Head Ache for a few days after possibly hitting my head? No blackout, no other symptoms.

	Asked by hannahmontana905 00; good health; Relevant drugs:none ) on Mon 15, Sep 2008 04:14pm
	Hello, I was on a boat the other day, tubing on a lake, and I flipped off the tube, and I think I hit my head with my own fist as I fell off. I don't think I blacked out, because I came to the surface and got back up on the tube fine, and didn't really notice any problem until I got back on the boat. Then I got a head ache in the area where I think I may have hit my head. (I didn't realize that I hit my head when I fell off, I just figured that is what happened because of the headache I got afterward once I was on the boat again). That was two days ago now, and I still have a headache on and off. I forget about it when I am busy, but when I slow down I realize it is still there. It is in a localized spot on the left side of my head towards the top. I am wondering if it is necessary to see a doctor about this, or if I should just wait a few more days and see if it goes away. If I do need to see a doctor, what can I expect? What are common recommendations doctors would give/tests they may want to do? I haven't really taken any pain medicine for it, (only on the first night), and I haven't had any other symptoms (no dizziness or double vision or anything). Thank you.
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	Answer by Dr Rowena S, MD (doctor) on Mon 20, Oct 2008 03:37am: Hi, How are you? The post-traumatic headache syndrome is a very common sequelae following injuries to the head or neck. The headaches are usually self-limited and resolve quickly, within days to several weeks. If the headaches develop within 2 weeks of the event, and persist for more than several months, we would consider this to be the chronic phase of the post-traumatic headache syndrome. Depending on the doctor's initial assessment, medical work-up for post-traumatic headaches includes, a CAT or an MRI scan to rule out an intracranial hemorrhage. Most patients with mild post-traumatic headaches do not need to undergo extensive testing other than a neurologic exam. Other symptoms that often accompany the post-traumatic headache syndrome include some or all of the following: poor concentration, becoming easily angered, sensitivity to noise or bright lights, depression, dizziness or vertigo, tinnitus, memory problems, fatigue, insomnia, lack of motivation, decreased libido, nervousness or anxiety, irritability, becoming easily frustrated, and decreased ability to comprehend complex issues. It would be best to have this evaluated further by your doctor for proper management. Take care and regards.
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