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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Headache And Nausea After A Head Injury

I bumped my head into a rock last night when i fell from about 6 ft. high... It swelled up instantly about the size of a softball cut in half. I got dizzy and may have passed out for a minor second. All day i felt nauseus and have had an awful headache that will not relieve with any pain reliever. I have had no appetite and have a heard time recalling things for earlier today. I have a hard to comprehending things all day today. What should I do?
Mon, 18 Jan 2016
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Neurologist, Surgical,  's  Response
Hello. Thanks for asking from HCM.


I can understand your concern. Your mode of injury was significant and your symptoms of non relieving headache, nausea, forget fullness needs evaluation. You should consult ER as soon as possible. The doctor will evaluate you for dangerous head injury and advise CT head to rule out presence of skull bone fracture or brain bleed. Skull fracture alone is managed by conservative treatment while brain bleed may require surgery if causing pressure on brain.

In your case, good thing is that almost 24 hours have passed and still you are conscious, oriented. It does not rule out dangerous head injury but it decreases the chances of head injury which needs life saving surgery.

At home, you can follow few tips
: Avoid pressure at injury site
: Keep you head at higher level than chest
: Apply icepacks at injury site
: Avoid painkiller which can cause sedation
: You can take painkiller like Diclofenac sodium after proper prescription
: In case of vomiting, our head to side
: You can observe other signs of head injury like vomiting, decreasing consciousness, fits, onset of new focal deficit.
: Ask a family member to keep an eye on you. In case of loss of consciousness or altered behaviour, rush near by hospital.

Hope it will help you. Take care.


Thanks.
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Suggest Treatment For Headache And Nausea After A Head Injury

Hello. Thanks for asking from HCM. I can understand your concern. Your mode of injury was significant and your symptoms of non relieving headache, nausea, forget fullness needs evaluation. You should consult ER as soon as possible. The doctor will evaluate you for dangerous head injury and advise CT head to rule out presence of skull bone fracture or brain bleed. Skull fracture alone is managed by conservative treatment while brain bleed may require surgery if causing pressure on brain. In your case, good thing is that almost 24 hours have passed and still you are conscious, oriented. It does not rule out dangerous head injury but it decreases the chances of head injury which needs life saving surgery. At home, you can follow few tips : Avoid pressure at injury site : Keep you head at higher level than chest : Apply icepacks at injury site : Avoid painkiller which can cause sedation : You can take painkiller like Diclofenac sodium after proper prescription : In case of vomiting, our head to side : You can observe other signs of head injury like vomiting, decreasing consciousness, fits, onset of new focal deficit. : Ask a family member to keep an eye on you. In case of loss of consciousness or altered behaviour, rush near by hospital. Hope it will help you. Take care. Thanks.