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What Are The Symptoms Of A Concussion?

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Posted on Thu, 30 Oct 2014
Question: 3 days ago and then AGAIN 2 days ago I hit myself in the forehead with my car door. The spot where I hit is still tender and quite sore to the touch. I also have had a mild headache for 4 days so since 1 day BEFORE the head injury. I do usually get relief from my headaches after one day so it IS unusual to have a headache this long. the headache is in my neck, base of my skull and near my temples behind my eyes. it has alternated sides. Day 1&2 it was on the left side and days 3&4 has been on the right side. Here are my concerns: Could I have a concussion that requires treatment? I just had a massage and upon standing up from it I felt VERY dizzy and the feeling has lasted 20 minutes. Is that normal for a massage or could it be related to the head injury? Also, tomorrow I am having an upper endoscopy. My family doctor is giving me Demerol and Versed to consciously sedate me. If I have a concussion or head injury is it safe to receive these medications and undergo the procedure? Is it normal for a head injury to hurt 3-4 days later?
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Answered by Dr. Dariush Saghafi (4 hours later)
Brief Answer:
Ask doctor about endoscopy

Detailed Answer:
Greetings. My name is Dr. Dariush Saghafi. I am in the XXXXXXX OH region of the world and am a neurologist as well as a headache subspecialist.

I hope you stop hitting yourself in the head with the door! LOL. The definition of a concussion includes (among other things) a change in level or alteration of consciousness- you don't necessarily have to pass out or become unconscious but there has to be a definite change in your mental status such as being dazed, confused, or feeling as if you were nearly going to pass out but then, coming to.....did any of those things happen?

If not, then, you are likely suffering simply from the good 'ole post-traumatic headache which can take days to weeks to months to fully subside depending upon the severity and also how it is treated. Some people start taking way too much medication that is OTC thinking that they are helping themselves and in reality they are just extending their headaches due to a phenomenon called medication overuse syndrome.

So to answer the questions more specifically:

1. Your best bet to determine whether or not you've suffered a concussion is to see doctor who is well versed in such issues and let them get your history and then, do an examination. My guess is that you probably have NOT suffered from a concussion as you've described things and as you are seemingly very lucid and capable of writing this consultation query with good grammar, good sentence structure, and making perfect sense. Personally, working on the limited information I've got my vote is NO CONCUSSION. But perhaps someone who can examine you would have a different opinion so you need an examination to adequately answer that question.

2. I don't see why a massage should cause you to be "dizzy" for 20 minutes. I've never heard of such a thing. It could be related to low blood sugar, low fluid volumes if you've been exerting yourself and it's been hot weather or something of that nature....don't know where you are. Also, if you were exceedingly relaxed from the massage and it was done for any length of time where your blood pressure could've lowered and you SUDDENLY STOOD UP then, pooling of blood in the legs may have occurred which could've triggered a momentary feeling of dizziness or near faint feeling. But 20 minutes? That's way too long for something like that so I don't know how to explain that. I'm also hesitant to say the head injury could've done that either. Doesn't see nearly severe enough to go to that length...especially if the strike was to the forehead area.

3. The upper endoscopy being done by the doctor tomorrow should be decided upon by the doctor as to whether he feels putting you under anesthesia or not. Not a decision that I or any other doctor who hasn't examined you are able to make. You would be well advised to tell him what happened and get his opinion. On the other hand you may be feeling much better tomorrow as well....so it's hard to say whether or not you want to push any alarm buttons just yet.

4. As I said above posttraumatic headaches (and especially since you've just had the crummy luck of hitting yourself twice in 24 hrs.) can take days, to weeks, to months to fully resolve so it is not unusual at all for these sorts of headaches to last for AT LEAST a few days even though I understand your norm is much less than that.

If I have helped you understand a bit more about your traumatic headaches would you do me a huge favor and leave some written feedback as well as a STAR RATING?

In addition, if you have no further questions or comments on this thread I'd very much appreciate your CLOSING THE QUERY from your side as this will signal to the network that the case is ready for processing, archiving, and crediting appropriately.

This query required 25 min. of physician specific and directed efforts in reviewing, researching, and documenting the final draft for envoy.
Above answer was peer-reviewed by : Dr. Yogesh D
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Dr. Dariush Saghafi

Neurologist

Practicing since :1988

Answered : 2473 Questions

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What Are The Symptoms Of A Concussion?

Brief Answer: Ask doctor about endoscopy Detailed Answer: Greetings. My name is Dr. Dariush Saghafi. I am in the XXXXXXX OH region of the world and am a neurologist as well as a headache subspecialist. I hope you stop hitting yourself in the head with the door! LOL. The definition of a concussion includes (among other things) a change in level or alteration of consciousness- you don't necessarily have to pass out or become unconscious but there has to be a definite change in your mental status such as being dazed, confused, or feeling as if you were nearly going to pass out but then, coming to.....did any of those things happen? If not, then, you are likely suffering simply from the good 'ole post-traumatic headache which can take days to weeks to months to fully subside depending upon the severity and also how it is treated. Some people start taking way too much medication that is OTC thinking that they are helping themselves and in reality they are just extending their headaches due to a phenomenon called medication overuse syndrome. So to answer the questions more specifically: 1. Your best bet to determine whether or not you've suffered a concussion is to see doctor who is well versed in such issues and let them get your history and then, do an examination. My guess is that you probably have NOT suffered from a concussion as you've described things and as you are seemingly very lucid and capable of writing this consultation query with good grammar, good sentence structure, and making perfect sense. Personally, working on the limited information I've got my vote is NO CONCUSSION. But perhaps someone who can examine you would have a different opinion so you need an examination to adequately answer that question. 2. I don't see why a massage should cause you to be "dizzy" for 20 minutes. I've never heard of such a thing. It could be related to low blood sugar, low fluid volumes if you've been exerting yourself and it's been hot weather or something of that nature....don't know where you are. Also, if you were exceedingly relaxed from the massage and it was done for any length of time where your blood pressure could've lowered and you SUDDENLY STOOD UP then, pooling of blood in the legs may have occurred which could've triggered a momentary feeling of dizziness or near faint feeling. But 20 minutes? That's way too long for something like that so I don't know how to explain that. I'm also hesitant to say the head injury could've done that either. Doesn't see nearly severe enough to go to that length...especially if the strike was to the forehead area. 3. The upper endoscopy being done by the doctor tomorrow should be decided upon by the doctor as to whether he feels putting you under anesthesia or not. Not a decision that I or any other doctor who hasn't examined you are able to make. You would be well advised to tell him what happened and get his opinion. On the other hand you may be feeling much better tomorrow as well....so it's hard to say whether or not you want to push any alarm buttons just yet. 4. As I said above posttraumatic headaches (and especially since you've just had the crummy luck of hitting yourself twice in 24 hrs.) can take days, to weeks, to months to fully resolve so it is not unusual at all for these sorts of headaches to last for AT LEAST a few days even though I understand your norm is much less than that. If I have helped you understand a bit more about your traumatic headaches would you do me a huge favor and leave some written feedback as well as a STAR RATING? In addition, if you have no further questions or comments on this thread I'd very much appreciate your CLOSING THE QUERY from your side as this will signal to the network that the case is ready for processing, archiving, and crediting appropriately. This query required 25 min. of physician specific and directed efforts in reviewing, researching, and documenting the final draft for envoy.