Frequent Headaches After a Fall: When to Seek Medical Attention

I have been experiencing frequent headaches lately?

Hello Doctor: For the past three weeks, I have been experiencing headaches or dizziness starting around 4 or 5 PM, which continue into the evening.
Since last Thursday until now, the pain has even started in the morning.
I suspect that it might be related to a fall I had a month ago, where I hit my head (on the forehead above the left temple) when I fell to the ground.
There was no open wound, just some swelling, and I applied some ice.
At that time, I did not feel dizzy or nauseous.
However, I hit my head again tonight and I really feel uncomfortable.
I would like to know if I need to go to the hospital for further examination, such as a CT scan or something similar.

Wulong Tea, 20~29 year old female. Ask Date: 2007/08/16

Dr. Gao Chunde reply Neurology

The physician will also assess the location of the headache, the nature of the pain, accompanying symptoms, triggering factors, and frequency, along with a neurological examination, to determine whether it could be a concerning headache or a common tension-type headache or migraine.
If your condition is worsening, it is advisable to visit a neurology clinic for evaluation.

Reply Date: 2007/08/16

More Info

Frequent headaches following a head injury can be concerning, especially if they persist or worsen over time. In your case, it seems you experienced a fall about a month ago, resulting in a bump on your forehead without any open wounds. Initially, you managed the injury with ice and did not experience severe symptoms like dizziness or nausea. However, the onset of headaches and dizziness weeks later raises some important considerations.

First, it's essential to understand that head injuries can lead to various complications, including concussions, post-concussion syndrome, or even more severe issues like intracranial hemorrhages. While you did not experience immediate severe symptoms, some conditions can develop gradually. For instance, a concussion can manifest with headaches, dizziness, and cognitive difficulties, sometimes appearing days or weeks after the initial injury.

Given that your headaches have become more frequent and are now occurring from the morning into the evening, it is advisable to seek medical attention. A healthcare professional, particularly a neurologist, can evaluate your symptoms more thoroughly. They may recommend imaging studies, such as a CT scan or MRI, to rule out any serious complications like bleeding or structural damage to the brain.

Additionally, it’s worth considering other factors that could contribute to your headaches. Stress, poor sleep quality, dehydration, and prolonged screen time can all exacerbate headache symptoms. If you have a history of migraines or tension-type headaches, these could also be triggered by the stress of the fall or changes in your routine following the injury.

When you visit a healthcare provider, be prepared to discuss your symptoms in detail, including the frequency, duration, and intensity of your headaches, as well as any other symptoms you may have experienced since the fall. This information will help your doctor determine the appropriate course of action.

In summary, while it’s possible that your headaches are related to the fall, it’s crucial to rule out any serious underlying issues. Seeking medical attention is a prudent step, especially given the persistence and change in your symptoms. Early intervention can help manage your headaches effectively and prevent potential complications. Remember, your health and well-being are paramount, and it’s always better to err on the side of caution when it comes to head injuries.

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