Head Injury: Can Swelling Resolve on Its Own and Is There a Risk of Bleeding? - Neurosurgery

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I hit the upper left side of my head; is there a possibility of a brain hemorrhage, and can the swelling be reduced?


Doctor, I apologize for the interruption! Last night around 9 PM, while bending down to return the communal laundry basket in the laundry room of my dormitory, I accidentally bumped the upper left side of my head (near the temple and eyebrow) against the corner of an electrical box.
This resulted in slight swelling in that area, but at the moment, I did not experience any significant loss of consciousness or particular pain.
This morning, I noticed some swelling remains, but the area appears to have no bleeding and the skin color is similar to the surrounding area.
The swelling is not very noticeable to others.
Although I feel that my mental and physiological functions are normal, I still have concerns: 1.
Will the swelling go down on its own? 2.
Is there a possibility of intracranial bleeding? Thank you very much for taking the time to answer my questions, and I wish you happier days ahead! #Image link: https://imgur.com/a/P1q2qKx

plus one, 20~29 year old female. Ask Date: 2023/09/14

Dr. Zhang Junwei reply Neurosurgery


1.
The swelling should resolve on its own.
2.
The likelihood of intracranial hemorrhage is low; however, if there is persistent headache, dizziness, nausea, or vomiting, seek immediate evaluation from a neurosurgeon or go to the emergency department.

Reply Date: 2023/09/14

More Info


When it comes to head injuries, particularly minor ones like the one you described, there are several important factors to consider regarding swelling and the risk of intracranial bleeding.
1. Can the swelling resolve on its own?
Yes, in most cases, swelling from a minor head injury, such as a bump or bruise, can resolve on its own. This type of swelling is often due to localized inflammation and fluid accumulation in response to the injury. The body has a natural healing process, and over time, the swelling should decrease as the inflammation subsides. Applying a cold compress to the affected area can help reduce swelling and alleviate discomfort. It's important to monitor the injury for any changes, such as increased swelling, pain, or changes in consciousness.

2. Is there a risk of intracranial bleeding?
While the risk of intracranial bleeding (such as a hematoma) exists with any head injury, it is generally low in cases of minor trauma where the individual remains conscious and exhibits no severe symptoms. Signs that may indicate a more serious issue include persistent or worsening headache, dizziness, nausea or vomiting, confusion, or loss of consciousness. If any of these symptoms develop, it is crucial to seek medical attention immediately.
In your case, since you mentioned that there was no loss of consciousness and no significant pain, the likelihood of a serious intracranial injury is reduced. However, it is always wise to err on the side of caution. If the swelling does not improve or if you notice any concerning symptoms, a medical evaluation is warranted.

Monitoring and Follow-Up:
After a minor head injury, it is advisable to monitor the individual for at least 24 to 48 hours for any changes in symptoms. If the swelling persists or worsens, or if new symptoms arise, a visit to a healthcare provider is recommended. They may perform a physical examination and, if necessary, imaging studies like a CT scan to rule out any serious injuries.

In summary, while minor head injuries often heal without complications, it is essential to remain vigilant for any signs of more serious conditions. If you have any doubts or if symptoms change, do not hesitate to seek medical advice. Your health and safety are paramount, and it is always better to be cautious when it comes to head injuries.

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