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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Head injury, nasal bleeding, cut on forehead, throbbing headache. History of concussions. Treatment?

Hi Doctor, I just got in a fight with someone about half an hour ago - and i got punched in the face pretty hard twice and the second time i actually fell down and the back of my head hit the concrete pavement pretty hard but i got up like nothing happened. Got a runny nose for a few minutes and walked away like nothing happened.... i was wearing my glasses so i had a minor cut to the forehead between the eyes, just an inch on top of the end of my nose bridge and my eyes - especially my left eye feels kind of blackoutish?? like the feeling that i got when i got hit in the face by a soccer ball hard a while ago but overall my vision is fine. The worst symptom is problably my minor throbbing headache in my forehead - i actually had a really bad motorcycle accident once and was concussed and unconscious after falling off at 60km+/hr - this current headache kind of feels like that but it s still bearable. Do you think it will all recover fairly quickly? Many Thanks in advance
Thu, 13 Sep 2012
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Emergency Medicine Specialist 's  Response
Dear Confluence1611, hello.
Let us come to your symptoms one by one.
--> Running nose for a few minutes can be due to the irritation of the nasal mucosa due to the punch.As it was normal after few minutes, it is insignicant. If it would have persisted, it might indicate CSF Rhinorrhea due to basilar skull fracture. In your case, it is not.
--> cut on your forehead is due to external injury by your glases.
--> If your vision is normal then its ok.
--> Your main concern -headache. Usually it will subside by its own. It takes a few weeks to get fully absent. Giving rest to your body speeds up recovery.
if the headache is still persisting, consult a Neurophysician & get youself examined and if needed get a scan of your head done.
Thanks.
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