When Can We Stop Worrying After a Hit on the Head?

Question: 

About a month ago, my wife tripped while hiking and hit her head. We went to our Emergency Department and they did a CT scan, which was “clean.” Other than an occasional headache, my wife feels fine. Is there a time when we can stop worrying?

Answer: 

The CT scan that was done in the Emergency Department is helpful because it showed there was no bleed in your wife’s head (hemorrhage) that would require surgery. That being said, most of the time after a concussion — or mild brain injury — a CT scan does not show any evidence of injury and yet some people may continue to have symptoms related to the concussion. The injury to the brain in a concussion is generally to the neurons and axons that are microscopic and therefore not seen on CT scan. Symptoms can be broken down into four categories:

  • Cognitive issues, including memory and concentration
  • Sleep issues, including too much or too little sleep, drowsiness, and difficulty falling asleep
  • Physical issues, including headaches, decreased balance, dizziness, impaired vision, fatigue, nausea/vomiting, and sensitivity to light and noise
  • Emotional issues, including irritability, sadness, and nervousness

Many symptoms from mild traumatic brain injuries resolve themselves with some time and rest and it seems this is the case with your wife. However, if her headaches do not continue to improve, if they are limiting your her function, or if they worsen, it would be appropriate to take her for a re-evaluation by your physician.

 

Posted on BrainLine January 19, 2010. Reviewed July 26, 2018.

Comments (142)

Please remember, we are not able to give medical or legal advice. If you have medical concerns, please consult your doctor. All posted comments are the views and opinions of the poster only.

HI dr my toddler hit her head in the shower.. It was very swolen and now it Come down.. There is a small cut. Because se hit the side of the corner in the shower sould i be warryed... She is stil awake after a hour.

Hit the back left top of my head hard on the corner of the trunk lid of my car, didn't break the skin, no bump, it was 7 days ago and still have sharp shooting pains, should I worry..?

Definitely

On 17th May I hit my right side head in wall and after that I got BPPV with which everything was spinning. The giddiness is comparatively lower as I am doing Vestibular exercise but I am facing different sensation of headache on and off. Is something serious happened to me ?

Hello I hit my left forehead on an iron gate for about 8 months now , I no longer feel pains but the bump is still there , what should I do to get rid of it ?

I got hit in the head with the stripper pole I had pain when it first happen how long should I wait to go sleep and should i go fiber

I bumped my head nearly 3 months ago went a e had a hematoma doctor pierced it said it was fine no headaches felt fine gone down now but now I'm getting floaters and cobweb like threads in one eye s what should I do

Get to a good optometrist and have them dialate your eye. Floaters are a sign of retina problems that can be helped but not if you wait.

Hey I recently fell off of a dirt. Ike and hit my head without a helmet on I said no to a ct scan bc I feel absolutely fine but now I’m worrying more than ever. (Still in the er as of writing this)

Hello, about a week ago i fainted and hit my head and got a really bad goose egg which went down after 24hours, my head still hurts and there's a lot of bruising kind of pain around the area where the big bump was and a part is slightly raised and another is kind of sunken in, should i be concerned?

Yes definitely

I got a hit on my left forehead and it was bumped . But that whole day I was with headache . This is night 2.44 in india . Still I couldn't able to sleep its paining severely in y head and when I lied on bed it is severe... from Bangalore, india

I tripped and fell and hit my head on my hardwood floors. I have a huge bump and two very large black eyes. I had a cat scan and they said no fractures or bleeding but my face is a mess and I have headaches. Should I go back to the ER? This happened three days ago.

Hi,
I hit the top of my head last night from the corner poll of my bed frame while trying yo move around. My head really hurt and it has bump a bit so I roll Bio Freeze to feel better. The following day the bump was gone but my head still painful where it was hit. thanks.

I hit my head on the wall really hard on the wall and it hurts a lot should I go to the hospital?

Earlier today I was riding my skateboard and I tripped on a rock and my board when out from beneath me and I landed on my head and it’s now night time and I’m still feeling the same pain as if it just happend

I hit my head a few minutes ago just a tab not exactly at the front of the head a slight away from my forehead should I worry.

