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What Causes Headache And Dizziness After A Head Injury?
I m 27 years old. I ve had migraines since I was a kid. However, depending on my stress levels I ll have periods of high migraines or periods of no migraines. My concern is that about 2 weeks ago, a heavy piece of exercise equipment hit my head. Specifically, near my left temple. I think I had a concision since I nearly blacked out and had a huge swollen area for several days. The swelling is gone but I feel that ever since then I ve had a migraine everyday with intense pain and sometimes they ll cause dizziness. The pain will come and go theoughout the day and move around different areas of my head. Is this something I should worry about or consider this just a phase is stress/anxiety?
Wed, 2 Aug 2017
Hi, thanks for asking from HCM.
I can understand your concern. According to your history, you most probably had concussion. It was not a dangerous injury as you are conscious, oriented and able to move around.
However persistence of dizziness, headache even after so many days points towards "Post concussion syndrome". It means persistence of headache, vertigo, occurrence of irritability, brain fog for few weeks after episode of concussion. Usually it occurs after repeated concussion injuries. It can also cause anxiety.
To relieve your symptoms, you should
- Take rest and avoid strenuous activities like exercise/jogging.
- Take painkiller like paracetamol or diclofenac after proper prescription, in case of headache.
- Take anti vertigo medication like betahistin after proper prescription in case of dizziness.
- For anxiety symptoms, you can take tablet clonazepam after proper prescription.
- If symptoms worsen or still persist, you should consult neurosurgeon and get NCCT head. NCCT head will rule out any bleed or fracture. Small bleed or fracture are mostly managed conservatively with above medication.
Hope it will help you. If still in doubt, do let me know.
Thanks. Take care.
Dr Ishu Bishnoi
I can understand your concern. According to your history, you most probably had concussion. It was not a dangerous injury as you are conscious, oriented and able to move around.
However persistence of dizziness, headache even after so many days points towards "Post concussion syndrome". It means persistence of headache, vertigo, occurrence of irritability, brain fog for few weeks after episode of concussion. Usually it occurs after repeated concussion injuries. It can also cause anxiety.
To relieve your symptoms, you should
- Take rest and avoid strenuous activities like exercise/jogging.
- Take painkiller like paracetamol or diclofenac after proper prescription, in case of headache.
- Take anti vertigo medication like betahistin after proper prescription in case of dizziness.
- For anxiety symptoms, you can take tablet clonazepam after proper prescription.
- If symptoms worsen or still persist, you should consult neurosurgeon and get NCCT head. NCCT head will rule out any bleed or fracture. Small bleed or fracture are mostly managed conservatively with above medication.
Hope it will help you. If still in doubt, do let me know.
Thanks. Take care.
Dr Ishu Bishnoi
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