Head Injuries: Symptoms, Diagnosis, and Concerns

Head trauma

On the evening of October 22, I stood up in the dormitory (about 40 cm) and hit the top of my head (on the right side).
At that moment, I did not lose consciousness, just felt a brief pain.
I immediately applied ice, and that night I only experienced mild pressure pain.
The next day, I continued to use ice, but by Monday, I started having headaches (near the temples).
While working that evening, after going up and down the stairs, I began to feel dizzy, and there was a heavy discomfort between my eyes (I have a history of nasal allergies).
I also had pain on the right side of my neck.
That night, I went to the emergency room for a CT scan and X-rays, and everything came back normal.
I was very worried about the possibility of a brain hemorrhage.
This morning, I experienced slight cramps in my right thigh, and I felt very anxious and shaky (which improved after adjusting my breathing).
After stretching my legs, I felt fine.
Now, the area where I hit my head sometimes hurts, and since I have a history of migraines and dizziness due to allergies, I have been coughing and feeling like I want to gag (but I haven't vomited).
I'm uncertain if this is related to the head injury, and I continue to feel uneasy.

Ling, 20~29 year old female. Ask Date: 2022/10/26

Dr. Peng Xianwen reply Surgery

On October 26, there was a head impact, and by November 1, after one week, it can be determined that there are no serious issues with the brain.
The symptoms of muscle spasms and coughing are not related to the brain.
If there are still any physical discomforts, it is recommended to return for a follow-up consultation.
Director Peng Hsien-Wen, General Surgery, Nantou Hospital.

Reply Date: 2022/10/26

More Info

Head injuries can be concerning, especially when symptoms such as headaches, dizziness, and neck pain arise after an impact. Your experience of hitting your head and subsequently developing headaches and discomfort is not uncommon, and it raises important questions about the potential consequences of head trauma.

Firstly, it's crucial to understand that head injuries can lead to a variety of symptoms, which may not always appear immediately. Common symptoms following a head injury include headaches, dizziness, nausea, confusion, and in some cases, loss of consciousness. The symptoms you are experiencing, such as headaches near the temples, dizziness, and neck pain, could be indicative of several conditions, including post-concussion syndrome or tension-type headaches, especially if you have a history of migraines.

Given that you have already undergone a CT scan and X-rays that showed no acute issues, it is reassuring that there are no immediate signs of severe injury such as skull fractures or intracranial bleeding. However, it is essential to remain vigilant for any worsening symptoms. Signs that would warrant immediate medical attention include persistent or worsening headaches, confusion, repeated vomiting, seizures, or any fluid leaking from the nose or ears, which could indicate cerebrospinal fluid leakage.

The discomfort you feel in your neck and the occasional pain at the impact site may also be related to muscle tension or strain resulting from the injury. When the head is impacted, the neck muscles can become tense, leading to pain and discomfort. Additionally, your history of migraines and allergies may complicate your symptoms, as stress and tension can trigger migraine episodes.

It's also worth noting that anxiety and stress about the injury can exacerbate physical symptoms. The feelings of tightness in your nose and the sensation of nausea could be linked to anxiety, especially if you are feeling apprehensive about the potential for serious injury. Managing stress through relaxation techniques, such as deep breathing exercises or mindfulness, may help alleviate some of these symptoms.

In terms of management, continuing to ice the affected area can help reduce inflammation and pain. Over-the-counter pain relievers, such as acetaminophen or ibuprofen, can also be beneficial, but be sure to follow the recommended dosages and consult with a healthcare provider if you have any concerns about their use, especially if you have a history of gastrointestinal issues or other contraindications.

If your symptoms persist or worsen, it is advisable to follow up with a neurologist or a healthcare provider specializing in head injuries. They may recommend further evaluation or treatment options, including physical therapy if neck pain continues to be a significant issue.

In summary, while your initial imaging results are reassuring, it is important to monitor your symptoms closely. If you experience any new or worsening symptoms, seek medical attention promptly. Remember to take care of your mental health as well, as anxiety can play a significant role in how we perceive and experience physical symptoms.

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