Head Injury Concerns: When to Seek Medical Attention for Symptoms

Head issues?

Three weeks ago, I hit my head on the top when I lay down with force.
A few days later, I experienced dizziness and visited an ENT specialist, which helped improve my condition.
Recently, I have been experiencing hand tremors and tinnitus, along with a dull, tight headache that doesn't last all day.
I am very concerned about the possibility of a brain hemorrhage.
Should I see a doctor for this? Also, what are the symptoms of chronic subdural hematoma? Thank you.

Niming, 10~19 year old female. Ask Date: 2019/03/30

Dr. Zhang Junwei reply Neurosurgery

Continuous observation is necessary, as the symptoms of chronic subdural hematoma can vary.
If there is no improvement with medication and rest, it is recommended to consult a neurosurgery outpatient clinic for further evaluation.

Reply Date: 2019/03/30

More Info

When it comes to head injuries, understanding when to seek medical attention is crucial for ensuring your health and safety. Based on your description, it seems you experienced a head injury three weeks ago, which has led to symptoms such as dizziness, hand tremors, tinnitus (ear ringing), and a dull, tight headache. These symptoms can be concerning, especially considering the potential for serious complications like intracranial bleeding or chronic subdural hematoma.

When to Seek Medical Attention
1. Persistent or Worsening Symptoms: If you notice that your symptoms are not improving or are getting worse, it is essential to consult a healthcare professional. Symptoms like persistent headaches, dizziness, or changes in your neurological status (such as tremors or tinnitus) warrant further evaluation.

2. Neurological Symptoms: Any new neurological symptoms, such as weakness, numbness, difficulty speaking, or coordination problems, should prompt immediate medical attention. These could indicate a more serious condition, such as a stroke or significant intracranial injury.

3. Changes in Consciousness: If you experience confusion, difficulty waking up, or any changes in your level of consciousness, you should seek emergency medical care. These symptoms can be indicative of increased intracranial pressure or bleeding.

4. Severe Headaches: While headaches are common after a head injury, a sudden, severe headache or a headache that feels different from your usual headaches should be evaluated. This could be a sign of a serious condition like a subarachnoid hemorrhage.

Chronic Subdural Hematoma Symptoms
Chronic subdural hematomas can develop weeks to months after a head injury, particularly in older adults or those on anticoagulant therapy. Symptoms may include:
- Headaches: Often described as persistent and worsening over time.

- Cognitive Changes: Memory problems, confusion, or changes in personality.

- Neurological Deficits: Weakness or numbness in the limbs, difficulty walking, or coordination issues.

- Seizures: In some cases, seizures may occur due to irritation of the brain.

Recommendations
Given your symptoms of dizziness, hand tremors, and a dull headache, it is advisable to seek medical attention. A healthcare provider may recommend imaging studies, such as a CT scan or MRI, to assess for any bleeding or other structural issues within the brain. Additionally, they may perform a neurological examination to evaluate your symptoms further.

In the meantime, monitor your symptoms closely. If you experience any new or worsening symptoms, such as severe headaches, confusion, or changes in your ability to move or speak, seek emergency care immediately.

Conclusion
Head injuries can have serious consequences, and it is always better to err on the side of caution. If you are feeling uncertain about your symptoms or their implications, do not hesitate to reach out to a healthcare professional. They can provide the necessary evaluations and peace of mind regarding your health. Remember, timely intervention can make a significant difference in outcomes related to head injuries.

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