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Query about intracranial bleeding - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Head Injuries
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3385 Questions
User :   my girl friend slipped on the ice and banged her forehead on the bumper of then van. it gave her a good knot that was 6 days ago. she still has a headache it comes and goes. she says its never bad. she doesnt have insurance so we are wondering if she should go to the er. she says she fine.
Doctor :   Hi.
User :   hello
Doctor :   Which part of the head is aching?
Doctor :   Is the pain present on the site of injury or the entire head?
Doctor :   Did she lose consciousness after she banged her head?
User :   she hit her fore head on the left side and her head is aching in the temple
Doctor :   Is she having frequent vomiting?
User :   no vomiting
Doctor :   Did she lose consciousness after she banged her head?
User :   her eyes dilate fine
User :   she says no
Doctor :   Ok
Doctor :   Does she have any visible injuries at the site of injury?
Doctor :   Does she appear confused and disoriented?
User :   yes a bump but it has gon down
User :   no confusion
Doctor :   Ok
Doctor :   Let me explain to you.
Doctor :   Injury to the head can lead to intracranial bleeding.
Doctor :   But your description
User :   her eye got black and blue after the swelling went down
Doctor :   is not consistent with the features of intracranial bleeding.
User :   what about the headache its been 6 days
Doctor :   I feel that the headache is probably secondary to the post trauma and is expected to reduce in a weeks time.
Doctor :   However the only method of confirming this is by getting a CT scan of the brain.
Doctor :   Hence if feasible you can get a CT scan of the brain.
User :   shes not worried but i am cause two days after she banged her head her eye was getting black so i stated looking it up on the internet and the internet has horrors
Doctor :   Else you can follow the below measures
Doctor :   1. Use analgesics such as IBUPROFEN 400mg twice daily after food to reduce the pain
User :   she doesnt have insurance so she is hesitant cause she cant afford to go
User :   she has been taking excedrine migraine
Doctor :   2. Watch out for increase in the intensity of pain, vomiting, drowsiness, confusion, disorientation.
Doctor :   If these symptoms occur, then you will definitely need examination.
User :   does that happen 6-7 days later
Doctor :   From based on my previous experiences in neurology
Doctor :   I would like to state that, if any thing serious such as those explained in the net has to occur
Doctor :   it usually happens during the first week of injury.
Doctor :   It is rare that such events happen after a week following injury.
User :   tomorrow will be a week
User :   and all she has is a headache
Doctor :   So i predict that no such untoward events will happen.
Doctor :   Continue with IBUPROFEN/Excedrin for pain relief.
User :   ok im a worry wart
User :   my mom said the same thing she was a nurse
Doctor :   And proper rest will do for the pain.
Doctor :   Hence you need not worry.
Doctor :   Just watch out for those symptoms that I had mentioned earlier, get a CT scan of the brain, if such symptoms happen(which I guess will be very rare now).
User :   she up and moving fine she laughs she even worked out but she hasnt been able to get rid of the head ache so that was worringg me
Doctor :   Have you followed what I have suggested?
Doctor :   The headache is expected to improve.
User :   yes i have i also checked he eyes to make sure the dialate
Doctor :   So you need not worry.
Doctor :   Do you have any other query?
User :   ok thank very much
User :   no doc thank you
Doctor :   Thanks for consulting me.
Doctor :   Bye for now.
User :   bye bye
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