Head injury advice

When to go back to hospital?

Go to your nearest hospital emergency department as soon as possible, if you develop any of these symptoms:

• unconsciousness or lack of full consciousness - for example, a problem keeping your eyes open
• drowsiness (feeling sleepy) that lasts longer than 1 hour when you would normally be wide awake
• problems understanding or speaking
• loss of orientation - not knowing where you are, what time it is, who you’re with and what’s going on around you
• loss of balance or problems walking
• weakness in 1 or more arms or legs
• problems with your eyesight
• a painful headache that will not go away or ease
• vomiting (being sick)
• seizures (also called convulsions or fits)
• clear fluid coming out of your ears or nose
• bleeding from one or both ears.

If you’re unwell, get someone to take you to the emergency department or call 111 or 999.

Symptoms not usually of concern

You may notice other symptoms over the next few days that should disappear in the next 2 weeks without the need for further treatment in hospital. These include:

• a mild headache
• feeling sick (without being sick)
• dizziness
• irritability or bad temper
• problems concentrating
• problems with memory
• tiredness
• lack of appetite
• problems sleeping

See your doctor if you are very concerned about any of these symptoms in the first few days after leaving hospital, or if the symptoms have not gone away after 2 weeks.

What can help after a head injury?

Rest for 2 to 3 days.

Then, gradually return to normal activities such as school, college or work. Be guided by your symptoms. If they get worse, go back to a level of activity that was manageable.

You can slowly return to light, non-contact exercise, gradually stepping up the amount and intensity of the exercise until you reach your normal exercise routine. This may take a few weeks.

Avoid any contact sports, such as football, rugby, boxing or martial arts, for at least 3 weeks.

Do not take any alcohol or illegal drugs. Do not take sleeping pills, sedatives or tranquilisers unless a doctor has prescribed them for you.

Long-term problems

Most people recover quickly from a head injury and do not have any long-term problems. But some people take longer to recover, or develop problems after weeks or months. These problems could include but are not limited to fatigue, dizziness, imbalance, or problems with coordination, memory or vision. This is sometimes called post-concussion syndrome.

Some people develop problems with their hormones months or years after a head injury. For example, the levels of sex hormones can fall because of damage to the pituitary gland. This can cause hot flushes, fatigue, loss of body hair, reduced sex drive, irregular periods, erectile dysfunction and reduced fertility. See your doctor if you have any of these problems or they do not get better within 2 weeks.

Further support and information

• Headway - improving life after brain injury
• Acquired brain injury support organisations
• UK Concussion Guidelines for Grassroots Sport - from the Sport and Recreation Alliance