[31F] With severe headaches and migraines post-head injury

Question

So I know someone who had a similar incident however this person ended up dying several days later, the only symptom present was a headache/migraine, this was from the blow to the head knocked a clot lose in their brain. How do I know if my headaches/migraines are something serious like this or if it's just normal postconcussive migraine/headache?

Patient Description

A 31-year-old female has been experiencing severe headaches and migraines for four to five days following an incident where she lost consciousness and hit her head/face on the back of a toilet. The pain is primarily on the left side of her head and feels like someone is beating her skull with a bat. She has had headaches before but not of this intensity. She reports difficulty focusing on written words, slight sensitivity to light, dizziness, swelling in her face and head, lack of energy, possible depth perception issues, and temporary lack of balance. She is not currently taking any medications and has no pre-existing conditions or chronic illnesses. The patient is concerned about the possibility of having sustained a concussion.

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Arora's Assessment

What might be happening

Based on the information you have provided, here are some possible explanations for your symptoms:

  • Concussion: A concussion is a type of traumatic brain injury caused by a blow to the head. Symptoms can include headaches, dizziness, difficulty concentrating, sensitivity to light, and balance problems. Given that you lost consciousness and have had severe headaches and other symptoms since the injury, a concussion is a strong possibility.

    • Typical treatment involves rest and avoiding activities that could cause another head injury. Over-the-counter pain relievers can help manage headaches, but it's important to consult a healthcare provider for a proper diagnosis and treatment plan.
  • Post-Traumatic Headache: This type of headache can occur after a head injury and can be similar to migraines. Symptoms can include severe, throbbing pain, sensitivity to light, and dizziness.

    • Treatment often involves medications for pain relief and managing other symptoms. A healthcare provider can recommend the best course of action.
  • Migraine: While you mentioned that your current headache feels different from previous ones, it's possible that the head injury has triggered a severe migraine. Migraines can cause intense, throbbing pain, sensitivity to light, and dizziness.

    • Treatment typically involves medications to relieve pain and prevent future migraines. Lifestyle changes and avoiding known triggers can also help.

What you can do

  1. Rest: Ensure you get plenty of rest and avoid activities that could worsen your symptoms or lead to another head injury.
  2. Hydration: Drink plenty of water to stay hydrated, as dehydration can worsen headaches.
  3. Pain Relief: Over-the-counter pain relievers like acetaminophen (Tylenol) or ibuprofen (Advil) can help manage your headache. Avoid aspirin, as it can increase the risk of bleeding.
  4. Avoid Triggers: Minimize exposure to bright lights, loud noises, and other potential headache triggers.
  5. Monitor Symptoms: Keep track of your symptoms and note any changes or worsening of your condition.

What you should look out for

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

  • Worsening headache or persistent headache that doesn't improve with rest and pain relievers
  • Repeated vomiting or severe nausea
  • Increased confusion, memory problems, or difficulty understanding speech
  • Seizures or convulsions
  • Weakness or numbness in any part of your body
  • Difficulty walking or maintaining balance
  • Vision changes, such as double vision or loss of vision
  • Any other concerning symptoms

Remember, it's important to consult a healthcare provider for a formal diagnosis and appropriate treatment. If you have any concerns about your symptoms, please seek medical attention promptly.

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8 mo ago

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People Also Ask


What are the common symptoms of a concussion?

Common symptoms of a concussion include headaches, dizziness, difficulty concentrating, sensitivity to light and noise, balance problems, confusion, and sometimes nausea or vomiting. It's important to seek medical evaluation if you suspect a concussion.


How can I differentiate between a migraine and a post-traumatic headache?

While both migraines and post-traumatic headaches can cause severe, throbbing pain and sensitivity to light, post-traumatic headaches occur after a head injury and may also include symptoms like dizziness and balance issues. A healthcare provider can help differentiate between the two based on your symptoms and medical history.


What should I do if my headache doesn't improve with rest and over-the-counter medication?

If your headache doesn't improve with rest and over-the-counter medication, or if it worsens, you should seek medical attention. Persistent or worsening headaches after a head injury could indicate a more serious condition that requires professional evaluation.


Are there any activities I should avoid after a head injury?

After a head injury, it's important to avoid activities that could lead to another head injury, such as contact sports or activities with a risk of falling. You should also avoid activities that exacerbate your symptoms, like exposure to bright lights or loud noises, until you have fully recovered.


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2 Comments


Arora (Bot)#28060

8 mo ago

It's understandable to be concerned given your friend's experience. While headaches and migraines can be common after a head injury, certain symptoms can indicate a more serious issue. You should seek immediate medical attention if you experience worsening headaches, repeated vomiting, increased confusion, seizures, weakness or numbness, difficulty walking, or vision changes. These could be signs of a more serious condition, such as a blood clot. Monitoring your symptoms closely and consulting a healthcare provider for a thorough evaluation is crucial.

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Billy#3955

8 mo ago

I'm sorry to hear you had such a severe injury! In terms of ruling out brain bleed, there's a couple things to consider. You are out of the window for the most rapidly deadly type of brain bleed, which is called an epidural hematoma involving the arteries of your skull. A venous or small vessel bleed is still possible, so I would watch out for rapidly worsening headache, altered consciousness, dramatic changes or loss of vision, or slurring of words. If any of these things happen, go to the ER right away or call an ambulance.

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