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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Nausea And Headache After Head Injury?

My daughter was playing at a friends house and hit her head. She said she fell back and hit the back of her head on hardwood floors. They told her to lay down. She felt nausea and she says she has a pulsing pain in her head. I was unaware that she hurt herself and I didn't know until i picked her up at ten. She got there at seven thirty and fell soon there after. The pain has not gotten better and is not worse and she is vomiting. I tried to give her half of an excedrin but it looks as though that is about to come up. And she has eaten since much earlier this evening. Should i take her to an emergency room now
Tue, 9 Feb 2016
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Neurologist, Surgical 's  Response
Hello. Thanks for asking from HCM.


I can understand your concern. Your daughter is having headache with nausea and vomiting after head injury which is a sign of dangerous head injury. It needs urgent evaluation. You must consult ER as soon as possible.

The doctor will evaluate her and may advise CT head to rule out skull bone fracture or bleed or brain edema. Only presence of skull bone fracture is usually managed by medical treatment. While brain bleed or edema which is causing pressure over brain may require surgery to relieve it. If no positive finding on CT, then you should not worry at all. She might be advised painkillers and ant-emetics.

In children, vomiting should never be taken lightly. Meanwhile at home, you should also observe her for other signs of dangerous head injury

: bleed through nose/ear/throat
: fits
: onset of new focal deficit
: persistent headache not relieving with medication
: loss of consciousness for more than 5 minutes
: confusion, sleepiness, poor responsiveness

These signs mean urgent ER consultation.

At home, you can follow few tips

: Apply icepacks at injury site
: Keep her head at higher level than chest to relieve swelling and any brain edema
: In case of vomiting, turn head to side
: Avoid painkiller with sedation effects like opioids.

Hope it will help you.

Thanks. Take care.

Dr Ishu Bishnoi
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What Causes Nausea And Headache After Head Injury?

Hello. Thanks for asking from HCM. I can understand your concern. Your daughter is having headache with nausea and vomiting after head injury which is a sign of dangerous head injury. It needs urgent evaluation. You must consult ER as soon as possible. The doctor will evaluate her and may advise CT head to rule out skull bone fracture or bleed or brain edema. Only presence of skull bone fracture is usually managed by medical treatment. While brain bleed or edema which is causing pressure over brain may require surgery to relieve it. If no positive finding on CT, then you should not worry at all. She might be advised painkillers and ant-emetics. In children, vomiting should never be taken lightly. Meanwhile at home, you should also observe her for other signs of dangerous head injury : bleed through nose/ear/throat : fits : onset of new focal deficit : persistent headache not relieving with medication : loss of consciousness for more than 5 minutes : confusion, sleepiness, poor responsiveness These signs mean urgent ER consultation. At home, you can follow few tips : Apply icepacks at injury site : Keep her head at higher level than chest to relieve swelling and any brain edema : In case of vomiting, turn head to side : Avoid painkiller with sedation effects like opioids. Hope it will help you. Thanks. Take care. Dr Ishu Bishnoi