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Head injury, pain, hurts to touch or open mouth. Fracture of skull?

Hi Dr. I received a hard bump to my temple just over a week ago, I was a bit wobbly for a few hours at the time, but that stopped. However it still hurts all the time (Not a huge amount of pain), it hurts more when I touch it or if I open my mouth. Is there a chance that I have fractured my skull or something? Thanks for any help.
Asked On : Sun, 23 Dec 2012
Answers:  1 Views:  62
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Emergency Medicine Specialist 's  Response
Hello and welcome to Healthcare Magic. Thanks for your query.

It is more likely that you have sustained a hematoma (i.e. a localized collection of seeped-out blood) due to the injury, which is the reason why it may be hurting when you touch or move that area. . You don't seem to have any obvious signs of a skull fracture or any complications to suggest the same.

Often hematomas and the associated soft tissue injuries can take weeks to resolve. I would suggest that you wait for another week for the symptoms to subside. In the meantime, you can try the following remedial measures:
- Apply hot or cold fomentations to the affected area to help reduce the inflammation and have a soothing effect.
- Take an anti-inflammatory / analgesic medication for a few days, to promote faster recovery.
- Take adequate rest and avoid massaging the area (as this can aggravate the soft tissue injury)

Your symptoms should most likely start coming down by the next week and subside completely within 2 to 3 weeks.

Wish you all the best.

Dr. Sheeba Stephen
Answered: Mon, 31 Dec 2012
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