Head Injuries: Symptoms and Recovery Tips

Q: Head Injuries: Symptoms and Recovery Tips

Hello： You mentioned (1) Is it normal to experience dizziness, blurred vision, or even a brief loss of consciousness after hitting the back of the head? A： Yes, because the occipital lobe is responsible for vision, external force impacts can cause temporary visual symptoms, such

Head issues

Hello Doctor: Last night I fell and hit my buttocks.
After getting up, I experienced dizziness and blurred vision that lasted for about 20 seconds.
During that time, I also hit the back left side of my head.
After 20 seconds, I returned to normal but noticed that touching the back left side of my head was painful.
I had no trouble sleeping last night, and this morning, aside from the pain when touching the back of my head, I did not experience any dizziness, nausea, or other symptoms.
I would like to ask: (1) Is it normal to experience dizziness, blurred vision, or even a brief loss of consciousness after hitting the back of the head, followed by recovery? (2) Since the back left side of my head is not swollen but is painful to the touch, does this indicate a possible internal brain injury? (3) Lastly, what should I be aware of during the observation period?

FF, 20~29 year old female. Ask Date: 2021/05/13

Dr. Jiang Junyi reply Neurology

Hello: You mentioned (1) Is it normal to experience dizziness, blurred vision, or even a brief loss of consciousness after hitting the back of the head? A: Yes, because the occipital lobe is responsible for vision, external force impacts can cause temporary visual symptoms, such as seeing stars.
(2) The left occipital area does not appear swollen but is painful to touch; does this indicate a possible internal brain injury? (3) Lastly, what should I pay attention to during the observation period? A: Generally, if there is no loss of consciousness, no anticoagulant medication taken, or no obvious localized hematoma, head injuries are mostly minor.
However, consider seeking emergency care if the following occur: (1) Deterioration of vision, seeing double (diplopia), or unequal pupil size.
(2) Clear fluid or blood draining from the ears or nose.
(3) Confusion or abnormal behavior.
(4) Numbness or inability to move limbs.
(5) Localized involuntary twitching or seizures.
Wishing you good health and peace.
Dr.
Jiang, Department of Neurology, Taoyuan Hospital, cares about you.

Reply Date: 2021/05/13

More Info

Hello! Thank you for your questions regarding head injuries and recovery. It's important to understand the implications of head trauma, especially when symptoms like dizziness and pain are involved. Let's address your concerns one by one.

1. Is it normal to experience dizziness, blurred vision, or even a brief loss of consciousness after hitting the back of the head?
Yes, experiencing dizziness and blurred vision after a head injury can be relatively common, especially if there was a significant impact. These symptoms may indicate a concussion or mild traumatic brain injury (TBI). The brain is a delicate organ, and even minor impacts can lead to temporary disruptions in its function. If you experienced a brief loss of consciousness, even for a few seconds, it is essential to monitor your symptoms closely, as this could indicate a more serious injury.

2. If the area on the back of my head is painful to touch but not swollen, does this mean there might be an internal injury?
Pain at the site of impact without visible swelling can occur due to soft tissue injury, such as a contusion or bruise. However, it does not necessarily indicate an internal injury like a concussion or hemorrhage. That said, persistent pain, especially if it worsens or is accompanied by other symptoms (e.g., severe headache, confusion, vomiting), should prompt further evaluation by a healthcare professional. It’s crucial to be vigilant about any changes in your condition.

3. What should I observe during the recovery period?
During your recovery, it’s essential to monitor for any new or worsening symptoms. Here are some key points to consider:
- Rest: Ensure you get plenty of rest. Avoid strenuous activities, both physical and mental, until you feel completely better.

- Hydration and Nutrition: Stay hydrated and maintain a balanced diet to support your recovery.

- Monitor Symptoms: Keep track of any symptoms such as headaches, dizziness, nausea, or changes in vision. If these symptoms worsen or new symptoms develop, seek medical attention promptly.

- Avoid Alcohol and Drugs: These substances can impair your recovery and exacerbate symptoms.

- Limit Screen Time: Reducing time spent on screens (phones, computers, TVs) can help minimize eye strain and headaches.

- Follow-Up Care: If symptoms persist or worsen, follow up with your healthcare provider for further evaluation. They may recommend imaging studies, such as a CT scan or MRI, to rule out more serious injuries.

In conclusion, while some symptoms after a head injury can be normal, it is crucial to remain vigilant and proactive about your health. If you experience any concerning symptoms or if the pain persists, do not hesitate to seek medical attention. Your health and safety are paramount, and a healthcare professional can provide the best guidance tailored to your specific situation. Take care, and I wish you a smooth recovery!

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