Post-Trauma Symptoms: When to Worry After a Head Injury - Neurology

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The right occipital region was struck?


1.
How long after a head injury can the possibility of delayed bleeding be ruled out?
2.
The area of impact is slightly pink but disappeared after applying ice; there is some pain, but it is not significant (the pain is mainly in the right posterior part of the head, which is less pronounced).
Should I be concerned about dizziness and nausea?
3.
My left hand feels slightly shaky after being hit by the handle of an umbrella, and it has been about two days.
I previously asked Dr.
Jiang about this, but I still feel a bit uneasy.
Thank you very much, Doctor, for taking the time to respond.

Wu Yan, 10~19 year old female. Ask Date: 2020/09/27

Dr. Jiang Junyi reply Neurology


Hello: If you are concerned, it is advisable to consult a neurologist to discuss examinations.
2.
The area that was hit is slightly pink, but it disappeared after applying ice.
There is some pain, but it is not significant (the pain is mainly in the right posterior part of the head, which is less pronounced).
Should I be worried about dizziness and nausea? 3.
There is a slight tremor in the left hand, which may indicate sympathetic nervous system tension or thyroid dysfunction.
I recommend that you consult a neurologist for discussion and treatment.
Wishing you good health and peace.
Dr.
Jiang from the Neurology Department cares about you.

Reply Date: 2020/09/27

More Info


When it comes to head injuries, understanding the symptoms and knowing when to seek medical attention is crucial. After a head trauma, various symptoms can manifest, and while some may resolve on their own, others could indicate a more serious condition that requires immediate medical intervention.

1. Timing for Excluding Delayed Hemorrhage: After a head injury, the risk of delayed intracranial hemorrhage (bleeding within the skull) is a significant concern. Generally, the most critical period for monitoring symptoms is within the first 24 to 48 hours post-injury. However, delayed symptoms can occur up to a week later. If you experience worsening headaches, confusion, repeated vomiting, or any changes in consciousness, it is essential to seek medical attention immediately. A healthcare provider may recommend imaging studies, such as a CT scan, to rule out any bleeding.

2. Symptoms of Dizziness and Nausea: Experiencing dizziness and nausea after a head injury can be concerning. These symptoms may indicate a concussion or other forms of brain injury. If the pain at the site of impact is mild and has decreased after applying ice, that is a positive sign. However, persistent dizziness and nausea warrant further evaluation. It’s important to monitor these symptoms closely; if they worsen or if new symptoms arise, such as severe headaches or visual disturbances, you should seek medical care.

3. Left Hand Tremors: The tremor in your left hand after being struck by an umbrella pole could be a result of nerve irritation or a mild concussion. While minor tremors can occur due to anxiety or stress, they can also be indicative of neurological issues, especially following a head injury. If the tremor persists or worsens, or if you notice other neurological symptoms (like weakness, numbness, or coordination problems), it is advisable to consult a neurologist for a thorough evaluation.

In summary, after a head injury, it is essential to monitor for symptoms such as severe headaches, confusion, dizziness, nausea, and any neurological changes. While some symptoms may resolve with time and rest, others could signify more serious conditions that require prompt medical attention. Always err on the side of caution—if you are unsure about your symptoms or if they change, seeking medical advice is the best course of action.
Additionally, maintaining a healthy lifestyle, including proper hydration, nutrition, and rest, can aid recovery after a head injury. Avoiding alcohol and strenuous activities until cleared by a healthcare provider is also recommended. If you have any concerns about your symptoms or recovery, do not hesitate to reach out to a healthcare professional for guidance.

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