Experiencing Dizziness After Hitting Head Without Visible Injury: Should You See a Doctor? - Internal Medicine

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Head trauma without an open wound but accompanied by dizziness?


Today, I fell backward from my bed and hit my head against a wooden door and the wall.
I am experiencing dizziness but have no cuts or swelling.
Should I see a doctor?

Miss Lin, 20~29 year old female. Ask Date: 2023/11/14

Dr. Li Jian reply Internal Medicine


It is recommended to consult a neurologist or a neurosurgeon.
Thank you for your inquiry.

Reply Date: 2023/11/14

More Info


Experiencing dizziness after a head injury, even without visible wounds or swelling, is a situation that warrants careful consideration. While it may seem that the absence of external injuries indicates a minor incident, the brain is a delicate organ, and any trauma to the head can potentially lead to serious complications.

When you hit your head, especially if you fall backward and strike a hard surface like a wooden door or wall, there is a risk of concussion or other forms of traumatic brain injury (TBI). Symptoms of a concussion can include dizziness, headache, confusion, nausea, and balance issues, among others. Even if you do not have visible injuries, the impact can still cause internal changes that may not be immediately apparent.

Dizziness, in particular, can be a concerning symptom. It may indicate that your brain is not functioning optimally due to the trauma. This could be due to a concussion, which is a type of mild TBI, or it could be related to other issues such as vestibular dysfunction or even a more serious condition like intracranial bleeding. Although the likelihood of significant internal injury may be low, it is not zero, and the symptoms you are experiencing should not be ignored.

In general, if you experience dizziness after a head injury, it is advisable to seek medical attention. A healthcare professional can perform a thorough evaluation, which may include a neurological examination and possibly imaging studies like a CT scan, to rule out any serious conditions such as bleeding or swelling in the brain. If you are concerned about the risk of radiation exposure from a CT scan, you can discuss alternative imaging options with your doctor, such as MRI, although it may not be as readily available in emergency settings.

Moreover, monitoring your symptoms is crucial. If you notice any worsening of your condition, such as increasing dizziness, persistent headache, confusion, difficulty walking, or any other concerning symptoms, you should seek immediate medical care. It is better to err on the side of caution when it comes to head injuries.

In summary, even if you do not have visible injuries, experiencing dizziness after hitting your head is a valid reason to consult a doctor. They can help determine the cause of your symptoms and ensure that you receive appropriate care. Remember, your health and safety should always come first, and it is always better to seek medical advice when in doubt.

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