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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Fuzzy Headedness And Leaking From Knot From Head Injury?

I feel down from a stand up from being dizzy I hit my head on concrete and was out cold I woke up for a brief sec and was out for a couple more sec i feel fine now just headache and when I go to blow my nose I have some small blood inside what could be wrong my vision its fine anf I worked today but felt a little fuzzy headed and the not on my head is leaking some type of fluid what could be wrong
Thu, 10 Aug 2017
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Neurologist, Surgical,  's  Response
Hi, thanks for asking from HCM.


I can understand your concern. It is good that you are conscious and oriented. The leak from knot could be inflammatory serous fluid/serum or blood discharge. If it is thick, sticky and transparent, it is serum and if it is red, it is blood. Kindly get it examined. You need dressing over it. If there will be open wound, you might need stitches.

The blood in nose could be due to injury to nose. As you mentioned, there was small amount, it was most probably erosions. You can wait. If there is no frank blood/only blood clots with no active bleeding, it will heal on its own. If there is profuse bleeding/blood with watery discharge, consult ER. You might need a NCCT head to rule out any skull base damage or CSF leak. Avoid blowing and picking of nose.

The headache will be there for few days. You can apply icepacks at injury site. Also take painkiller like acetaminophen/diclofenac after proper prescription. Avoid pressure at pain site. If headache worsens despite taking painkillers/ headache with projectile vomiting, you must consult ER.
In such case, NCCT head is advisable to rule out fracture or bleed.

Usual treatment is conservative. Surgery is needed only if large bleed with mass effect.

Hope it will help you. If any doubts, do let me know.
Thanks. Take care.
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What Causes Fuzzy Headedness And Leaking From Knot From Head Injury?

Hi, thanks for asking from HCM. I can understand your concern. It is good that you are conscious and oriented. The leak from knot could be inflammatory serous fluid/serum or blood discharge. If it is thick, sticky and transparent, it is serum and if it is red, it is blood. Kindly get it examined. You need dressing over it. If there will be open wound, you might need stitches. The blood in nose could be due to injury to nose. As you mentioned, there was small amount, it was most probably erosions. You can wait. If there is no frank blood/only blood clots with no active bleeding, it will heal on its own. If there is profuse bleeding/blood with watery discharge, consult ER. You might need a NCCT head to rule out any skull base damage or CSF leak. Avoid blowing and picking of nose. The headache will be there for few days. You can apply icepacks at injury site. Also take painkiller like acetaminophen/diclofenac after proper prescription. Avoid pressure at pain site. If headache worsens despite taking painkillers/ headache with projectile vomiting, you must consult ER. In such case, NCCT head is advisable to rule out fracture or bleed. Usual treatment is conservative. Surgery is needed only if large bleed with mass effect. Hope it will help you. If any doubts, do let me know. Thanks. Take care.