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Does Suspected Brain Injury Require Consultation Despite No Nausea Or Dizziness?

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Posted on Thu, 5 Oct 2017
Question: Hello, I played rugby for the first semester in my college. I am just in great concern of having suspected traumatic brain injury. After yesterday's game, having a struck in back of my head after being tackled to the ground once or twice, I just know that I just saw a white flash upon the impact. But after that, I was fine, there was no dizziness or sudden headache, just being more alert with my surroundings. I am well aware of the symptoms of concussion and so far, I do not have headache or dizziness or nausea. Should I monitor my mental health closely or should I go to the doctor immediately? I do not want to be in risk of having Second Impact Syndrome before my game on next Saturday.
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Answered by Dr. Olsi Taka (1 hour later)
Brief Answer:
No need to go to the doctor immediately.

Detailed Answer:
I read your question carefully and I understand your concern.

Based on your description I do not see any reason to seek urgent medical help. That would be necessary if a brain lesion such as a hemorrhage is suspected which would need urgent imaging and potentially surgery. You say to be aware of symptoms and signs to watch for and haven't developed any. The risk of that happening is mostly in the first 24 hours so since the trauma took place yesterday the period of high alert is passing. After the first 24 hours it's very unlikely for such complications to happen in a young individual with no known clotting conditions.

Of course symptoms of concussion like headaches, difficulty concentrating, fatigue etc may persist for some time, but that doesn't warrant any surgical procedure or tests, even if you consulted a physician all you'd be recommended would be physical and psychological rest, no medication is prescribed, at most an over the counter painkiller like Tylenol in case of headache.

I remain at your disposal for other questions.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Olsi Taka

Neurologist

Practicing since :2004

Answered : 3673 Questions

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Does Suspected Brain Injury Require Consultation Despite No Nausea Or Dizziness?

Brief Answer: No need to go to the doctor immediately. Detailed Answer: I read your question carefully and I understand your concern. Based on your description I do not see any reason to seek urgent medical help. That would be necessary if a brain lesion such as a hemorrhage is suspected which would need urgent imaging and potentially surgery. You say to be aware of symptoms and signs to watch for and haven't developed any. The risk of that happening is mostly in the first 24 hours so since the trauma took place yesterday the period of high alert is passing. After the first 24 hours it's very unlikely for such complications to happen in a young individual with no known clotting conditions. Of course symptoms of concussion like headaches, difficulty concentrating, fatigue etc may persist for some time, but that doesn't warrant any surgical procedure or tests, even if you consulted a physician all you'd be recommended would be physical and psychological rest, no medication is prescribed, at most an over the counter painkiller like Tylenol in case of headache. I remain at your disposal for other questions.