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Suggest Treatment For Persistent Headache After A Trauma

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Posted on Wed, 8 Oct 2014
Question: Hello,
My son was riding his bike and hit a stoped car with the side of his face (jaw, head) last wednesday. Since then, he has had headaches on and off, bettered by Tylenol. Tonight again, he took 2. He is 16 years old. He did not loose conciousness nor did he vomit. But his headaches are persisting.
doctor
Answered by Dr. Vivek Chail (35 minutes later)
Brief Answer:
Please send more information

Detailed Answer:
Hi XXXX,
Thanks for writing in to us.

I have read through your query in detail.
Head injury is considered significant when the patient has vomiting, difficulty in walking, loss of consciousness, severe headaches, nausea. It is important to know where exactly did he hit (you say side of face and jaw) and where is the pain. This can guide us towards and suspected internal injury. There can also be headache due to collection in the sinuses.

Also it is important to know the periodicity of headaches and if it is increasing in severity and whether he gets complete relief after taking Tylenol.

Waiting to hear updates from you.

Regards,
Dr.Vivek
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Vivek Chail (8 minutes later)
He also has a cold (his sinuses are blocked since last Monday). My son suffers from IgA deficiency and also has sinusitis often. He really hit the side of his face (he shows me the cheek and the side of his head). So he hit the car and his sinuses are blocked. Should we go to an emergency room?
doctor
Answered by Dr. Vivek Chail (4 minutes later)
Brief Answer:
Can be sinus infection

Detailed Answer:
Hi XXXX,
Thanks for writing back with an update.

Sinus collections can develop infection leading to periodic headaches. He might need a short course of antibiotics. It is better if you can take him to the ER and get medication to treat his infection should he be having it.

Hope your query is answered.
Please write back if you have any doubts.

Regards,
Dr.Vivek
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Vivek Chail (3 minutes later)
Forgot to tell you that his headache tonight is not going away even if he took Tylenol.
doctor
Answered by Dr. Vivek Chail (9 minutes later)
Brief Answer:
Infection might cause it

Detailed Answer:
Hi XXXX,
Thanks for writing back with an update.

The infection in sinuses has to be controlled by medication at the moment. At the same time any other cause of headache has to be evaluated by clinical examination. Please mention complete details to your doctor for proper clinical evaluation.

Hope your query is answered.
Please write back if you have any doubts.

Regards,
Dr.Vivek
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Vivek Chail

Radiologist

Practicing since :2002

Answered : 6874 Questions

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Suggest Treatment For Persistent Headache After A Trauma

Brief Answer: Please send more information Detailed Answer: Hi XXXX, Thanks for writing in to us. I have read through your query in detail. Head injury is considered significant when the patient has vomiting, difficulty in walking, loss of consciousness, severe headaches, nausea. It is important to know where exactly did he hit (you say side of face and jaw) and where is the pain. This can guide us towards and suspected internal injury. There can also be headache due to collection in the sinuses. Also it is important to know the periodicity of headaches and if it is increasing in severity and whether he gets complete relief after taking Tylenol. Waiting to hear updates from you. Regards, Dr.Vivek