Head Injuries: When to Seek Medical Attention for Pain

Swelling and pain after a head injury?

I slipped and fell on my head this afternoon, hitting the ground.
I didn't feel much until tonight, but when I lay down in bed, I started experiencing persistent throbbing pain.
I apologize if I consulted the wrong specialty.

Yu, 20~29 year old female. Ask Date: 2015/09/19

Dr. Xu Kaixi reply Surgery

A head injury from a fall can cause inflammation and swelling at the impact site, depending on the magnitude and location of the force.
The duration of these symptoms can vary, which is considered a normal physiological response.
However, if the pain exceeds expected levels or becomes intolerable, it is advisable to seek emergency medical attention to check for serious complications such as intracranial bleeding.

Reply Date: 2015/09/19

More Info

When it comes to head injuries, understanding when to seek medical attention is crucial for your health and safety. Head injuries can range from mild to severe, and while some may seem trivial at first, they can lead to serious complications if not properly evaluated.
In your case, you mentioned that you slipped and hit your head, and while you initially felt fine, you began to experience throbbing pain when lying down. This is a common scenario that can occur after a head injury. The fact that you felt fine initially is not uncommon; symptoms of head injuries, such as concussions, can sometimes take hours or even days to manifest.
Here are some key points to consider regarding head injuries and when to seek medical attention:
1. Symptoms to Watch For: After a head injury, you should monitor for symptoms such as persistent headache, dizziness, confusion, nausea, vomiting, difficulty balancing, or changes in vision. If you experience any of these symptoms, especially if they worsen over time, it is essential to seek medical attention.

2. Signs of Serious Injury: Certain signs indicate a more severe injury, such as loss of consciousness, seizures, clear fluid or blood leaking from the nose or ears, or severe swelling at the injury site. If you experience any of these symptoms, you should seek emergency medical care immediately.

3. Throbbing Pain: The throbbing pain you described could be a result of increased intracranial pressure or irritation of the brain due to the impact. It could also be a tension headache, which is common after a head injury. However, if the pain persists or worsens, it is advisable to consult a healthcare professional.

4. Rest and Observation: After a head injury, it is generally recommended to rest and avoid strenuous activities. You should also avoid alcohol and medications that can thin your blood, such as aspirin, unless prescribed by a doctor. Observing your symptoms for 24-48 hours is often advised, but if you notice any concerning changes, do not hesitate to seek medical help.

5. Follow-Up Care: If your symptoms do not improve or if they worsen, it is essential to follow up with a healthcare provider. They may recommend imaging studies, such as a CT scan or MRI, to rule out any serious injuries like a concussion, skull fracture, or intracranial bleeding.

6. Consulting the Right Specialist: If you are unsure which specialist to see, a primary care physician or an emergency room doctor can evaluate your condition and refer you to a neurologist or neurosurgeon if necessary.
In summary, while some head injuries may seem minor at first, it is crucial to remain vigilant about your symptoms. If you experience any concerning signs or if your pain persists, seeking medical attention is the best course of action. Remember, it is always better to err on the side of caution when it comes to head injuries. Your health and safety should always come first.

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