Wow, I've actually done the same thing today!! I sneezed as I was trying to avoid the door frame but I manage to sneeze the corner of my forehead right into it - big ouch.
I hope you're going ok, apply an ice-pack but if symptoms begin or get worse, please call up your local doctor or even better - the ambulance. Also, if it was 'a bit' to 'quite a hard hit', it's best to get it checked out just to see if your brain is all ok. Kind regards and take care :)

I fell backwards two days ago and hit the back of my head so hard that it bled a little. I don't have a headache, but, today my forehead is a bit swelled and bruised. I didn't hit there.

I fell and hit the right side of my face and now my face is crooked i fet weird pain in my head like a burning stingy sensation my right nostril is numb what do I do thank you

Hi there, I highly advise that you go to the doctors, I understand that the Corona Virus is out at the moment but you getting assistance is imperative, especially if you have symptoms to that severity. If ever you experience pains like that after an injury it really needs to get checked out. God bless, and I hope you get better soon.
P.S. If you don't wish to go to the doctors but the symptoms are still there, please call an ambulance and ask for advice about it. There's a high chance you could have a concussion and therefore you probably need a CAT/MRI scan (sorry I can't remember which one it was called when I got my head scanned) - this tells the Dr's whether your brain is internal bleeding or if something has gone wrong. I hope all is well, stay safe and take care.

Hello I was out last friday last and I fall and hurt my side of my head and I am just getting pains in my head should I be worried??

I was in my restroom just now and when I bent down to grab something I hit my forehead so hard on the corner of my sink counter and I thought u was gonna a
Die because of bleeding in the head but it hurts so bad idk hopefully I’ll be okay.

3 days i had ski doo accident with out wearing helmets.. My bf was driving very fast and he wanted to go right and i think skidoo flip.. I feel like i dont remember what happened.. I remember i hit my head really hard then i open my eyes my bf was holding me.. Says after we fell he went to get me right away. Since then i been having heavy headaches and still have bump and swollen. Is this dangerous?

One year ago today, I hit the back of my head (occipital bone) really hard on a shelf... and till this day it hurts to lay or put pressure on this area. I have had two MRIs and a CT scan- all came back negative and clear. Every since the hit to me head , I have also been dealing with severe anxiety, head tingling, and vision issues. Summer of last year, I asked my neurologist if I could have occipital neuralgia and the only way to test it is a nerve block. Well, the nerve block worked.. temporarily. But fast forward now... the only thing I really want to figure out is what is wrong with my head? It’s been a year, and I still can’t lay down or put pressure on my head without it feeling tender or pulsing. Is this a blood vessel or nerve issue? Will this resolve on its own? Is this PCS? Thank you!

I fell and smacked my face on the wood floor at home...that was about a month ago. I had a really bad black eye from it. Well, anyways I have a knot right on and above my eyebrow that hasnt gone away. It feels hard and hurts sometimes like lightening bolt pains kinda. No insurance. Not sure if it's bad or not. Can anyone help?

i am 54 female, in sept 2019 I fell and hit my head plus dislocated my arm. an ambulance took me to e.r. and they set my arm/shoulder but did not check my head. I have a dent in my head and 2 to 3 times a day I get small headaches. I do not have insurance and the fall cost me a lot of money. should I be worried about my head, will it eventually stop hurting.

I hit my head on a cylindrical hard wood today accidentally. there is no bleeding but my neck feels very stiff and hurts. will i be fine?

That happened to me yesterday! Are you okay now?

Someone pushed my head into a brick wall

I had an accident a week back and hit my head. There is a bump in my head which is hurting. Do i need to consult a doctor?

