Head Injury Symptoms: Do You Need to See a Doctor for a Concussion?

Did I get a concussion from hitting my head?

Last time, I had an accident and hit my head, causing a bump.
After the impact on Saturday, November 28, I started experiencing dizziness and headaches, but they come and go.
Sometimes I have them, and sometimes I don't.
Occasionally, I also feel nauseous, but it's just dry heaving.
Additionally, bright lights make me feel dizzy.
Doctor, do I need to get checked? Will I be fine once the bump goes down?

YY, 10~19 year old female. Ask Date: 2015/11/30

Dr. Gao Chunde reply Neurology

It is important to monitor whether the dizziness, headache, and nausea are gradually decreasing or alleviating; it is not sufficient to simply observe the disappearance of any swelling or lumps.
If symptoms continue to increase, or if there is a response of drowsiness and lethargy, it is crucial to seek medical attention promptly.

Reply Date: 2015/11/30

More Info

When it comes to head injuries, especially those resulting in symptoms such as headaches, dizziness, and nausea, it is crucial to take these signs seriously. Based on your description of the incident where you hit your head and subsequently experienced swelling, headaches, intermittent dizziness, and nausea, it is advisable to seek medical attention.
Head injuries can lead to a range of complications, including concussions, which are a type of traumatic brain injury. Symptoms of a concussion can vary widely and may include headaches, dizziness, nausea, sensitivity to light, and cognitive difficulties such as trouble concentrating or memory issues. The fact that you are experiencing these symptoms intermittently, along with the history of a head injury, warrants a thorough evaluation by a healthcare professional.

In your case, the swelling you experienced after the impact may have subsided, but that does not necessarily mean that there are no underlying issues. Sometimes, the brain can be affected even if there is no visible external injury or swelling. Symptoms like persistent headaches and dizziness can indicate that your brain is still recovering from the trauma. Additionally, the occurrence of nausea, especially if it is accompanied by dry heaving, can be a sign of increased intracranial pressure or other complications that need to be assessed.

It is also important to consider the possibility of post-concussion syndrome, which can occur after a concussion and may lead to prolonged symptoms such as headaches, dizziness, and cognitive difficulties. This condition can persist for weeks or even months after the initial injury, and it is essential to address these symptoms with a healthcare provider.

In terms of what to expect during a medical evaluation, a doctor may perform a neurological examination to assess your cognitive function, coordination, and balance. They may also order imaging studies, such as a CT scan or MRI, to rule out any serious injuries like bleeding or swelling within the brain. Depending on the findings, your doctor may recommend a treatment plan that could include rest, medication for pain management, and possibly physical therapy or cognitive rehabilitation if needed.

In conclusion, given your symptoms and the history of a head injury, it is highly recommended that you seek medical attention. Do not wait for the symptoms to resolve on their own, as early intervention can be crucial in preventing potential complications and ensuring a proper recovery. Remember, it is always better to err on the side of caution when it comes to head injuries.

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