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Dr. Phil, MD
Dr. Phil, MD, Board Certified Physician
Category: Medical
Satisfied Customers: 53157
Experience:  GP in the United States
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Hi, I hit my head quite badly a few days ago - I didnt black

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Hi, I hit my head quite badly a few days ago - I didn't black out but it hurt for a while - after that I felt fine so thought no more of it. Yesterday (after a night of quite heavy drinking, I'm on holiday at the moment) I thought I had a really bad hangover - I felt dizzy and found it hard to walk straight and balance, and had nausea plus I was sick thought the day. I've also lost all appetite although I've been trying to keep well hydrated. I slept most of yesterday (the symptons seem to subside when I'm lying down) and pretty much slept most of today to. Do you think I could have concussion or could it be something else?
Submitted: 2 years ago.
Category: Medical
Expert:  Dr. Phil, MD replied 2 years ago.
Dr. Phil, MD :

Hello. I'm Dr. Phil, licensed and practicing internist. Excellent service is my goal.

Dr. Phil, MD :

please enter chat

Customer: Hi - did you see my question?
Dr. Phil, MD :

Hi I'm Dr. Phil

Dr. Phil, MD :

yes I did

Dr. Phil, MD :

Can I ask your first name?

Customer: Jo
Dr. Phil, MD :

Hi Jo

Dr. Phil, MD :

nice to meet you

Customer: Hi
Dr. Phil, MD :

how did you hit your head?

Customer: I stood upright while helping my daughter up a climbing frame and hit it on a wooden ledge
Dr. Phil, MD :

ok

Dr. Phil, MD :

yes, this is likely a concussion

Dr. Phil, MD :

The key to treating a concussion is brain rest

Dr. Phil, MD :

you did the opposite by drinking unfortunately

Dr. Phil, MD :

so it brought out the symptoms more

Customer: Should I just be doing what I'm doing then - resting
Dr. Phil, MD :

yes

Dr. Phil, MD :

absolutely

Dr. Phil, MD :

resting

Customer: How long will the symptons last?
Dr. Phil, MD :

no computer, TV, etc

Dr. Phil, MD :

Hopefully not long

Dr. Phil, MD :

but concussion symptoms can last months at times

Customer: Okay - thank you. Is there anything I should look out for that would warrant a trip to the doctors to get checked out?
Dr. Phil, MD :

severe symptoms

Dr. Phil, MD :

vision problems

Dr. Phil, MD :

severe headache that won't go away

Dr. Phil, MD :

numbness/tingling/neurological symptoms

Customer: Okay thanks - I haven't got anything like that just dizzy and sick. I'll get ba l to resting and if any other symptons occur I'll go see a doctor
Customer: Thanks
Customer: Bye
Dr. Phil, MD :

welcome but hold on!

Dr. Phil, MD :

would you mind rating me positive before leaving?

Dr. Phil, MD :

I greatly appreciate it

Dr. Phil, MD :

hello?

Dr. Phil, MD :

are you there?

Dr. Phil, MD :

hello?

Dr. Phil, MD, Board Certified Physician
Category: Medical
Satisfied Customers: 53157
Experience: GP in the United States
Dr. Phil, MD and 2 other Medical Specialists are ready to help you
Expert:  Dr. Phil, MD replied 2 years ago.
Hi Jo
Please don't forget a positive rating
If you have more questions, just reply here
Expert:  DrRussMD replied 2 years ago.

Hello

I am Doctor Thomas, a double board certified doctor in internal medicine and integrative medicine, with advanced training in several other fields. I am a clinician of over 20 years experience. I will give you an initial answer or ask you a question, but be sure to use reply to expert to communicate with me as needed.

Having these symptoms appear after a blow to the head, in terms of standard of care medicine, mandates an exam by a doctor now.

A concussion is not a diagnosis, but means symptoms after a blow to the head.

Bleed into the brain, for one thing, needs to be ruled out. Waiting for worse symptoms would be a dangerous course of action, since then you would be in trouble.

Don't do that, go to the ER, urgent care, or your doctors office right now. Be safe.

OK, so that is an initial answer….

Please use reply to expert if you have further questions. When you are ready, please click a positive rating [hopefully excellent]. If you forgot something, come back. I am here daily.

Expert:  Dr. Phil, MD replied 2 years ago.
This is overkill for your problem
you had a mild blow to the head and then were fine.
Then you got heavily intoxicated and developed hangover type symptoms.
you are fine. Just rest and enjoy your holiday
Expert:  DrRussMD replied 2 years ago.

Hello

I will quote from a very good reference here:

"Subarachnoid bleeding may also occur with a head injury of any type. Worsening headache and other signs of increasing intracranial pressure will gradually grow after the initial event"

http://emedicine.medscape.com/article/92095-treatment

In fact, any concussion can be a sign of a serious problem, and the apparent strength of the blow does not exactly correlate with what happens to the brain.

However, I will also note that you stated that you hit your head "quite badly". Not a mild blow.

Effects of a blow to the head, and even post concussion syndrome, can show up well after the initial blow.

Alcohol has a reversible inhibition effect on platelets, much like aspirin. The fact that your symptoms got worse after heavy drinking is not a safety factor, but an added risk factor.

You will at minimum need your doctor to follow you, and standard of care dictates that a doctor see you now, so that there is a baseline recorded to compare to later. This is how we do things in safe and proper medicine.

We do not diagnose over the internet without exam. I would not be ethical if I did not tell you to see someone now.

I am at your service for follow up any time. I am here daily and you can easily find me by request.

OK, so that is an initial answer….

Please use reply to expert if you have further questions. When you are ready, please click a positive rating [hopefully excellent]. If you forgot something, come back. I am here daily.

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