Post-Accident Nausea: Is It Normal After a Car Crash? - Neurology

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Nausea after a car accident?


Hello, a couple of days ago I was in a car accident where I did not hit my head and was wearing a helmet.
At the time, I did not experience any nausea or dizziness.
However, when I got home that evening, I started to have a loss of appetite and felt nauseous (without dizziness).
The next day, I still felt very nauseous.
Is this normal? Thank you.

w522, 20~29 year old female. Ask Date: 2022/02/26

Dr. Jiang Junyi reply Neurology


Hello Miss W522: Generally speaking, if there is no loss of consciousness, the use of anticoagulants, or obvious local hematomas, head injuries are usually mild.
However, the following conditions should be considered for delayed bleeding, and you should seek emergency care: (1) Deterioration of vision, seeing double (diplopia), or unequal pupil size.
(2) Clear fluid or blood leaking from the ears or nose.
(3) Confusion or abnormal behavior.
(4) Numbness or inability to move limbs.
(5) Localized involuntary movements or seizures.
You mentioned that "after returning home in the evening, I started to have a loss of appetite and felt nauseous (without dizziness), and the next day I still felt very nauseous." This phenomenon may suggest symptoms of a concussion.
Symptoms of a concussion include headache, nausea, generalized weakness, difficulty concentrating, and drowsiness.
Symptoms can vary from person to person and usually resolve gradually within 7 to 10 days after the injury.
However, symptoms may worsen due to various stimuli, and if the patient does not rest adequately, symptoms persisting for more than three months without improvement or resolution may indicate progression to post-concussion syndrome.
If symptoms continue to persist without improvement, it is advisable to consult a neurosurgeon for evaluation and treatment.
If the condition progresses rapidly, it is recommended to go to the emergency room.
Thank you for your inquiry, and feel free to discuss further.
Wishing you good health and peace.
Dr.
Jiang Junyi, Taoyuan Hospital, cares for you.

Reply Date: 2022/02/26

More Info


After a car accident, experiencing nausea can be a common reaction, even if you did not sustain any visible injuries or hit your head. The body can respond to trauma in various ways, and nausea may be one of those responses. Here’s a deeper look into why you might be feeling this way and what you should consider moving forward.


Understanding Post-Accident Nausea
1. Physiological Response: After a traumatic event like a car accident, your body goes into a state of stress. This can trigger the release of stress hormones such as adrenaline and cortisol. These hormones can affect your digestive system, leading to symptoms like nausea and loss of appetite. This is sometimes referred to as "stress-induced nausea."
2. Delayed Symptoms: It’s not uncommon for symptoms to manifest hours or even days after the incident. While you may not have felt any immediate symptoms, your body could still be processing the event, leading to feelings of nausea later on.
3. Muscle Tension: The physical tension that often accompanies stress can also affect your stomach and digestive tract, potentially leading to nausea. If you were tense during the accident or are feeling anxious afterward, this could contribute to your current symptoms.

4. Injury Considerations: Although you mentioned that you did not hit your head, it’s important to consider that other injuries can occur in a car accident that may not be immediately apparent. For example, whiplash or other soft tissue injuries can cause discomfort that might lead to nausea.
5. Emotional Factors: The psychological impact of being in a car accident can also lead to feelings of anxiety or distress, which can manifest as physical symptoms, including nausea.

When to Seek Medical Attention
While nausea can be a normal response to a car accident, it’s important to monitor your symptoms. Here are some signs that you should seek medical attention:
- Persistent Nausea: If your nausea continues for more than a couple of days or worsens, it’s advisable to consult a healthcare professional.

- Severe Pain: If you experience severe abdominal pain or any other unusual symptoms, it’s important to get checked out.

- Changes in Consciousness: If you experience dizziness, confusion, or any changes in your level of consciousness, seek immediate medical attention.

- Other Symptoms: If you develop additional symptoms such as vomiting, fever, or severe headaches, these could indicate a more serious condition that requires evaluation.


Conclusion
In summary, while experiencing nausea after a car accident can be a normal physiological response, it’s essential to stay vigilant about your symptoms. If your nausea persists or is accompanied by other concerning symptoms, don’t hesitate to reach out to a healthcare provider for further evaluation. They can help determine if there are any underlying issues that need to be addressed and provide you with the appropriate care. Remember, your health and well-being are paramount, and it’s always better to err on the side of caution when it comes to your health.

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