[21F] Experiencing severe headache and fatigue post head injury

Patient Description

A 21-year-old female presents with a severe, constant, aching headache rated 7/10 in intensity, located from the front temple to the ears, which started suddenly two days after a significant head injury. The headache is exacerbated by light and movement and alleviated by darkness and quiet. Accompanying symptoms include fatigue, with the patient reporting 19 hours of sleep in the past 24 hours, and noted changes in coordination and balance, as well as weakness. There is no reported nausea, vomiting, or loss of consciousness, and no clear fluid leakage from the nose or ears. The patient has an allergy to penicillin and is currently taking montelukast. There are no known pre-existing conditions or chronic illnesses.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible diagnoses include:

  • Concussion: This is a type of traumatic brain injury that's caused by a blow to the head or body, a fall, or another injury that jars or shakes the brain inside the skull. Symptoms can include headaches, fatigue, dizziness, and problems with balance and coordination.

    • Treatment usually involves rest and restricting activities to allow the brain to recover. You should avoid physical activities that could cause another blow to the head and limit activities that require thinking and mental concentration.
  • Post-concussion syndrome: This is a complex disorder in which various symptoms — such as headaches and dizziness — last for weeks and sometimes months after the injury that caused the concussion.

    • Treatment is symptom based because each person may experience different symptoms. The doctor may recommend that you have physical therapy, cognitive therapy, and medication for depression and anxiety if needed.

Please note that these are just possible diagnoses. You should seek care from a healthcare professional to receive a formal diagnosis and treatment if appropriate.

What you can do

  1. Rest and avoid activities that could cause another blow to the head.
  2. Limit activities that require thinking and mental concentration. These activities can worsen your symptoms and delay recovery.
  3. Stay hydrated and maintain a healthy diet.
  4. Over-the-counter pain relievers such as acetaminophen (Tylenol) can help with headache. Avoid aspirin and ibuprofen (Advil, Motrin) if you have a concussion as they may increase the risk of bleeding.

What you should look out for

Seek immediate medical attention if you experience:

  • Worsening headache
  • Repeated vomiting
  • Unusual behavior or increased confusion
  • Seizures
  • Difficulty waking up or excessive sleepiness
  • Weakness or numbness in arms or legs
  • Slurred speech
  • Clear fluid or blood draining from nose or ears

Remember, I'm an AI and this advice is based on the information you've provided. It's always important to consult with a healthcare professional who can evaluate your condition.

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11 mo ago

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People Also Ask


What are the common symptoms of a concussion?

Common symptoms of a concussion include headaches, fatigue, dizziness, problems with balance and coordination, sensitivity to light and noise, confusion, and memory issues.


How long does post-concussion syndrome typically last?

Post-concussion syndrome can last for weeks or even months after the initial injury. The duration varies from person to person, and symptoms can persist for different lengths of time.


What activities should be avoided after a head injury?

After a head injury, it's important to avoid physical activities that could lead to another blow to the head, as well as activities that require significant mental concentration, such as studying or working on a computer, as these can worsen symptoms.


What are the warning signs that require immediate medical attention after a head injury?

Warning signs that require immediate medical attention include worsening headache, repeated vomiting, unusual behavior or increased confusion, seizures, difficulty waking up, excessive sleepiness, weakness or numbness in arms or legs, slurred speech, and clear fluid or blood draining from the nose or ears.


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