Should You Seek Medical Attention After a Head Injury?

Should I seek further examination after hitting my head against the wall?

About two weeks ago, I was trying to lean back while sitting, but I misjudged the distance and hit my head against a concrete wall.
The impact was quite loud, but since the wall was flat, there were no visible injuries and I didn't lose consciousness.
At the time, I also didn't feel any significant swelling.
However, starting the next day, I experienced mild dizziness and headaches for about 3-5 days (the discomfort was not localized to the impact site but affected my entire head).
These symptoms have improved over the past few days, and now I occasionally feel a sudden sharp pain at the impact site.
Should I seek further medical evaluation?

Tsai, 20~29 year old female. Ask Date: 2021/07/05

Dr. Zhang Junwei reply Neurosurgery

If the symptoms do not persist or worsen, observation may be sufficient.

Reply Date: 2021/07/05

More Info

After experiencing a head injury, especially one that involves a significant impact like hitting a concrete wall, it is crucial to monitor your symptoms closely. Based on your description, it seems that you did not lose consciousness and did not have any visible external injuries, which is a positive sign. However, the presence of symptoms such as dizziness and headaches following the injury warrants careful consideration.

In general, head injuries can lead to various complications, including concussions, intracranial hemorrhages, or other forms of brain injury. The symptoms you experienced—dizziness and headaches—are common after a head injury and can be indicative of a concussion or other mild traumatic brain injury. The fact that these symptoms have improved over the past few days is encouraging, but it is essential to remain vigilant.

Here are some key points to consider regarding whether you should seek medical attention:
1. Observation Period: The initial observation period for head injuries is typically around 24 to 48 hours. During this time, it is crucial to monitor for any worsening symptoms, such as increased headache intensity, persistent dizziness, confusion, difficulty concentrating, or any changes in vision or balance.

2. Symptoms to Watch For: If you experience any of the following symptoms, it is advisable to seek medical attention immediately:
- Severe or worsening headache
- Repeated vomiting
- Seizures
- Loss of consciousness, even briefly
- Weakness or numbness in any part of the body
- Slurred speech or difficulty speaking
- Changes in behavior or confusion
3. Current Symptoms: Since your symptoms have improved and you are only experiencing occasional sharp pain at the impact site, it may not be necessary to seek immediate medical attention. However, if the sharp pain becomes more frequent or severe, or if you develop new symptoms, it would be wise to consult a healthcare professional.

4. Follow-Up Care: Even if your symptoms are improving, it is still a good idea to have a follow-up with a healthcare provider, especially if you have concerns about the injury. They can perform a thorough neurological examination and may recommend imaging studies, such as a CT scan, to rule out any internal injuries.

5. Rest and Recovery: In the meantime, ensure you are getting plenty of rest and avoiding activities that could put you at risk for another head injury. Hydration and a balanced diet can also support your recovery.

6. When to Seek Help: If you are ever in doubt about your symptoms or if they change, it is always better to err on the side of caution and consult a medical professional. They can provide reassurance and guidance tailored to your specific situation.

In conclusion, while your current symptoms seem manageable, it is essential to remain vigilant and seek medical attention if there are any changes or worsening of your condition. Your health and safety should always be the priority following a head injury.

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