[25M] Experiencing headaches and nosebleeds with new dents in head post head injury

Patient Description

A 25-year-old male reports the development of new dents on the top right and back of his head following a significant head injury, which was caused by being hit in the head multiple times with a hand. The patient believes he may have lost consciousness after the injury. Since the injury, the patient has been experiencing headaches localized to the back right side of the head that come and go, which seem to be exacerbated by high blood pressure, tachycardia, and caffeine withdrawal. The patient also experienced frequent nosebleeds on one particular day but has not had any recent injuries to the nose or face. There is no reported family history of bleeding or clotting disorders, and the patient has not disclosed any chronic illnesses or pre-existing conditions that could be related to the current symptoms.

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Arora's Assessment

What might be happening

Based on the information you've provided, it's possible that you may have experienced a concussion, which is a type of traumatic brain injury usually caused by a blow to the head. Symptoms of a concussion can include headaches, confusion, dizziness, and temporary loss of consciousness, which you have described.

The dents in your head could be due to the trauma you experienced. However, it's also possible that they are unrelated to your symptoms and are simply a normal variation in skull shape.

The nosebleeds you experienced could be related to the trauma, or they could be due to other factors such as dry air, nose picking, or certain medications.

What you can do

If you suspect you have a concussion, it's important to seek medical attention right away. A healthcare professional can evaluate your symptoms and determine the best course of treatment.

In the meantime, try to rest and avoid activities that could potentially lead to another head injury. Over-the-counter pain relievers such as acetaminophen (Tylenol) can help with headache pain. Avoid aspirin and other nonsteroidal anti-inflammatory drugs (NSAIDs) if you're experiencing nosebleeds, as these can increase bleeding.

What you should look out for

Seek immediate medical attention if you experience any of the following symptoms:

  • Severe headache
  • Repeated vomiting
  • Loss of consciousness
  • Seizures
  • Slurred speech
  • Weakness or numbness in the arms or legs
  • Persistent confusion or memory problems
  • Clear fluid or blood draining from the nose or ears

Remember, I'm an AI and this advice is based on the information you've given me. It's always a good idea to consult with a healthcare professional for a formal diagnosis and treatment.

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1 yr ago

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People Also Ask


What are the common symptoms of a concussion?

Common symptoms of a concussion include headaches, confusion, dizziness, temporary loss of consciousness, nausea, vomiting, sensitivity to light or noise, and difficulty concentrating or remembering.


Can head trauma cause changes in skull shape or dents?

Head trauma can sometimes cause changes in the skull, such as dents or depressions, especially if the impact was significant. However, these changes can also be unrelated to the injury and may be a normal variation in skull shape.


What might cause frequent nosebleeds after a head injury?

Frequent nosebleeds after a head injury could be due to the trauma itself, but they can also be caused by other factors such as dry air, nose picking, or the use of certain medications that affect blood clotting.


How should one manage headaches after a concussion?

To manage headaches after a concussion, it is important to rest and avoid activities that could worsen the symptoms. Over-the-counter pain relievers like acetaminophen (Tylenol) can be used, but it's advisable to avoid NSAIDs like aspirin if nosebleeds are present, as they can increase bleeding.


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