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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Swelling And Pain After Head Injury, Nausea, Headache,sensitivity To Light And Sound

My health has been fine until I bumped heads on Sunday. Immediately my head swelled and I had shooting pain. Within 10 minutes the swelling went down and the pressure, pain, and nauseau kicked in. I took a nap for an hour. I couldn t keep my eyes open. Light and sound were overwhelming and the pressure I felt all over my face and head were too much. I figured a shower, tylenol , and bed would resolve everything by morning. I woke up in the morning with a splitting headache and it was hard to focus. I was typing for someone and saw the words were jumbled in the sentence. I apparently was speaking very softly and people said I was mumbling my response. My boss advised seeking medical attention. I went to an urgent clinic. I was told my ct scan came back clear. They said to stop with the tylenol. I was prescribed fiorocet for inflammation supposedly, but the pharmacist said it.s not an uninglammatory. I can make it about 3 hours with the splitting headache while on fiorocet and then I have to go to bed. I have noticed sporadically I feel hot like I have a fever . But I again was fine prior to bumping my head. I don t think I could possibly be sick. The throbbing headache just seems to be getting worse. Help.
Mon, 23 Sep 2013
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Pain Medicine & Palliative Care Specialist 's  Response
Hi,
The initial symptoms you suffered of pain, nausea and pressure are due to concussion which is common after this type of head injury.
However, the further course of your symptoms is concerning. A CT scan can be normal initially and then show a bleed later. The Fioricet you have been taking is a combination of a low dose of barbiturate, paracetamol and caffeine and may help your headache.
As your symptoms have continued and you feel no better, I suggest you wait another 24 hours and if they have not improved then visit your doctor again.
I wish you a speedy recovery.
Regards,
Dr K A Pottinger
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Swelling And Pain After Head Injury, Nausea, Headache,sensitivity To Light And Sound

Hi, The initial symptoms you suffered of pain, nausea and pressure are due to concussion which is common after this type of head injury. However, the further course of your symptoms is concerning. A CT scan can be normal initially and then show a bleed later. The Fioricet you have been taking is a combination of a low dose of barbiturate, paracetamol and caffeine and may help your headache. As your symptoms have continued and you feel no better, I suggest you wait another 24 hours and if they have not improved then visit your doctor again. I wish you a speedy recovery. Regards, Dr K A Pottinger