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Post-Injury Head Pain and Swelling Concerns
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Nervous System Disorders
Question #27929
45 days ago
144

Post-Injury Head Pain and Swelling Concerns - #27929

SYLVIA

Last year November I fell down onthe left side of my head. I took a CT scan and I was informed nothing had happened to my brain or tissues. Fast forward this year, I have been feeling pains at the area and I see some small small swellings on it. What do you advise and what could be the issue.Thank you

How long have you been experiencing the pain and swelling?:

- 1-4 weeks

How would you describe the severity of the pain?:

- Severe

Have you noticed any other symptoms accompanying the pain?:

- Yes, headaches
300 INR (~3.53 USD)
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Doctors' responses

Dr. Shayeque Reza
I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.
45 days ago
5

Since your fall occurred last year and the CT scan was normal, serious brain injury was unlikely at that time. However, the recent development of pain, small swellings at the same spot, and headaches for the last few weeks may suggest a localized scalp or soft-tissue issue rather than a brain problem. Conditions such as Post‑Traumatic Scalp Hematoma, Sebaceous Cyst, or lingering inflammation from the previous injury can sometimes appear months later and cause tenderness or swelling in the area. Because you are now experiencing severe pain and headaches, it would be advisable to have a physical examination by a doctor—preferably a neurologist or general physician—to assess the scalp and determine if repeat imaging or treatment is needed. In the meantime, avoid pressing or massaging the swellings, apply gentle cold or warm compresses for pain relief, and seek medical attention promptly if the swelling increases, becomes red, or if you develop symptoms like vomiting, vision problems, or worsening headaches.

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It’s not uncommon to experience pain or notice changes in an area where you’ve previously had an injury, even a year later. Since your CT scan last year didn’t show any damage, immediate brain injuries were likely ruled out then. However, chronic issues can sometimes develop afterwards, or symptoms manifest later due to changes in how your body heals. The pain and swelling you’re experiencing could be related to several common things like post-traumatic headaches, which can be persistent in some individuals. The “small small” swellings you’re observing might be a sign of localized inflammation or scar tissue formation. To get to the root of this, consider an examination by a healthcare professional who can evaluate your current symptoms in depth. They might suggest an updated imaging test like an MRI for a more detailed look, especially if any neurological symptoms like dizziness, vision changes, or balance issues have develop. Management might include over-the-counter pain relievers like ibuprofen, pending a professional’s go-ahead, for pain and swelling. Keeping a symptom diary might help your doctor understand any patterns or triggers. If symptoms worsen or you experience any new symptoms like neurological changes, you should seek immediate medical evaluation as these could signal something more serious. Keep in mind, recurrent pain or swelling post-injury warrants professional investigation to ensure there’s no underlying condition that requires attention.

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Dr. Alan Reji
I'm Dr. Alan Reji, a general dentist with a deep-rooted passion for helping people achieve lasting oral health while making dental visits feel less intimidating. I graduated from Pushpagiri College of Dental Sciences (batch of 2018), and ever since, I've been committed to offering high-quality care that balances both advanced clinical knowledge and genuine compassion for my patients. Starting Dent To Smile here in Palakkad wasn’t just about opening a clinic—it was really about creating a space where people feel relaxed the moment they walk in. Dental care can feel cold or overly clinical, and I’ve always wanted to change that. So I focused on making it warm, easygoing, and centered completely around you. I mix new-age tech with some good old-fashioned values—really listening, explaining stuff without jargon, and making sure you feel involved, not just treated. From regular cleanings to fillings or even cosmetic work, I try my best to keep things smooth and stress-free. No hidden steps. No last-minute surprises. I have a strong interest in patient education and preventive dentistry. I genuinely believe most dental issues can be caught early—or even avoided—when patients are given the right information at the right time. That’s why I take time to talk, not just treat. Helping people understand why something’s happening is as important to me as treating what’s happening. At my practice, I’ve made it a point to stay current with the latest innovations—digital diagnostics, minimally invasive techniques, and smart scheduling that respects people’s time. I also try to make my services accessible and affordable, because good dental care shouldn’t be out of reach for anyone.
43 days ago
5

Since your CT scan last year was normal, that is reassuring, but new severe pain with small swellings and headaches appearing 1–4 weeks ago should not be ignored. The swellings could be due to scalp inflammation, cysts, localized infection, nerve-related pain (post-traumatic neuralgia), or less commonly a delayed complication.

