Should You Seek Medical Attention After a Head Injury?

I hit my head?

Hello, I would like to ask: My brother slipped in the shower at the military base a few days ago and hit the back of his head directly on the ground, resulting in a bruise.
Now, the area where he hit his head is indented.
It was improving at first, but yesterday he suddenly experienced pain, which lasted for a while and then subsided.
Does he need to see a doctor? Thank you!

Huang Ming, 20~29 year old female. Ask Date: 2004/12/22

Dr. Lai Lunxiang reply Neurology

Hello! If you need to see a doctor, please consult a neurosurgeon.
Thank you!

Reply Date: 2004/12/22

More Info

When it comes to head injuries, especially those involving trauma such as a fall, it is crucial to be vigilant about potential complications. Your brother's situation, where he experienced a fall that resulted in a visible bruise and a dent in the skull, raises several important considerations regarding whether he should seek medical attention.

First and foremost, any head injury that results in a visible deformity, such as a dent in the skull, should be evaluated by a medical professional. The presence of a dent could indicate a fracture or other underlying issues that may not be immediately apparent. While the initial symptoms may seem to improve, the sudden onset of pain after a period of relief is a red flag that should not be ignored. This could suggest that there is ongoing swelling, bleeding, or even a delayed reaction to the injury.

In general, the following symptoms warrant immediate medical attention after a head injury:
1. Loss of Consciousness: If your brother lost consciousness at any point after the injury, even briefly, this is a significant concern.

2. Persistent or Worsening Headache: While headaches can be common after a head injury, if the pain is severe or worsening, it could indicate complications such as intracranial bleeding.

3. Nausea or Vomiting: These symptoms can be indicative of increased intracranial pressure or other serious issues.

4. Confusion or Disorientation: If your brother is experiencing confusion, difficulty concentrating, or memory issues, this could suggest a concussion or more severe brain injury.

5. Neurological Symptoms: Any weakness in limbs, difficulty speaking, or changes in vision should be taken seriously.

6. Changes in Behavior: If he exhibits unusual behavior, irritability, or lethargy, these could be signs of a more serious condition.

Given that your brother has a dent in his skull and has experienced pain after initially feeling better, it is advisable for him to seek medical evaluation. A healthcare provider may recommend imaging studies, such as a CT scan, to assess for any fractures or internal bleeding.
In addition to the physical examination, the doctor will likely ask about the mechanism of injury, any symptoms experienced, and the timeline of events. This information is crucial for determining the appropriate course of action.

In conclusion, while it may seem that your brother's symptoms are manageable, the nature of head injuries necessitates a cautious approach. It is always better to err on the side of caution when it comes to potential brain injuries. Seeking medical attention will not only provide peace of mind but also ensure that any serious conditions are identified and treated promptly.

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