Head Pain After a Head Injury: Expert Advice - Neurology

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Headache


Hello Dr.
Huang,
Two days ago, I bumped my head against someone else's head, and it seems to be slightly swollen on the surface.
The next day, the area where I hit (on the upper right side when facing you) felt a bit painful, and by the third day, the left side also started to hurt a little.
I took anti-inflammatory pain medication on the first day after the impact.
I would like to ask Dr.
Huang what I should do in this situation.
Thank you for your help.

Xiao Mei, 20~29 year old female. Ask Date: 2001/03/14

Dr. Huang Yingzhe reply Neurology


ANSWER: The greatest concern with head trauma is the risk of intracranial hemorrhage.
If you are receiving this response, congratulations, you have passed the observation period and you are fine! However, you may still experience some headaches or dizziness; that's okay, taking some pain relievers should help! If the symptoms do not improve, please consult your neurologist.
Thank you!

Reply Date: 2001/03/14

More Info


After experiencing a head injury, such as the one you described where you collided with another person's head, it is essential to monitor your symptoms closely. Head injuries can range from mild to severe, and while many minor injuries may resolve without complications, it is crucial to be aware of potential signs of more serious conditions.

Initially, the swelling and pain you are experiencing in the area of impact are common responses to trauma. The body’s inflammatory response can lead to localized swelling, tenderness, and discomfort. The fact that you took anti-inflammatory medication on the first day is a good step in managing pain and reducing inflammation. Over-the-counter medications like ibuprofen or acetaminophen can be effective in alleviating pain.

However, it is important to be vigilant for any worsening symptoms or new developments. Here are some key points to consider:
1. Monitor Symptoms: Keep an eye on your symptoms. If you experience severe headaches, persistent vomiting, confusion, difficulty waking up, or any neurological symptoms such as weakness or numbness, it is crucial to seek medical attention immediately. These could be signs of a more serious condition, such as a concussion or intracranial bleeding.

2. Rest and Recovery: Adequate rest is vital after a head injury. Avoid strenuous activities, including sports or heavy lifting, until you are fully recovered. It is also advisable to limit screen time and avoid activities that require intense concentration, as these can exacerbate symptoms.

3. Ice and Compression: Applying ice to the swollen area can help reduce swelling and numb the pain. Make sure to wrap ice in a cloth to prevent frostbite and apply it for 15-20 minutes at a time.

4. Hydration and Nutrition: Staying hydrated and maintaining a balanced diet can support your recovery. Foods rich in omega-3 fatty acids, antioxidants, and vitamins can help promote healing.

5. Follow-Up Care: If your symptoms do not improve or if you have concerns about your recovery, it is advisable to follow up with a healthcare provider. They may recommend imaging studies, such as a CT scan, to rule out any serious injuries.

6. Avoid Alcohol and Drugs: These substances can impair your cognitive function and may interfere with your recovery process.

7. Gradual Return to Activities: Once your symptoms have resolved, gradually reintroduce activities. Start with light activities and increase intensity as tolerated.

In summary, while mild head injuries often resolve with proper care, it is essential to remain vigilant for any concerning symptoms. If you have any doubts about your condition or if your symptoms worsen, do not hesitate to seek medical advice. Your health and safety should always come first.

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