Post-Head Injury: Dizziness and Nausea One Month Later

Dizziness and nausea one month after a head injury!

I would like to ask the doctor, I fell in the bathroom at the end of January and hit the back of my head.
It swelled but did not bleed.
I went to the emergency room at Veterans General Hospital and then rested at home.
Although the swelling hasn't gone down, I feel okay.
However, in the past few days, I've been experiencing dizziness and nausea.
Should I return for a follow-up examination? Which department should I visit?

Xiao Yun, 30~39 year old female. Ask Date: 2016/02/16

Dr. Zhang Junwei reply Neurosurgery

If it happens briefly and you can rest for a while, then it's not a problem.
However, if it occurs frequently, you should see a doctor!

Reply Date: 2016/02/16

More Info

After experiencing a head injury, such as a fall that results in a bump on the back of the head, it is not uncommon to have lingering symptoms such as dizziness and nausea, especially if these symptoms arise a month later. Given your situation, it is crucial to take these symptoms seriously.
Dizziness and nausea following a head injury can be indicative of several potential issues. One possibility is a concussion, which is a type of traumatic brain injury that can occur even without a loss of consciousness. Symptoms of a concussion can include headaches, dizziness, confusion, nausea, and balance problems. While many people recover from concussions within a few weeks, some may experience prolonged symptoms, known as post-concussion syndrome, which can last for weeks or even months.

Another concern could be related to the swelling at the site of the injury. If the swelling has not subsided after a month, it could suggest that there may be underlying issues, such as a hematoma (a collection of blood outside of blood vessels) or other complications that could require medical attention.
Additionally, the symptoms you are experiencing could also be related to vestibular dysfunction, which can occur after head injuries. The vestibular system is responsible for balance and spatial orientation, and any disruption can lead to dizziness and nausea.

Given these considerations, it is advisable to return to a medical professional for further evaluation. You should consider seeing a neurologist, as they specialize in conditions related to the brain and nervous system. They can perform a thorough examination, possibly including imaging studies like a CT scan or MRI, to rule out any serious complications such as intracranial bleeding or other structural issues.

In the meantime, it is important to monitor your symptoms closely. If you experience any worsening of symptoms, such as severe headaches, confusion, difficulty walking, or any new neurological symptoms, seek immediate medical attention.
Regarding your question about whether to continue with your current medications or treatments, it is best to discuss this with your healthcare provider. They can provide guidance based on your specific situation and any medications you may be taking.

In summary, it is crucial to take your symptoms seriously and seek further evaluation from a neurologist. Dizziness and nausea after a head injury can be signs of various issues, and timely medical assessment is essential to ensure your health and safety.

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