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Head ache causing nausea - Online Doctor Chats

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

General & Family Physician
Practicing since : 2004
Answered : 1773 Questions
User :   Hi how long does concussion symptoms last? I got knoked in the head Thursday and but didnt get any symptoms until the day after. It is now Monday and i still have a small headache/visiual distubances/in and out neasea
Doctor :   Hi
User :   Hello
Doctor :   How can I help you ?
User :   how long does concussion symptoms last? I got knoked in the head Thursday and but didnt get any symptoms until the day after. It is now Monday and i still have a small headache/visiual distubances/in and out neasea
Doctor :   Hi, Usually after an external injury to head we keep the patient under observation in the Intensive Care for 48hrs.
User :   Ive already been to the doctors thats the person who said i had a concussion
Doctor :   But a lot of things depend on the type of injury, whether there was any external bleed or internal bleed, etc.
Doctor :   Ok.
Doctor :   But all the symptoms that you have quoted are symptoms of Increased Intra cranial pressure.
Doctor :   Like 1.headache
Doctor :   2.nausea
Doctor :   3. Visual disturbances which are due to pupillary constriction.
User :   she checked my eyes and said they looked normal so she wasnt concerned
User :   she did it by turning off the lights and using some flashlight thing?
Doctor :   I would advise you to go for a re-evealuation until you have a history of migraine or refractive index problems?
Doctor :   Do you have any of these problems previously?
User :   no
Doctor :   In that case I would not allow you to take it lightly.
User :   im kinda also worried it might be a brain tumor. should i be worried about that?
Doctor :   You have to get a re-evaluation done by a neurologist or an internal medicine speialist.
User :   should i be worried about a brain tumor?
Doctor :   Brain tumor cannot be ruled out , but has a 100 times lesser chance than the injury that you have had previously.
Doctor :   I shall recommend you teh following steps : Doctor :   1. CT BRAIN would rule out any bleed or any haemorrhage internally or anything else.
Doctor :   2. CSF finding may also help you in determining the cause.
Doctor :   These tests would rule out any confusion.
Doctor :   Are you insured?
User :   yes
Doctor :   If so , please go ahead and get these tests done, as they would be more helpful than harm you and you will be at ease once the diagnosis is made.
User :   hehe im worried about a brain tumor now and i dont know why. I mean i dont know anyone in my family thats ever had a brain tumor so i dont know if its rare or not
Doctor :   But before that I would recommend you to go for an Eye test to an Opthalmologist.
Doctor :   Now the most important factor in diagnosis is , we miss out minor things like a refractive index problem and start thinking about tumors which almost have same symptoms.
User :   whats a refractive index problem?
Doctor :   I would have to tell you to be confident and not to worry and get the Opthalmologists opinion first.
Doctor :   It means Short/Long/Sightedness or Astigmatism.
Doctor :   They are defects in eye lens.
User :   oh all thats with me is its a litle fuzzy
Doctor :   for which you may need spectacles.
User :   i can still see fine its just its not as clear
Doctor :   Ok.
User :   is that less to wrry about?
Doctor :   May I know your age please ?
User :   18
Doctor :   18 is very rare for brain tumors.
Doctor :   Usually we see 70% of the cases in 40 and above.
Doctor :   SAtatistics and prevelance rates are low for your age group.
User :   ok
User :   i dont really think i do anymore i checked where i was hit and there is a scab
User :   does that mean there was bleeding there?
Doctor :   Yes ther might be some
User :   so i should go back to doctors?
Doctor :   I would advise you to follow the three steps that i have advised you.
User :   ok
Doctor :   And show up to him.
User :   would going to gp be helpful?
User :   my physician
Doctor :   Yes, but an internal medicine doctor would be more helpful.
User :   ok thank you very much ill see what i can get done
Doctor :   Thank you for consulting me.
Doctor :   take care, bye for now.
User :   Have a goodday
Doctor :   And hope you get well soon and it is not a major prob.
Doctor :   bye.
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