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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Are The Warning Signs To Be Looked For After A Concussion?

Hi. First, thanks for offering this service!
I am a 50-year-old male, reasonably fit. I am pretty sure I got a concussion while on vacation roughly 48 hours ago. I smacked my head against a low-hanging lamp (rotational motion; I was ducking out of the rain and turning to my right). About an hour later, playing with the kids, I sprinted, and a headache bloomed immediately. Since then the headache (it's vague and somewhat diffused but seems located roughly in the center of my head) has come and gone. My thinking is a bit foggy, and I'm a bit cranky. I've been resting, not driving, and have been napping a bit over the past two days (unusual for me). No other symptoms (blood or clear fluid from nose, uneven pupils, dizziness, etc).
Tomorrow I am slated to resume work. Having been out for two weeks, I expect many problems to greet me on my return. I also have to drive my mother to a medical appointment during the day. Are there any warning signs I should be looking for to ensure I don't overextend myself?
Thanks!
Doug Blair
Thu, 10 Jul 2014
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Emergency Medicine Specialist,  's  Response
Hi...
The signs of head injury are loss of consciousness, projectile vomiting, giddiness, severe persistent headache, blurring of vision, amnesia (forgetfulness), anosmia (loss of smell), seizures, ear/nose bleed. Critical time for a head injury is 48 hrs.
Concussion takes time to subside.
In your scenario-
the critical time is passed but since the head ache is persisting you need to be little careful.
things to do-
1) continue rest.
2) take analgesics for pain -tab. diclofenac 50mg twice a day ( if asthmatc take paracetamol 500mg twice/thrice a day.
Do not take tramadol as it may cause giddiness, drowsiness, nausea and vomiting.
3) Clouding of thoughts still present with foggy thinking i suggest you to visit a hospital for further management like CT scan and treat accordingly.
4) avoid driving till these symptoms subsides.
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What Are The Warning Signs To Be Looked For After A Concussion?

Hi... The signs of head injury are loss of consciousness, projectile vomiting, giddiness, severe persistent headache, blurring of vision, amnesia (forgetfulness), anosmia (loss of smell), seizures, ear/nose bleed. Critical time for a head injury is 48 hrs. Concussion takes time to subside. In your scenario- the critical time is passed but since the head ache is persisting you need to be little careful. things to do- 1) continue rest. 2) take analgesics for pain -tab. diclofenac 50mg twice a day ( if asthmatc take paracetamol 500mg twice/thrice a day. Do not take tramadol as it may cause giddiness, drowsiness, nausea and vomiting. 3) Clouding of thoughts still present with foggy thinking i suggest you to visit a hospital for further management like CT scan and treat accordingly. 4) avoid driving till these symptoms subsides.