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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Should I Go To Hospital For Headaches And Chest Pains After Being Hit During Play?

Hi I got hit in hockey and when I did I hit the bords at a fast speed I hit my head and I have headaches but when I hit the bords the way I did I kinda like crushed my Chest and now Im having cramps in my heart when I move a lot or when I lift heavy things it wasn't so bad at first but I noticed that sometimes it does hurt a lot should I go to the hospital or will this go away?
Fri, 8 Jan 2016
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Neurologist, Surgical 's  Response
Hello. Thanks for asking from HCM.


I can understand your concern. I am sorry that you got injury over chest and head both. Headache after head injury can be managed at home, but we have to rule out dangerous head injury. You have to observe signs of dangerous head injury
: vomiting
: bleed through nose/ear/throat
: loss of consciousness for more than 5 min or decreasing consciousness
: onset of new focal deficit
: fits
: persistent headache not responding to painkillers
If any of above sign, consult ER as soon as possible. The doctor might advise you CT scan of head to rule out fracture or brain bleed. Further management will be decided after CT report.

If no above sign, you can
: Apply icepacks at injury site
: take painkiller like Diclofenac sodium after proper prescription
: avoid pressure at injury site
If no relief in pain, then you should consult doctor

For chest pain, observe injury site for
: redness which is increasing in size
: swelling and severe pain
: breathlessness with sweating
: on pressing injury site and surroundings, if you are appreciating crepitations or entrapped air below skin layer
If such symptoms are there, it is a significant chest injury. Consult ER as soon as possible. The doctor might advise you X ray chest to rule out ribs fracture, air or blood in chest cavity. Further plan will be decided after report.

If no above symptoms and only pain is there, you can
: Take painkiller as mentioned above
: Apply painkiller gel like Diclofenac gel thrice a day
: Apply icepacks at injury site
: Avoiding pressure at injury site
: if still no relief, consult doctor.
This chest pain or heart cramps will subside in few days.


Hope it will help you. Thanks. Take care.
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Should I Go To Hospital For Headaches And Chest Pains After Being Hit During Play?

Hello. Thanks for asking from HCM. I can understand your concern. I am sorry that you got injury over chest and head both. Headache after head injury can be managed at home, but we have to rule out dangerous head injury. You have to observe signs of dangerous head injury : vomiting : bleed through nose/ear/throat : loss of consciousness for more than 5 min or decreasing consciousness : onset of new focal deficit : fits : persistent headache not responding to painkillers If any of above sign, consult ER as soon as possible. The doctor might advise you CT scan of head to rule out fracture or brain bleed. Further management will be decided after CT report. If no above sign, you can : Apply icepacks at injury site : take painkiller like Diclofenac sodium after proper prescription : avoid pressure at injury site If no relief in pain, then you should consult doctor For chest pain, observe injury site for : redness which is increasing in size : swelling and severe pain : breathlessness with sweating : on pressing injury site and surroundings, if you are appreciating crepitations or entrapped air below skin layer If such symptoms are there, it is a significant chest injury. Consult ER as soon as possible. The doctor might advise you X ray chest to rule out ribs fracture, air or blood in chest cavity. Further plan will be decided after report. If no above symptoms and only pain is there, you can : Take painkiller as mentioned above : Apply painkiller gel like Diclofenac gel thrice a day : Apply icepacks at injury site : Avoiding pressure at injury site : if still no relief, consult doctor. This chest pain or heart cramps will subside in few days. Hope it will help you. Thanks. Take care.