Should You See a Doctor After a Minor Head Injury?

Hit the side of the head?

Two days ago, I slipped while getting out of bed and hit the side of my head (near the ear) against the bedside table.
I was very close to the table when I hit it, and the sound was quite loud.
At the moment of impact, I was fully conscious and didn't feel much pain, and there were no visible injuries, so I didn't pay much attention to it.
The next day, I didn't notice any bruising, and there was no pain when I pressed on the area, but I have been feeling a vague sense of nausea, which I’m unsure if it’s psychological.
My appetite is normal, and I have not experienced dizziness, headaches, or any other symptoms.
Should I seek medical attention for this? Which specialty should I consult? Thank you.

Niming, 20~29 year old female. Ask Date: 2022/08/31

Dr. Zhang Junwei reply Neurosurgery

You may continue to monitor the situation, but if symptoms worsen, please seek medical attention promptly.

Reply Date: 2022/08/31

More Info

After a minor head injury, such as the one you described where you bumped your head against a bedside table, it is essential to monitor your symptoms closely. While you did not experience immediate pain, loss of consciousness, or visible bruising, the lingering sensation of nausea can be concerning. Here’s a comprehensive overview of what you should consider regarding your situation.

When to Seek Medical Attention
1. Symptoms to Watch For: Although you currently feel fine, certain symptoms warrant immediate medical evaluation. These include:
- Persistent or worsening headache
- Nausea or vomiting
- Dizziness or balance issues
- Confusion or difficulty concentrating
- Changes in vision or hearing
- Loss of consciousness, even briefly
- Seizures
2. Delayed Symptoms: It’s important to note that some symptoms may not appear immediately after the injury. For instance, intracranial bleeding (like a subdural hematoma) can develop hours or even days after the trauma. If you start experiencing any of the symptoms listed above, you should seek medical attention promptly.

3. Psychological Factors: It’s also possible that your nausea could be related to anxiety or psychological factors, especially if you are worried about the injury. However, it is always better to err on the side of caution.

Recommended Actions
Given your current symptoms, here are some steps you can take:
- Observation: Continue to monitor your symptoms closely for the next 24-48 hours. If you notice any changes or the onset of new symptoms, seek medical attention.

- Rest: Ensure you get plenty of rest. Avoid strenuous activities or anything that could exacerbate your symptoms.

- Hydration and Nutrition: Maintain a balanced diet and stay hydrated, as dehydration can also contribute to feelings of nausea.

Which Specialist to See
If you decide to seek medical attention, the best course of action would be to visit a neurologist or an emergency room. Neurologists specialize in conditions affecting the nervous system, including head injuries, and can provide a thorough evaluation. If you go to the emergency room, they will likely perform a physical examination and may order imaging tests, such as a CT scan, to rule out any serious injuries.

Conclusion
In summary, while your initial symptoms may not seem severe, the potential for delayed complications from a head injury necessitates caution. If you continue to feel unwell or develop new symptoms, do not hesitate to seek medical advice. It is always better to be safe and have a professional evaluate your condition, especially when it comes to head injuries. Remember, your health and safety are paramount, and timely intervention can prevent more serious complications down the line.

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