Because the pain is severe and associated with headaches, you should have a repeat physical examination by a general physician or neurologist — they may decide if a repeat scan or ultrasound of the swelling is needed.

Seek urgent care immediately if you develop vomiting, vision changes, weakness, confusion, seizures, or worsening headache, as those would require emergency evaluation.

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Dr. Prasannajeet Singh Shekhawat
I am a 2023 batch passout and working as a general physician right now, based in Hanumangarh, Rajasthan. Still kinda new in the bigger picture maybe, but honestly—every single day in this line teaches you more than textbooks ever could. I’ve had the chance to work under some pretty respected doctors during and after my graduation, not just for the clinical part but also to see how they handle people, real people, in pain, in panic, and sometimes just confused about their own health. General medicine covers a lot, right? Like from the smallest complaints to those random, vague symptoms that no one really understands at first—those are kinda my zone now. I don’t really rush to label things, I try to spend time actually listening. Feels weird to say it but ya, I do take that part seriously. Some patients just need someone to hear the whole story instead of jumping to prescription pads after 30 seconds. Right now, my practice includes everything from managing common infections, blood pressure issues, sugar problems to more layered cases where symptoms overlap and you gotta just... piece things together. It's not glamorous all the time, but it's real. I’ve handled a bunch of seasonal disease waves too, like dengue surges and viral fevers that hit rural belts hard—Hanumangarh doesn’t get much spotlight but there’s plenty happening out here. Also, I do rely on basics—thorough history, solid clinical exam and yeah when needed, investigations. But not over-prescribing things just cz they’re there. One thing I picked up from the senior consultants I worked with—they used to say “don’t chase labs, chase the patient’s story”... stuck with me till now. Anyway, still learning every single day tbh. But I like that. Keeps me grounded and kind of obsessed with trying to get better.
45 days ago
5

Hello Thanks for sharing these details. Since you had a head injury last year and now, after several months, you’re experiencing severe pain and new swellings at the same spot, along with headaches, this needs careful attention.

### What could be happening? - Post-traumatic headaches are common after a head injury, even if the initial CT scan was normal. These headaches can persist or reappear months later and may be accompanied by pain and swelling at the injury site. - The new swellings could be due to local tissue changes, like a chronic hematoma (blood collection), scar tissue, or even a cyst forming at the site of injury. - Severe pain and headaches, especially with new swelling, can sometimes signal complications like infection, persistent inflammation, or rarely, delayed bone or tissue injury.

### What should you do? 1. Consult a doctor soon: Since the pain is severe and new swellings have appeared, it’s important to get a physical examination. The doctor may recommend a repeat CT scan or MRI to check for any delayed complications. 2. Monitor symptoms: If you notice worsening headaches, vomiting, vision changes, confusion, or weakness, seek medical attention immediately. 3. Home care: For mild cases, over-the-counter pain relievers like paracetamol or ibuprofen can help, but only after checking with your doctor. Avoid pressing or manipulating the swollen area.

### Summary Your symptoms are most likely related to post-traumatic changes, but the severity and new swelling mean you should see a doctor for a proper evaluation. Most cases are not dangerous, but it’s best to rule out any complications.

Thank you

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Dr. Arsha K Isac
I am a general dentist with 3+ years of working in real-world setups, and lemme say—every single patient teaches me something diff. It’s not just teeth honestly, it’s people… and how they feel walking into the chair. I try really hard to not make it just a “procedure thing.” I explain stuff in plain words—no confusing dental jargon, just straight talk—coz I feel like when ppl *get* what's going on, they feel safer n that makes all the difference. Worked with all ages—like, little kids who need that gentle nudge about brushing, to older folks who come in with long histories and sometimes just need someone to really sit n listen. It’s weirdly rewarding to see someone walk out lighter, not just 'coz their toothache's gone but coz they felt seen during the whole thing. A lot of ppl come in scared or just unsure, and I honestly take that seriously. I keep the vibe calm. Try to read their mood, don’t rush. I always tell myself—every smile’s got a story, even the broken ones. My thing is: comfort first, then precision. I want the outcome to last, not just look good for a week. Not tryna claim perfection or magic solutions—just consistent, clear, hands-on care where patients feel heard. I think dentistry should *fit* the person, not push them into a box. That's kinda been my philosophy from day one. And yeah, maybe sometimes I overexplain or spend a bit too long checking alignment again but hey, if it means someone eats pain-free or finally smiles wide in pics again? Worth it. Every time.
45 days ago
5

Hello

Since your CT scan after the injury was normal, a serious brain problem is unlikely. Pain and small swellings months later are often due to scalp inflammation, small cysts, or nerve irritation from the previous trauma.

