Head Injury Concerns: When to Seek Medical Attention After a Bump

Head trauma

Hello doctor, yesterday when I was closing the rear car door, I accidentally hit my dad's head without noticing.
He was conscious at the time but felt a lot of pain and has a small bruise on the top of his head.
Today, he has no other discomfort.
Is there a possibility of intracranial bleeding? Should we take him to the hospital immediately, or can we observe him for a while? How long should we observe him? Thank you, doctor.

Tim, 50~59 year old female. Ask Date: 2023/01/23

Dr. Zhang Junwei reply Neurosurgery

The likelihood of intracranial hemorrhage is low; however, if there is persistent headache and dizziness, immediate medical attention should be sought.

Reply Date: 2023/01/23

More Info

When it comes to head injuries, especially those involving a bump or impact, it's crucial to understand the potential risks and when to seek medical attention. In your case, your father experienced a bump on the head with some bruising but is currently alert and without significant symptoms. However, there are several factors to consider regarding the possibility of intracranial bleeding and the need for further evaluation.

Firstly, it’s important to note that head injuries can sometimes lead to serious complications, including intracranial hemorrhage (bleeding within the skull). This can occur even if the person appears fine immediately after the injury. Symptoms of intracranial bleeding may not present themselves right away; they can develop over hours or even days. Common signs to watch for include:
1. Persistent or worsening headache: While a mild headache can be normal after a bump, a severe or worsening headache could indicate a more serious issue.

2. Nausea or vomiting: If your father starts to feel nauseous or vomits, this could be a sign of increased intracranial pressure.

3. Confusion or changes in consciousness: Any changes in alertness, confusion, or difficulty waking up should be taken seriously.

4. Seizures: The occurrence of seizures after a head injury is a medical emergency.

5. Weakness or numbness: If he experiences weakness or numbness in any part of the body, it could indicate a neurological issue.

Given that your father is currently alert and has no other symptoms, it may be reasonable to observe him for a short period. However, it is essential to monitor him closely for any of the symptoms mentioned above. If any concerning symptoms develop, you should seek medical attention immediately.

As for how long to observe, a general guideline is to keep a close watch for at least 24 hours after the injury. If he remains symptom-free during this time, the risk of serious complications decreases significantly. However, if you have any doubts or if his condition changes, it is always better to err on the side of caution and consult a healthcare professional.

In summary, while your father may not need immediate medical attention if he remains symptom-free, it is crucial to monitor him closely for any signs of complications. If any concerning symptoms arise, do not hesitate to seek medical help. Remember, head injuries can be unpredictable, and it’s always better to be safe than sorry when it comes to brain health.

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