Head Injury: When to Seek Medical Attention and Which Specialist to See

If you have sustained a head injury, you should see a physician in the field of Neurology or visit an Emergency Medicine specialist?

Hello Doctor: A few days ago, I hit my head against a sharp metal frame of an air conditioner, resulting in continuous bleeding.
I was immediately taken to the emergency room, where the doctor assessed it as a long open wound, approximately 1 cm in size.
Since it wasn't serious, I was discharged and instructed to apply medication at home.
I felt a bit dizzy that day, but I've been feeling fine since then, although the wound still has some mild pain.
However, my family is concerned and wants me to get a scan to check for any bleeding or concussion.
Do I need to seek medical attention? If so, which specialty should I see? Thank you!

Chelsea, 20~29 year old female. Ask Date: 2016/02/16

Dr. Zhang Junwei reply Neurosurgery

It seems unnecessary; if there is indeed a problem, please consult a neurosurgeon!

Reply Date: 2016/02/16

More Info

When it comes to head injuries, it is crucial to understand the potential risks and the appropriate actions to take following an incident. Based on your description, you experienced a head injury from a sharp object, resulting in a bleeding wound. Although you were evaluated in the emergency department and discharged with instructions for home care, your family’s concerns about possible complications such as internal bleeding or a concussion are valid.

When to Seek Medical Attention
1. Persistent Symptoms: If you experience ongoing symptoms such as severe headaches, dizziness, confusion, nausea, vomiting, or any changes in consciousness, it is essential to seek medical attention immediately. These symptoms could indicate a more serious condition, such as a concussion or intracranial hemorrhage.

2. Worsening Condition: If your symptoms worsen over time, such as increased pain, swelling, or any neurological deficits (like weakness, numbness, or difficulty speaking), you should consult a healthcare provider.

3. Changes in Behavior or Cognition: If you notice any changes in your ability to think clearly, remember things, or if you feel unusually drowsy or irritable, these could be signs of a concussion or other brain injury.

4. Visible Signs of Complications: If you notice any fluid leaking from your nose or ears, or if there is a significant increase in swelling or bruising around the injury site, these could be signs of a more serious injury that requires immediate medical evaluation.

Which Specialist to See
Given your situation, if you decide to seek further medical evaluation, you should consider seeing a neurologist or a neurosurgeon. These specialists are trained to assess and manage conditions related to the brain and nervous system. They can perform the necessary imaging studies, such as a CT scan or MRI, to rule out any internal bleeding or structural damage to the brain.

Additional Considerations
- Follow-Up Care: Even if you feel better, it is often recommended to have a follow-up appointment with a healthcare provider to ensure that there are no delayed complications from the injury. This is particularly important if you experienced any loss of consciousness or if the injury was significant.

- Rest and Recovery: After a head injury, it is important to allow your brain to rest. Avoid activities that require intense concentration or physical exertion until you are cleared by a healthcare provider.

- Monitoring Symptoms: Keep a close watch on your symptoms over the next few days. If anything changes or if you develop new symptoms, do not hesitate to seek medical attention.

- Educate Yourself: Understanding the signs and symptoms of concussions and other head injuries can empower you to make informed decisions about your health. Resources from reputable medical organizations can provide valuable information.

In conclusion, while you may feel fine now, it is always better to err on the side of caution when it comes to head injuries. If you have any lingering concerns or symptoms, do not hesitate to reach out to a healthcare professional for further evaluation. Your health and safety should always come first.

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