I fell over 3 weeks ago and had a huge goose egg on the side of my head is swelling finally went away but my head is still so very sore even to comb my hair it hurts. Should I go to the hospital to have this checked out? Also how long will this area on my head hurt

hi i bump, my head two weeks ago. I was inside the car while it suddenly had a full break, I hit the left side of my head on the inside bumper. i didn't get bruises but... i have spasms around the area where i hit my head/face and it still hurt on that certain part the pain wasn't severe but i can feel 2/10 also having stiffness on the neck. also the day after that incident my upper body hurts like muscle pain. never drowsy never vomit

I fell on an icey driveway and hit the back of my head very hard. It bled a little, but no lump appeared ( is that bad?). It was early in the AM when I fell and had not been asleep yet. I need to go to sleep, but I am afraid to do so.

i hit myself using handphone and the screen cracked but no swollen no pain nothing. But i get minor headaches. is this serious as i keep thinking about it day and night . Or am i just overthinking it.

I have anger management issues. I tend to hurt myself when I get angry and I had an episode two days ago. This time, I hit my head with a glass jar. I don't have other symptoms other than having a headache. I'm a little bit scared. Should I go to the doctor or not? Thank you for answering.

I bumped my head on the tap 2 months ago. The pain did not last for long. But after all this time, now I get severe headache and I feel really dizzy. Is it something very serious?

So my brother kneed be in the lower jaw and for the last 2 days the other side of my head has been hurting is it anything to worry about

Last year I got in a car accident I hit my head on the door and when the car was jacked up I went to reach for my bug spray and they unjacked the car and it hit my head.

Ever since then I be having REAL REAL bad headaches every thing hurt the light sounds can’t open my eyes

What should I do?

I hit my head when I tripped coming out of my husbands Care Home and hit the wall with my head, at the front last Thursday. I felt ok and haven’t had any symptoms except a noise in my head, like pressure. Will this go away eventually?

I hit my head on a very sharp ceiling abt a month ago. The bump is still there. Since then i’ve been having a very sharp pain On my head around the area abt once or twice a week. The pain is really there and it only comes out of a sudden. However it is really pain. No other symptoms auch as nausea or wekness. What shud i do? Issit serious!

So my 16 year old daughter was already having pressure in her head but it went away and then she hit herself on the wall by accident on the left side of her head and she feels pressure in that area but it doesn’t hurt her anymore

I hit my eyebrow on a door and since two months and I’m having a small pain on one of the parts of my head constantly , is it normal after two months? It feels like is something inside . But I went to the doctor and he said I should wait 4 more weeks to see if it disappears or not.

I hit my head on the wall and I have a mild headache and a mild ear pain... I don't have any other problems.. Is this something I have to worry about?

I fell outside on some stairs going down they are 3 ft from the base, 3 1/2 wks ago and the stairway collapsed, hit my head on the stairway boards and dirt and was bleeding quit a bit, my husband took me to urgent care where i recd 5 staples on my head and also was done a ct scan and was told everything was fine. But now last night i felt a lot of pressure/tightness in back of my neck and woke up the same, woke up with one of my nostrils with dry blood and i never have bloody noses, i also have a slight headache could this be from my fall or just slept wrong

Yesterday I was hit in the back of the head by a falling modem.. I still have a painful goose egg. I have various neurological issues including Chianti 1 and hydrocephalus. No discharge or anything juat a constant headache. Should I be concerned? Having a hard time sleeping. Age 49 ty

Hi. Today my forehead was hit to iron rod at gym very hard. I got bump and swelling. I don’t have any other pain in my head except on right side of the head bump. Do I need to see the doctor?

A few days ago I had hit the top of my head on my couchs armrest and I heard a crack when I did it. And of course it hurt (I mean I hit my head) but it didn't hurt bad. Now, my head feels tender but when I look at it, it's not red or anything. I pressed down on my head a couple of times just to feel for anything and it made a pop or crack sound/feeling on where ever I pressed but it never felt like that two times in a row. Should I be worried or am I just paranoid?

I hit my head on a wall very hard and there is still a large swollen area on the place i hit my head, the only symptom i have is when i stand up after lying for a long period of time i feel dizzy and i also have trouble sleeping.

Same thing just happened to me yesterday and I feel exactly the same way when I stand up after lying I feel little pain in the back side of my head plz tell me should I be worried?

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