Should You See a Doctor for a Minor Head Injury? - Surgery

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Head issues


Last week, I bumped the upper left side of my forehead near the temple against a wardrobe.
Today, I suddenly noticed a slight swelling, although it's not very noticeable.
It hurts a little when I press on it.
Sometimes, I also feel pain in that area, similar to a headache.
Should I see a doctor, or is ice therapy sufficient? Thank you.

Chen Xi, 10~19 year old female. Ask Date: 2023/03/05

Dr. Peng Xianwen reply Surgery


Scalp pain (pain upon touch) is different from a headache.
If you are concerned, it is advisable to seek medical attention.
Director Peng Hsien-Wen of the General Surgery Department at Nantou Hospital.

Reply Date: 2023/03/05

More Info


When it comes to minor head injuries, it is essential to approach the situation with caution. Even if the injury seems minor, there are several factors to consider before deciding whether to see a doctor.
Firstly, the symptoms you are experiencing—slight swelling, tenderness upon touch, and occasional pain—are not uncommon after a head injury. However, it is crucial to monitor these symptoms closely. Minor head injuries can sometimes lead to complications that may not be immediately apparent. For instance, while a small bump or bruise may seem trivial, it could be indicative of a more serious underlying issue, such as a concussion or intracranial bleeding.

Here are some guidelines to help you decide whether to seek medical attention:
1. Monitor Symptoms: If you notice any worsening of symptoms, such as increasing pain, persistent headaches, dizziness, nausea, vomiting, or changes in vision, you should seek medical attention immediately. These could be signs of a more serious condition that requires prompt evaluation.

2. Cognitive Changes: Pay attention to any changes in your cognitive function, such as confusion, difficulty concentrating, or memory issues. If you experience these symptoms, it is advisable to consult a healthcare professional.

3. Physical Examination: If the swelling increases or if you develop a bruise that spreads significantly, it may be worth visiting a doctor for a physical examination. A healthcare provider can assess the injury and determine if further imaging, such as a CT scan, is necessary to rule out any fractures or internal bleeding.

4. Ice and Rest: For minor injuries, applying ice to the affected area can help reduce swelling and alleviate pain. Make sure to wrap the ice in a cloth to avoid direct contact with the skin, which can cause frostbite. Rest is also crucial; give your body time to heal.

5. Follow-Up: If you decide not to see a doctor immediately, keep a close watch on your symptoms over the next few days. If anything changes or worsens, do not hesitate to seek medical advice.

6. Consultation: If you are unsure about the severity of your injury or if you have any concerns, it is always better to err on the side of caution and consult a healthcare professional. They can provide reassurance and guidance tailored to your specific situation.

In summary, while minor head injuries often do not require medical intervention, it is essential to remain vigilant for any signs of complications. If you experience any concerning symptoms or if your condition does not improve, do not hesitate to seek medical attention. Your health and safety should always be the priority.

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