Concussions: Symptoms and When to Seek Medical Help - Neurosurgery

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About concussions?


My friend smelled the scent of mosquito coils one day and suddenly felt dizzy and nauseous.
Later, he needed assistance to walk.
Upon reflection (since both of us smelled the mosquito coil scent and I was fine, and I remembered he had bumped his head 1-2 days prior), he decided to visit a family medicine clinic the next day because he wasn't sure which specialist to see.
The doctor told him that it couldn't be determined yet whether he had a concussion, and due to the increase in health insurance premiums, they did not recommend getting an X-ray or CT scan.
He was advised to monitor his condition and return if certain symptoms developed.
Over the past few days, he has been able to walk on his own, but he mentioned feeling very sleepy and that his headache is worsening.
Should he return to the hospital for further evaluation?

SOSO5201, 20~29 year old female. Ask Date: 2005/11/17

Dr. Qiu Yushu reply Neurosurgery


Hello: I recommend that you visit the outpatient clinic for an examination.
Thank you! Wishing you good health!

Reply Date: 2005/11/17

More Info


Understanding concussions and their symptoms is crucial, especially in situations like the one your friend is experiencing. A concussion is a type of traumatic brain injury that occurs when a blow to the head or body causes the brain to move rapidly back and forth within the skull. This can lead to a variety of symptoms, some of which may not appear immediately.

In your friend's case, the initial symptoms of dizziness and nausea after smelling the incense, combined with the recent head injury, are concerning. The fact that he is experiencing increasing headaches and excessive sleepiness further raises the alarm. These symptoms can indicate that the concussion may be more serious than initially thought.

Common symptoms of a concussion include:
1. Headache: This is often the most reported symptom.

2. Dizziness or balance problems: As your friend experienced, feeling dizzy can be a sign of a concussion.

3. Nausea or vomiting: This can occur shortly after the injury.

4. Confusion or difficulty concentrating: Your friend may feel foggy or have trouble focusing.

5. Sleep disturbances: Increased sleepiness or difficulty sleeping can also be a symptom.

6. Sensitivity to light and noise: Some individuals may find bright lights or loud sounds uncomfortable.

7. Mood changes: Irritability or mood swings can occur after a concussion.

Given that your friend has a history of a head injury and is now experiencing worsening symptoms, it is advisable for him to seek medical attention again. While the family doctor may have suggested monitoring the situation, the presence of persistent or worsening symptoms, such as increasing headache and excessive sleepiness, warrants further evaluation.
In cases of suspected concussion, medical professionals often recommend a thorough assessment, which may include imaging studies like a CT scan or MRI if there are signs of complications, such as bleeding or swelling in the brain. While the doctor mentioned the cost of imaging, it is essential to prioritize health and safety. If your friend’s symptoms continue to escalate, he should not hesitate to return to the hospital or seek a second opinion from a neurologist or a specialist in sports medicine, who can provide a more focused evaluation of his condition.

Additionally, it’s important for your friend to avoid activities that could risk further injury, such as sports or heavy physical exertion, until he has been cleared by a healthcare professional. Rest is crucial in the recovery process from a concussion, and he should be encouraged to take it easy and avoid screens and other stimuli that could exacerbate his symptoms.

In summary, your friend's situation is concerning, and it is advisable for him to seek further medical evaluation, especially given the worsening of his symptoms. Early intervention can help prevent potential complications and ensure a safer recovery process.

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