Head Injuries: Symptoms and When to Seek Help - Neurosurgery

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Head trauma


Hello, today (June 7) around noon, I lost control of my emotions and self-harmed by hitting my head against a wall, pulling my hair, and repeatedly striking the edge of my desk and the wooden door of my wardrobe.
The areas impacted on my head include: forehead, back of the head, and both temples.
Currently, I am experiencing throbbing pain in both temples and the lower right side of my head (approximately near the right ear), along with dizziness, unsteadiness while walking, and no visible external injuries.
What should I do to address this issue? Is there a possibility of a concussion or other problems? Thank you!

Yangyang, 10~19 year old female. Ask Date: 2021/06/07

Dr. Zhang Junwei reply Neurosurgery


Please schedule an appointment with the neurosurgery outpatient clinic for evaluation.

Reply Date: 2021/06/07

More Info


Head injuries can be serious and require careful evaluation and management. Based on your description of the incident and the symptoms you are experiencing, it is crucial to understand the potential implications of your head trauma and when to seek medical help.


Symptoms of Head Injuries
After a head injury, symptoms can vary widely. Common symptoms include:
1. Headache: This can range from mild to severe and may be localized or generalized.

2. Dizziness or Balance Issues: Feeling unsteady or dizzy can indicate a concussion or other brain injury.

3. Nausea or Vomiting: These symptoms can occur due to increased intracranial pressure or irritation of the brain.

4. Confusion or Memory Issues: Difficulty concentrating or remembering events surrounding the injury can be a sign of a concussion.

5. Sensitivity to Light or Noise: Many individuals report increased sensitivity following a head injury.

6. Fatigue or Drowsiness: Feeling unusually tired or having difficulty staying awake can be concerning.

In your case, the symptoms of throbbing pain in the temples, a feeling of heaviness in the head, and unsteadiness while walking are particularly concerning. These symptoms could indicate a concussion or other forms of brain injury, even in the absence of visible external injuries.


When to Seek Medical Help
It is essential to seek medical attention if you experience any of the following:
- Worsening Headache: If your headache intensifies or does not improve with rest or over-the-counter pain relief.

- Persistent Dizziness or Balance Problems: If you continue to feel unsteady or dizzy, this could indicate a more serious issue.

- Nausea or Vomiting: Especially if these symptoms are recurrent.

- Confusion or Memory Loss: If you find it difficult to concentrate or remember events.

- Seizures: Any seizure activity following a head injury is a medical emergency.

- Changes in Consciousness: If you feel excessively drowsy or have difficulty waking up.

Given your symptoms, it is advisable to consult a healthcare professional, preferably a neurologist or a specialist in head injuries. They may recommend imaging studies, such as a CT scan or MRI, to rule out any serious conditions like intracranial bleeding or swelling.


Management of Symptoms
While waiting for medical evaluation, you can take some steps to manage your symptoms:
1. Rest: Ensure you get plenty of rest. Avoid strenuous activities and give your brain time to heal.

2. Hydration: Stay hydrated, as dehydration can exacerbate headaches.

3. Pain Relief: Over-the-counter pain relievers, such as acetaminophen, can help alleviate headache symptoms. Avoid NSAIDs like ibuprofen or aspirin initially, as they can increase the risk of bleeding.

4. Avoid Screens: Limit screen time from computers, phones, and televisions, as these can worsen headaches and dizziness.

5. Monitor Symptoms: Keep track of your symptoms and any changes. This information will be helpful for your healthcare provider.


Conclusion
Head injuries can have serious consequences, and your symptoms warrant a thorough evaluation. It is crucial to take your situation seriously and seek medical attention promptly. Remember, early intervention can significantly improve outcomes in cases of head trauma. Please prioritize your health and well-being by consulting a medical professional as soon as possible.

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