Mild concussion
Hello doctor, two years ago I fell off my bicycle and hit my head hard against the concrete.
At first, I thought I was fine and didn't pay much attention, but afterwards, I would often wake up at night feeling dizzy.
I went to a large hospital for a CT scan, and the doctor said I had a mild concussion.
After the examination, everything seemed fine, but since October of last year, I've been experiencing frequent headaches.
Sometimes I wake up with a headache that lasts all day.
Could this be due to oversleeping? Occasionally, I also experience sudden dizziness, and I find myself stuttering more easily when speaking (although I used to stutter, it seems to have worsened).
My memory has also declined compared to before.
I read online that the aftereffects of a concussion shouldn't last this long.
So, I want to know if this could be due to fatigue, or if I need to go back to the hospital for further examination.
kk, 10~19 year old female. Ask Date: 2016/02/29
Dr. Lan Shengxing reply Neurology
Dear Keke, the symptoms you mentioned may not necessarily be unrelated to a concussion.
Please go to the hospital for an examination.
Best, Lan Shengxing.
Reply Date: 2016/02/29
More Info
It sounds like you are experiencing a range of concerning symptoms following your concussion from two years ago. Post-concussion syndrome (PCS) can occur after a concussion and may last for weeks, months, or even longer. Your symptoms, including frequent headaches, dizziness, speech difficulties, and memory issues, are not uncommon in individuals who have suffered a concussion.
Firstly, it's important to understand that while many people recover from a concussion within a few weeks, others may experience lingering symptoms. These can include headaches, dizziness, cognitive difficulties (like memory problems), and emotional changes. The fact that you are experiencing these symptoms more than a year after your injury suggests that you may be dealing with post-concussion syndrome.
Headaches are one of the most common symptoms of PCS. They can vary in intensity and may be triggered by various factors, including stress, lack of sleep, or even changes in weather. The fact that you are waking up with headaches could indicate that your sleep patterns are being affected by your symptoms, or it could be a sign of tension headaches, which are common after head injuries.
Dizziness and balance issues are also frequently reported after a concussion. These symptoms can be exacerbated by physical activity, stress, or even certain visual stimuli. If you find that your dizziness is worsening or affecting your daily activities, it is crucial to seek medical advice.
Regarding your speech difficulties, it’s not uncommon for individuals with PCS to experience changes in their speech patterns, including stuttering or difficulty finding words. This can be linked to cognitive fatigue, which is often a result of the brain working harder to process information after an injury.
Memory issues can also be a significant concern. Many people report difficulties with short-term memory or concentration following a concussion. This can be frustrating, especially if you feel that your cognitive abilities have declined since the injury.
Given the persistence and severity of your symptoms, it is advisable to seek further medical evaluation. A follow-up appointment with a neurologist or a specialist in brain injuries would be beneficial. They can conduct a thorough assessment, which may include imaging studies, cognitive testing, and a review of your medical history. This will help determine if there are any underlying issues that need to be addressed.
In the meantime, consider implementing some lifestyle changes that may help alleviate your symptoms. These include:
1. Rest and Sleep Hygiene: Ensure you are getting adequate rest. Establish a regular sleep schedule and create a calming bedtime routine to improve the quality of your sleep.
2. Hydration and Nutrition: Stay well-hydrated and maintain a balanced diet rich in fruits, vegetables, whole grains, and lean proteins. Omega-3 fatty acids, found in fish and flaxseeds, may also support brain health.
3. Limit Screen Time: Reduce the amount of time spent on screens, as this can exacerbate headaches and dizziness.
4. Gradual Return to Activity: Engage in light physical activity as tolerated, but avoid high-impact sports or activities that could risk another concussion.
5. Cognitive Rest: Limit activities that require intense concentration or mental effort, such as studying or playing video games, until your symptoms improve.
6. Seek Support: Consider talking to a mental health professional if you are feeling overwhelmed. They can provide coping strategies and support as you navigate your recovery.
In summary, while some symptoms of a concussion can resolve on their own, persistent symptoms warrant further investigation. It’s essential to communicate openly with your healthcare provider about your experiences and concerns. They can help guide you through the recovery process and develop a tailored plan to address your specific needs.
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