cognitive rehabilitation to help with memory and concentration, and medication to manage headaches or other symptoms. Lifestyle modifications, such as regular sleep patterns, stress management techniques, and avoiding triggers that exacerbate your symptoms, can also be beneficial.

In summary, it is essential to seek medical attention for your persistent symptoms following your head injury. A thorough evaluation by a healthcare professional will help determine the best course of action for your recovery. Remember, you do not have to navigate this alone—there are resources and treatments available to help you regain your quality of life. Don't hesitate to reach out for the support you need.

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