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Suggest Remedies For Nausea, Headache And Sleeplessness After An Accident

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Posted on Wed, 27 Jul 2016
Question: Hi, about 7 months ago I had whiplash from a car accident (car hit me/my car in the back) and then later in the day a concussion (hit in the head) the same day (and then in addition in the evening I bumped into the wall- which prob. was nothing). (This was not my first concussion or whiplash). 2 days later I had strange symptoms and saw a doctor who sent me to a hospital. At the hospital they told me I had a concussion to rest and sent me home. One of the symptoms (there were others) was that there were moments (not too many) where I did not see an object right in front of me, then it appeared several seconds later. Now the main symptoms like (nausia, headaches, mental fatigue, sleep issues) are pretty much gone but I still have a few strange moments: while driving it has happened several times where I got momentarily confused thinking I had the green light and the car had the red light, or another time I had the green light when it was red. OR finding a piece of corn on my plate when I didn't know where it came from. I am wondering if these symptoms of confusion - I think that is what it is - is it due to metabolic brain issues, neurotransmitter, inflammation, tau proteins..? etc.. I.e. is it some kind of imbalance that could be helped or is it still my brain needing to heal..?
doctor
Answered by Dr. Olsi Taka (1 hour later)
Brief Answer:
Read below.

Detailed Answer:
I read your question carefully and I understand your concern.

While the intensity of the trauma may have not been of the highest impact, the fact that you have had more than one traumatic event in the same day has contributed to the extent of damage and the long recovery. That is because early after one first event the nerve cells are more fragile and prone to damage in the case of a second event occurring so early.
For that reason you were and indeed are having some long term consequences from those injuries. It is not uncommon for symptoms such as headache, fatigue, sleep issues, slowed thinking, memory issues etc to persist for months, in some cases even years.

Coming to the mechanisms of that, you have obviously doing some reading yourself judging from the mechanisms you mention. I can say that often it is a combination and not one simple mechanism. Furthermore as much as these physical factors there are also psychological factors contributing partially and at times it is hard to assess to which percentage. I would say that after 7 months the initial metabolic changes have usually returned to norm so I wouldn’t say they do contribute. Also I wouldn’t think about protein tau depositions in your case, apart from that being still a matter of study it is more a question of repeated trauma over a long time I do not think that to be your case.

I would say that the most probable mechanisms are neuronal cell loss and changes in neurotransmitter levels. Neuronal cell loss at a microscopic level is possible even in the presence of normal imaging and months may be needed for new connections to develop between the remaining nerve cells to compensate for the loss of function of the lost ones. Furthermore that could lead to neurotransmitter changes to cholinergic, glutamatergic and adrenergic pathways.
Of course these are only hypothesis as unfortunately there are no lab tests to confirm these theories. Moreover as I said before psychological factors and anxiety often partially contribute.

As to what you can do….I would say not much, just have to give it its time, there is not a drug or a particular regimen to have shown benefit, only thing is to resume activity gradually over the first months in order not to overload your recovering brain and to allow it its necessary rest. So I would say the opinions of the doctors you have consulted till now, do not differ that much between them, at times doctors use different wording to explain similar things. I would disagree a little only with the last one who used the age argument, at only 41 I wouldn’t agree much with that.

Let me know if I can further assist you.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Olsi Taka

Neurologist

Practicing since :2004

Answered : 3673 Questions

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Suggest Remedies For Nausea, Headache And Sleeplessness After An Accident

Brief Answer: Read below. Detailed Answer: I read your question carefully and I understand your concern. While the intensity of the trauma may have not been of the highest impact, the fact that you have had more than one traumatic event in the same day has contributed to the extent of damage and the long recovery. That is because early after one first event the nerve cells are more fragile and prone to damage in the case of a second event occurring so early. For that reason you were and indeed are having some long term consequences from those injuries. It is not uncommon for symptoms such as headache, fatigue, sleep issues, slowed thinking, memory issues etc to persist for months, in some cases even years. Coming to the mechanisms of that, you have obviously doing some reading yourself judging from the mechanisms you mention. I can say that often it is a combination and not one simple mechanism. Furthermore as much as these physical factors there are also psychological factors contributing partially and at times it is hard to assess to which percentage. I would say that after 7 months the initial metabolic changes have usually returned to norm so I wouldn’t say they do contribute. Also I wouldn’t think about protein tau depositions in your case, apart from that being still a matter of study it is more a question of repeated trauma over a long time I do not think that to be your case. I would say that the most probable mechanisms are neuronal cell loss and changes in neurotransmitter levels. Neuronal cell loss at a microscopic level is possible even in the presence of normal imaging and months may be needed for new connections to develop between the remaining nerve cells to compensate for the loss of function of the lost ones. Furthermore that could lead to neurotransmitter changes to cholinergic, glutamatergic and adrenergic pathways. Of course these are only hypothesis as unfortunately there are no lab tests to confirm these theories. Moreover as I said before psychological factors and anxiety often partially contribute. As to what you can do….I would say not much, just have to give it its time, there is not a drug or a particular regimen to have shown benefit, only thing is to resume activity gradually over the first months in order not to overload your recovering brain and to allow it its necessary rest. So I would say the opinions of the doctors you have consulted till now, do not differ that much between them, at times doctors use different wording to explain similar things. I would disagree a little only with the last one who used the age argument, at only 41 I wouldn’t agree much with that. Let me know if I can further assist you.