However, because you now have severe pain and headaches, you should be examined by a doctor to rule out conditions like a Scalp Hematoma, Post‑traumatic Headache, or an infected scalp swelling.

What to do: • See a doctor/neurologist for physical examination. • You may need a repeat scan such as MRI Scan if symptoms persist. • Avoid pressing or massaging the swelling. • Use simple pain relief (if recommended by a doctor).

Seek urgent care if you develop: vomiting, dizziness, vision problems, weakness, or worsening headache.

Most cases turn out to be minor scalp issues, but evaluation is important because the pain is severe.

I trust this helps Thank you

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Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
45 days ago
5

Hello dear See as per clinical history it seems recovery after injury. However pain should be mild and not severe…i suggest you to please get in person consultation with general physician medicine or neurologist for better clarity In addition please share the below tests with the concerned physician and for safety please donot take any medication without consulting the concerned physician Ct scan Mri Regards Emr Brain USG Serum bradykinin Serum serotonin CBC Esr Serum tsh ECG echo Enkaplin level Hopefully you recover soon Regards

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Dr. Nirav Jain
I am a qualified medical doctor with MBBS and DNB Diploma in Family Medicine from NBEMS, and my work has always been centered on treating patients in a complete, not just symptom based way. During my DNB training I rotated through almost every core department—Internal medicine, Pediatrics, Obstetrics & Gynecology, Surgery, Orthopedics, ENT, Dermatology, Psychiatry, Emergency medicine. That mix gave me the skill to manage acute illness, long term disease and preventive care together, something I find very important in family practice. In psychiatry I worked closely with patients who struggled with depression, anxiety, stress related problems, insomnia or substance use. I learned not just about medication but also about simple psychotherapy tools, psycho education and how to talk openly without judgement. I still use that exp in family medicine, specially when chronic disease patients also face mental health issues. My time in General surgery included assisting in minor and major procedures, managing wounds, abscess, sutures and emergencies. While I am not a surgeon, this gave me confidence to recognize surgical cases early, provide first line care and refer fast when needed, which makes a big difference in online or OPD settings. Now I work as a consultant in General medicine and Family practice, with focus on both in-person and online consultation. I treat conditions like fever, infections, gastrointestinal complaints, respiratory illness, and also manage diabetes, hypertension, thyroid disorders, and lifestyle related chronic diseases. I see women for PCOS, contraception counseling, menstrual health, and children for common pediatric issues. I also dedicate time to preventive health, lifestyle counseling and diet-sleep-exercise advice, since these small changes affect long term wellness more than we often realize. My key skills include holistic diagnosis, evidence based treatment, chronic disease management, mental health support, preventive medicine and telemedicine communiation. At the center of all this is one thing—patients should feel heard, safe, and guided with care that is both professional and personal.
43 days ago
5

Hello, Since your CT scan after the fall was normal, it is reassuring that there was no brain injury at that time. However, pain and small swellings appearing months later could be related to several causes like Scalo hematoma, Sebaceous cyst, etc.

Because you are now experiencing severe pain and headaches, it would be advisable to have the area examined by a doctor.

Avoid pressing or massaging the swollen area. Apply a cold or warm compress gently for short periods to see if it relieves pain. Take Tab. Paracetamol 650mg when pain appears. Try to get adequate rest and avoid further trauma to the area.

Please seek medical attention if you develop: Increasing swelling or rapidly worsening pain. Vomiting or severe persistent headache. Dizziness, confusion, or vision problems. Weakness or numbness in any part of the body.

A doctor may recommend a physical examination and possibly a repeat imaging test if needed to rule out any delayed complications.

In many cases, swellings in the scalp after trauma are benign and treatable, but since the pain is severe and new swellings have appeared, a direct examination would be the safest next step.

Feel free to reach out again.

Regards, Dr. Nirav Jain MBBS, D.Fam.Medicine

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