Head Injury from Garbage Bin: Symptoms and Follow-Up Care

Head injury on May 30, 2022?

Hello Dr.
Chang, I would like to ask about an incident that occurred on May 30th.
I was hit on the head by the lid of a large green garbage bin at a landfill, which fell at a 90-degree angle (I was trying to retrieve something I accidentally threw away).
The impact was quite strong, and I felt dizzy for a moment.
I had a 4 cm laceration that required two stitches.
I went to the emergency room immediately, but no X-rays or other examinations were performed, and I returned home.
Since I have been studying for exams recently, I have been reading for at least 8 hours a day.
On the morning of June 3rd, I experienced a headache, but it improved by the evening.
However, I felt dizzy again that night.
I am concerned about the possibility of a brain hemorrhage.
Should I schedule a follow-up appointment for further evaluation? Thank you.

Xiao Tian, 20~29 year old female. Ask Date: 2022/06/03

Dr. Zhang Junwei reply Neurosurgery

Headaches and dizziness are common after head trauma.
If symptoms persist, please visit a neurosurgery outpatient clinic for evaluation.

Reply Date: 2022/06/03

More Info

Hello! It sounds like you had quite an incident with the garbage bin, and I understand your concerns regarding the potential consequences of a head injury. Given the details you've provided, let's break down the situation and discuss the symptoms, potential risks, and follow-up care.

Symptoms to Monitor
After a head injury, it's crucial to monitor for specific symptoms that could indicate a more serious condition, such as intracranial bleeding or a concussion. Here are some symptoms to watch for:
1. Persistent Headache: While it's common to experience headaches after a head injury, if the headache worsens or becomes severe, it could be a sign of complications.

2. Dizziness or Balance Issues: Feeling dizzy or having trouble maintaining balance can indicate a concussion or other issues related to brain function.

3. Nausea or Vomiting: These symptoms can also be associated with increased intracranial pressure or concussion.

4. Changes in Consciousness: If you experience confusion, difficulty waking up, or any changes in your level of consciousness, seek medical attention immediately.

5. Vision Changes: Blurred vision or seeing double can be concerning and should be evaluated.

6. Memory Problems: Difficulty remembering events before or after the injury can indicate a concussion.

Follow-Up Care
Given that you experienced a significant impact to the head, even if you initially felt fine, it is advisable to follow up with a healthcare provider. Here are some steps you can take:
1. Return to the Doctor: Since you mentioned that you did not have any imaging done at the time of the injury, it would be prudent to return to your doctor for a thorough evaluation. They may recommend a CT scan or MRI to rule out any internal bleeding or other complications.

2. Rest and Recovery: It's essential to allow your brain to recover. While studying for exams is important, try to balance your study time with adequate rest. Overexertion can exacerbate symptoms.

3. Avoid Strenuous Activities: For at least a few days following the injury, avoid activities that could risk another head injury, such as sports or heavy lifting.

4. Monitor Symptoms: Keep a diary of any symptoms you experience, noting their severity and duration. This information can be helpful for your healthcare provider.

5. Hydration and Nutrition: Ensure you are well-hydrated and eating a balanced diet, as this can support your recovery.

6. Gradual Return to Activities: Once you feel better, gradually return to your normal activities. If you notice any symptoms returning or worsening, take a step back and consult your healthcare provider.

Conclusion
In summary, while you may feel fine now, the nature of head injuries requires careful monitoring and follow-up. Given your symptoms of headache and dizziness, I recommend that you seek medical attention to ensure there are no underlying issues that need to be addressed. Your health and safety are the top priority, so don't hesitate to reach out to a healthcare professional for further evaluation. Take care, and I wish you a smooth recovery!

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