Brain Discomfort: Dental Procedures, Head Injuries, and COVID-19 Effects - Family Medicine

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Abnormal brain function?


1.
Can the extraction of two upper molars lead to discomfort in the brain or various cognitive dysfunctions?
2.
Recently, I was struck on the head by a 20-kilogram iron pipe that fell from a height of 15 centimeters.
Could this cause abnormalities in brain function? A neurologist performed X-rays and a CT scan, which were normal, and recommended seeing a psychiatrist, but I still feel discomfort in my head.

3.
Due to a family member being infected with COVID-19, I was in quarantine and developed a fever fluctuating between 37.5 and 38.5 degrees Celsius, along with a runny nose and a slightly hoarse throat about two months ago.
At that time, I only took over-the-counter antipyretics and drank herbal tea, without going to the hospital.
After about 4 to 5 days, I gradually recovered.
Is there a possibility of experiencing brain fog as a lingering effect? I started feeling discomfort in my head after the tooth extraction, and following the aforementioned incidents, I am unsure what is happening to my brain.
I currently feel foggy and have difficulty thinking.
I try to maintain a regular lifestyle without overexerting my mind, but I know something is not right.
I am uncertain about what to do next.
What is happening to me? Thank you for your response, doctor.

Xiao Zhi, 30~39 year old female. Ask Date: 2022/09/27

Dr. Liao Yaopan reply Family Medicine


1.
Would extracting two upper molars lead to discomfort in the brain or various neurological dysfunctions? --> Theoretically, the correlation should be minimal.
It is advisable to have a dental examination to assess the situation after the procedure.
2.
Recently, a 20-kilogram iron pipe fell from a height of 15 centimeters and struck the top of my head.
Could this cause neurological issues? A neurological examination with X-rays and CT scans showed normal results, but I was advised to see a psychiatrist due to ongoing discomfort.
--> It is recommended to seek an evaluation from a neurosurgeon.
3.
Due to a family member being infected with COVID-19, I am currently in quarantine and have developed a fever fluctuating between 37.5 to 38.5 degrees Celsius, along with a runny nose and a slightly hoarse throat.
This occurred about two months ago, during which I only took over-the-counter antipyretics and drank herbal tea, without visiting a hospital.
After about 4 to 5 days, I gradually improved.
Is there a possibility of experiencing brain fog as a long-term effect? --> Have you been doing regular rapid tests? If you have cold symptoms, it is still important to self-screen.
If you continue to feel unwell, you should seek medical assistance from a neurologist.
Online consultations do not equate to in-person medical care and cannot provide a diagnosis or treatment recommendations.
Changhua Hospital cares about your well-being.

Reply Date: 2022/09/27

More Info


Understanding brain discomfort can be complex, especially when multiple factors such as dental procedures, head injuries, and viral infections like COVID-19 are involved. Let's break down your concerns systematically.

1. Dental Procedures and Brain Discomfort: The extraction of upper molars, while it can lead to localized pain and discomfort, is generally not associated with direct brain dysfunction or significant neurological issues. The discomfort you are experiencing could be related to several factors, including anxiety, stress, or even referred pain from the dental procedure. It's important to note that while dental infections can occasionally lead to complications, such as sinusitis or, in rare cases, brain abscesses, these are typically accompanied by other symptoms like fever, swelling, or persistent pain. If your extraction site healed well and you did not experience any signs of infection, it is unlikely that the dental procedure is the primary cause of your ongoing brain discomfort.

2. Head Injury from Falling Object: Being struck on the head by a heavy object, such as a 20-kilogram iron pipe, can certainly raise concerns about potential brain injury. However, if imaging studies like X-rays and CT scans have shown no abnormalities, it is reassuring. Symptoms such as headaches, dizziness, or cognitive difficulties following a head injury can sometimes be attributed to post-concussion syndrome, which may not show up on imaging but can still cause significant discomfort. If you continue to feel unwell, it may be beneficial to consult a neurologist who can provide a more thorough evaluation and consider other potential causes of your symptoms.

3. COVID-19 and Brain Fog: Your experience of fever and respiratory symptoms following exposure to COVID-19 raises the possibility of "brain fog," a term used to describe cognitive impairment that can occur after viral infections, including COVID-19. This condition can manifest as difficulty concentrating, memory issues, and a general sense of mental fatigue. While most individuals recover fully, some may experience lingering symptoms for weeks or even months after the initial infection. It’s essential to monitor your symptoms and consider follow-up care if they persist. Engaging in regular physical activity, maintaining a healthy diet, and ensuring adequate sleep can help support cognitive function during recovery.

In summary, while your symptoms are concerning, they may not be directly linked to a single cause. The interplay of dental procedures, head trauma, and potential viral effects could all contribute to your current state of discomfort. It is crucial to continue seeking medical advice, particularly from specialists who can provide targeted assessments and interventions. Keeping a symptom diary, noting when discomfort occurs and any associated activities, can also be helpful for your healthcare providers in diagnosing and treating your condition effectively. Remember, you are not alone in this, and there are pathways to recovery and relief.

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