Headaches After Head Injury: When to Seek Medical Help - Neurology

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Headache


Hello Doctor: Since early February, my brother hit me on the left side of my head with my notebook, which is about 3.5 centimeters thick.
Since that incident, I have frequently experienced headaches, and each time the pain is in a different location.
I really want to go to the hospital for an EEG.
Please diagnose my condition.

Xiangcao, 10~19 year old female. Ask Date: 2001/03/02

Dr. Ye Boshou reply Neurology


A severe impact to the head can cause symptoms such as headaches in specific areas.
Whether an EEG is necessary should be determined after a consultation with a physician.
Dr.
Yeh Po-Shou, Neurology Department, Hsinchu Hospital.

Reply Date: 2001/03/02

More Info


Experiencing headaches after a head injury can be concerning, and it’s crucial to understand when to seek medical help. In your case, since you mentioned that your brother struck your head with a notebook, it’s important to monitor your symptoms closely. Head injuries can lead to various complications, including concussions, intracranial hemorrhages, or other forms of brain injury, which may manifest as persistent headaches.


When to Seek Medical Help
1. Persistent Headaches: If your headaches continue for an extended period, especially if they worsen or change in character, it’s essential to consult a healthcare professional. Headaches that are new or different from your usual headaches should be evaluated.

2. Accompanying Symptoms: Pay attention to any additional symptoms that may accompany your headaches. These can include:
- Nausea or vomiting
- Dizziness or balance issues
- Confusion or difficulty concentrating
- Sensitivity to light or noise
- Visual disturbances
- Weakness or numbness in any part of your body
3. Changes in Consciousness: If you experience any changes in consciousness, such as feeling unusually drowsy, confused, or having difficulty waking up, seek emergency medical attention immediately.

4. Seizures: If you experience seizures following the injury, this is a medical emergency that requires immediate evaluation.

5. Worsening Symptoms: If your headaches become progressively worse or if you develop new symptoms, such as a stiff neck, fever, or severe headache that feels different from your usual headaches, you should seek medical attention.


Medical Evaluation
Given your desire to undergo a brain wave test (EEG), it’s important to first consult with a healthcare provider who can perform a thorough evaluation. They may recommend imaging studies, such as a CT scan or MRI, to rule out any structural issues or bleeding in the brain. An EEG is typically used to assess electrical activity in the brain and may be indicated if there are concerns about seizures or other neurological issues.


Management of Headaches
In the meantime, here are some general recommendations for managing headaches after a head injury:
- Rest: Ensure you get plenty of rest, as fatigue can exacerbate headaches.

- Hydration: Stay well-hydrated, as dehydration can also trigger headaches.

- Pain Relief: Over-the-counter pain relief medications, such as acetaminophen or ibuprofen, can help alleviate headache pain. However, consult with a healthcare provider before taking any medication, especially if you have other medical conditions or are taking other medications.

- Avoid Triggers: Identify and avoid any headache triggers, which may include certain foods, stress, or lack of sleep.

- Follow-Up: Keep a record of your headaches, including their frequency, intensity, duration, and any associated symptoms. This information can be helpful for your healthcare provider in diagnosing and managing your condition.


Conclusion
In summary, while headaches after a head injury can be common, it’s essential to monitor your symptoms closely and seek medical attention if they persist or worsen. A healthcare provider can perform the necessary evaluations and guide you on the appropriate management strategies. Remember, your health and safety are paramount, so don’t hesitate to reach out for help when needed.

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