Should You See a Neurologist After a Fall and Head Impact?

Did you fall backward and hit the back of your head?

On my way to work in the morning, I accidentally slipped on a slippery road and fell backward, hitting the back of my head.
At the moment, I didn't feel any discomfort, so I continued to work as usual.
However, by the afternoon, I started to feel a bit nauseous (but did not vomit).
Since I have previously reviewed several cases and symptoms of a concussion, should I go to the hospital for an examination based on my current symptoms, or should I observe for about three days as suggested online? Also, would I need to make an appointment with a neurologist?

Xiong Xiansheng, 30~39 year old female. Ask Date: 2023/12/06

Dr. Peng Shiwei reply Neurology

You can self-monitor for three days; if you experience symptoms such as altered consciousness, shortness of breath, persistent vomiting, or severe headache, it is recommended to seek medical attention from a neurosurgeon as soon as possible.
Thank you.

Reply Date: 2023/12/06

More Info

After experiencing a fall and hitting your head, it is crucial to assess your symptoms and determine whether you should seek medical attention, particularly from a neurologist. Based on your description, you initially did not feel any discomfort after the impact, but later developed a sensation of nausea. This raises some concerns, as nausea can be a symptom associated with head injuries, including concussions.

When it comes to head injuries, especially those involving a fall, it is essential to monitor for various symptoms that may indicate a more serious condition. Common symptoms of a concussion or other brain injuries include:
1. Headaches: Persistent or worsening headaches can be a sign of a more serious issue.

2. Nausea or Vomiting: Feeling nauseous or vomiting after a head injury can indicate increased intracranial pressure or a concussion.

3. Dizziness or Balance Issues: Difficulty maintaining balance or feeling dizzy can suggest that the inner ear or brain has been affected.

4. Confusion or Memory Issues: If you experience confusion, difficulty concentrating, or memory problems, these are significant symptoms that warrant immediate medical attention.

5. Changes in Vision: Blurred vision, double vision, or other visual disturbances can be concerning.

6. Sensitivity to Light or Noise: Increased sensitivity can also be a symptom of a concussion.

7. Sleep Disturbances: Changes in sleep patterns, whether insomnia or excessive sleepiness, can occur after a head injury.

Given that you are experiencing nausea, it is advisable to err on the side of caution and seek medical evaluation. While some mild head injuries can resolve on their own, it is essential to rule out any serious conditions such as a concussion, intracranial bleeding, or other neurological issues.
In terms of where to go for evaluation, a neurologist is indeed the appropriate specialist to consult for head injuries. They can perform a thorough examination, which may include neurological assessments and imaging studies (like a CT scan or MRI) if necessary, to determine the extent of any injury.

In the meantime, if you choose to observe your symptoms for a few days, be vigilant about any changes. If you notice any worsening of symptoms or the emergence of new symptoms, do not hesitate to seek immediate medical attention. It is always better to be safe and have a professional evaluate your condition rather than risk potential complications from an untreated head injury.

In summary, while some head injuries may not require immediate medical attention, your symptoms of nausea following a fall suggest that you should consult a neurologist as soon as possible to ensure your safety and health.

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