Concerns After a Slip and Fall: Head Injury Symptoms - Neurosurgery

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Slip backward?


Hello Doctor, I slipped and fell backward the day before yesterday due to a wet floor.
I had my hair in a ponytail, and I’m not sure if the back of my head hit the ground.
At that moment, I experienced some tinnitus and dizziness, but I did not have any significant headache.
There were no visible injuries, swelling, or tenderness on my head.
For the past three days, I have been experiencing mild headaches and dizziness, but I am worried about the possibility of a brain hemorrhage.
Additionally, I have had some clear nasal discharge over the past three days (which goes away after wiping with a tissue).
I often have allergies that cause a runny nose, but since the discharge is clear and I haven’t paid much attention to the color in the past, I’m a bit anxious.
I hope you can provide some guidance.
Thank you!

pinggu, 10~19 year old female. Ask Date: 2018/08/31

Dr. Zhao Shaoqing reply Neurosurgery


If there is persistent clear nasal discharge, and the possibility of a skull base fracture has been ruled out, it is necessary to go to a major hospital for examination.

Reply Date: 2018/08/31

More Info


After experiencing a slip and fall, especially one that involves a potential head injury, it is completely understandable to have concerns about the symptoms that may arise. In your case, you mentioned that you fell backward on a wet surface and experienced some initial symptoms like tinnitus (ear ringing) and dizziness, but no significant headache or visible injury at the time. However, you have since developed mild headaches and dizziness over the past few days, which can understandably cause anxiety regarding the possibility of more serious conditions such as a brain hemorrhage.

Firstly, it is important to recognize that head injuries can lead to a variety of symptoms, some of which may not appear immediately. Common symptoms following a head injury include headaches, dizziness, confusion, nausea, and sometimes tinnitus. The absence of a visible injury or significant pain does not rule out the possibility of a concussion or other forms of brain injury. In fact, concussions can occur even without a direct impact to the head, as the brain can be jolted within the skull during a fall.

The symptoms you are experiencing—mild headaches and dizziness—can be indicative of a concussion, especially if they persist. It is also worth noting that the presence of clear nasal discharge could be related to allergies or a mild upper respiratory issue, but it is essential to monitor this symptom closely. If the nasal discharge changes color (becomes yellow or green) or is accompanied by other symptoms such as fever, it may indicate an infection that should be evaluated by a healthcare professional.

Regarding your concerns about a brain hemorrhage, it is crucial to be aware of the warning signs. Symptoms that may suggest a more serious condition include:
1. Severe or worsening headache: If your headache becomes significantly worse or is different from what you have experienced before.

2. Persistent dizziness or balance issues: If you find it increasingly difficult to maintain your balance or if dizziness worsens.

3. Nausea or vomiting: Especially if it is persistent and not related to other causes.

4. Changes in consciousness: Such as confusion, difficulty waking up, or unusual behavior.

5. Visual disturbances: Blurred vision or seeing double.

6. Weakness or numbness: Particularly if it affects one side of the body.

If you experience any of these symptoms, it is imperative to seek medical attention immediately.
In the absence of these severe symptoms, it is still advisable to follow up with a healthcare provider for a thorough evaluation. They may recommend imaging studies such as a CT scan or MRI to rule out any serious injuries. Additionally, they can provide guidance on managing your symptoms, which may include rest, hydration, and possibly medication for headache relief.

In the meantime, it is essential to take care of yourself. Ensure you are getting adequate rest, as sleep is crucial for recovery from any head injury. Avoid strenuous activities and limit screen time, as these can exacerbate symptoms. If you have a history of allergies, consider managing those symptoms with appropriate medications, but consult with a healthcare provider for the best course of action.

In summary, while your symptoms may not indicate a severe issue, it is always better to err on the side of caution when it comes to head injuries. Regular monitoring of your symptoms and seeking medical advice when necessary will help ensure your safety and well-being.

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