Dizziness and Nausea After Head Trauma: Signs of Concussion? - Neurosurgery

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Dizziness and nausea?


Hello doctor, a few days ago I was playing around with a friend and she hit my head several times with her palm.
Shortly after, I started experiencing pain in the upper left side of my temple, about four fingers above it.
I also feel dizzy and have the urge to vomit.
Could this be a concussion? I'm quite worried.

Mo Mo, 10~19 year old female. Ask Date: 2016/01/11

Dr. Zhang Junwei reply Neurosurgery


This is not a concussion; it is at most a common symptom of head trauma.
Usually, with proper medication and rest for two to three days, it can improve!

Reply Date: 2016/01/11

More Info


After experiencing head trauma, particularly from a direct impact such as being slapped on the head, it is understandable to be concerned about potential injuries like a concussion. The symptoms you describe—pain in the area near your temple, dizziness, and nausea—are indeed indicative of a concussion or mild traumatic brain injury (mTBI).
A concussion occurs when the brain is jolted or shaken inside the skull, often due to a blow to the head or a sudden movement that causes the brain to move rapidly back and forth. This can lead to a variety of symptoms, which may not appear immediately after the injury. Common symptoms of a concussion include:
1. Headache: This can range from mild to severe and may be localized to the area of impact or more generalized.

2. Dizziness or balance problems: Feeling lightheaded or unsteady is common after a concussion.

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

4. Confusion or difficulty concentrating: You may feel foggy or have trouble remembering things.

5. Sensitivity to light or noise: Many individuals report increased sensitivity following a concussion.

6. Fatigue or drowsiness: Feeling unusually tired is also a common symptom.

Given your symptoms of pain, dizziness, and nausea, it is crucial to take them seriously. While not every head injury results in a concussion, the presence of these symptoms suggests that you should seek medical evaluation. A healthcare professional can perform a thorough assessment, which may include a neurological examination and possibly imaging studies, to rule out more serious injuries such as intracranial bleeding or skull fractures.

In the meantime, here are some general recommendations for managing your symptoms:
- Rest: Allow your brain to recover by minimizing physical and cognitive activities. This includes limiting screen time, reading, and any activities that require concentration.

- Hydration: Ensure you are well-hydrated, as dehydration can exacerbate headaches and dizziness.

- Pain Management: Over-the-counter pain relievers like acetaminophen can help alleviate headache pain, but avoid NSAIDs like ibuprofen or aspirin until you have consulted with a healthcare provider, as they can increase the risk of bleeding.

- Monitor Symptoms: Keep track of any changes in your symptoms. If you experience worsening headaches, increased confusion, repeated vomiting, or any new neurological symptoms (like weakness or numbness), seek immediate medical attention.

In conclusion, while your symptoms are concerning and suggest the possibility of a concussion, only a medical professional can provide a definitive diagnosis and appropriate treatment plan. It is advisable to consult with a healthcare provider as soon as possible to ensure your safety and well-being.

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