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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Vomiting Feeling With Headache After Hitting Back Of Head Serious?

my husband fell and hit the back of his head on the corner of the wall. he has a massive headache now and feels like throwing up but hasn t. pupils are normal. ice on it now. he won t go to doctor and i m a little nervous. it didn t bleed and he didn t pass out
Mon, 25 Jan 2016
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Neurologist, Surgical 's  Response
Hello. Thanks for asking from HCM.


I can understand your concern. The head injury which causes severe headache with nausea or vomiting may be dangerous head injury. Occurrence of vomiting after head injury must never be taken lightly. It should be evaluated by doctor in emergency. After evaluation, CT head may be advised to rule out fracture or brain bleed. Fracture is usually managed by medical treatment while brain bleed may require surgical evacuation.

If your husband is conscious, oriented and responding normally, it is good for him. If you have not given any painkiller, you can give him Diclofenac sodium after proper prescription. If he gets relief and no further deterioration, you can wait.

But if no relief, he develops any of below mentioned symptoms then do not wait, consult ER as soon as possible

: vomiting
: loss of consciousness
: decreasing consciousness
: fits
: bleed through nose/ear/throat
: onset of new focal deficit

Meanwhile at home, you can

: Avoid pressure at injury site
: Keep head at higher level than chest

Hope it will help him. Still no relief, consult doctor.


Thanks.

Take care.
Dr Ishu Bishnoi
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Is Vomiting Feeling With Headache After Hitting Back Of Head Serious?

Hello. Thanks for asking from HCM. I can understand your concern. The head injury which causes severe headache with nausea or vomiting may be dangerous head injury. Occurrence of vomiting after head injury must never be taken lightly. It should be evaluated by doctor in emergency. After evaluation, CT head may be advised to rule out fracture or brain bleed. Fracture is usually managed by medical treatment while brain bleed may require surgical evacuation. If your husband is conscious, oriented and responding normally, it is good for him. If you have not given any painkiller, you can give him Diclofenac sodium after proper prescription. If he gets relief and no further deterioration, you can wait. But if no relief, he develops any of below mentioned symptoms then do not wait, consult ER as soon as possible : vomiting : loss of consciousness : decreasing consciousness : fits : bleed through nose/ear/throat : onset of new focal deficit Meanwhile at home, you can : Avoid pressure at injury site : Keep head at higher level than chest Hope it will help him. Still no relief, consult doctor. Thanks. Take care. Dr Ishu Bishnoi