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Welcome to Just Answer. I am an Adult Neurologist and was contacted to answer your question.
waiting for you to come online
April 15th, you hit your head, could you explain that in more detail?
did you have a loss of consciousness, or change in consciousness?
blood came out of your ear? did you have a laceration of the external ear canal? or a ruptured tympanic membrane?
did you have a change in hearing?
yes, I hit my head on a pointed corner at peer level on my bathroom vanity. I did not lose conciousness.
which ear? right or left?
No change of hearing
right i think
i hit my head on the op right side
so the bleeding was from the sharp corner?
the blood i found on my pillow the next morning so i believe it came out of ear
just a tiny bit like 1/16 tsp
so it could have just as well been your scalp? you had cut?
but i noticed it because i had fresh white pillow cases
no there was no cut
the issue is I am trying to see how serious the ear was damaged.
without any change in hearing or balance
then it is unlikely that the blood is from a serious injury to the ear
when the family dr eauated me 1 week after incident he said my ears looked fine
tell me about the pupil change
there is a common finding called anisocoria
which is a difference in pupil size
the key is that the difference remains the same
it wasnt like thisbefore
in any light condition
heres my situation with the pupil
when first exposed to light, the right pupil gets larger than the left pupil
then after a few moments they become the same size,
the thing is that pupils constrict to light exposure,
so are you saying that the right pupil constricts less?
less slowly correct
there is a condition called an Adies' pupil
hang on ok?
here is a webpage on Adies pupil
so this can be as a result of even mild head trauma
we don't really know why this happens
it is an effect on the parasympathetic fibers to the eye
the way you diagnose this condition
is to go to the eye doctor
and he will use different eye drops to dilate
and constrict your pupil
and will be able to see if you have an abnormal pupillary response to suggest Adies pupil
now the burning feel
have you had this before, before the head trauma?
what is the situation with your lower back? do you have spinal stenosis, or some disc issue in your back?
you mentioned burning feet?
I have occasionally had burning feet. but was worse after hea trauma then went away then came back
no problem with my back
that I know of...
I have no way to link the burning feet problem with the head trauma , in the setting of a normal CT scan of the brain
to diagnose that problem, you need a neurologist to examen your feet, and look at your deep tendon reflexes
you could have small fiber neuropathy
I will attach a webpage on that condition
this is a problem most commonly seen in diabetics.
but you don't have to have diabetes
it is diagnosed by skin biopsy
my blood work is text book perfect and i eat lots of good nutrients
well if you read that webpage,
you can have this problem and be very healthy
ok so the dialited pupils are not of concern to you?
ok i will take a look thnk u
we don't have all the reasons for you to suffer from small fiber, but 40 million americans have this problem, and they are not all diabetics
the dilated pupil is a tough issue
there is no treatment for adies
it usually gets better with time
i am mostly concerned if you were to think I could have a slow bleen in my head
you shook up the internal brain connections to the pupil
when you hit your head
and they have to reorganize and reprogram themselves
that is the best way to describe it
but there is no real treatment, just time
well you could have had a retinal hemmorhage
but I assume someone looked in your eye?
with the CT scan
it is hard to have a bleed
like a subarachnoid or subdural hemmorhage
you need someone to seriously look at your eyes
ok so do you think that i just have post concussion syndrome
part of that is a fundiscopic exam
well the adies would say yes to that
but I cannot explain burning feet
post concussion is headache
photophobia or light bothering your eyes
diziness yes naseua no
change in mood
not so much now,
well a neurologist will look at your eye closely as well
but it still feel deep in my brain where I hit that something is definitely off
you maybe should see a neurologist if you feel you have a post concussion
and what will they do
look at your eye
do a neurological exam for your dizziness
to see if you have a vestibular disorder
from a brain injury
and then an MRI scan of your brain'
which is more sensitive than a CT for looking at PTS,
and maybe an EEG
looking if there is a change in brain function (brain waves)
as a result of this head trauma
ok and if there is ...
you can only treat symptoms of head trauma
it is treated symptomatically
do you thik with time i will improve more?
it usually does, yes
that you are doing your activities of daily living currently
so just to guess, how long do you think?
it should resolve
within the next few months, if you are 2 months out now
I Am doing most of my daily activities
ok, and would you advise of no excercise and or alcohol?
I think exercise in moderation is always a good idea
as you are 2.5 months out, I would encourage you
alcohol, if taken to excess, is always a bad idea
and could make your dizziness, worse, it could also effect the burning in your feet
ok because i jogged just 1 mile a week ago and it made me a little bit worse
well if you have significant head trauma, you do not want to go into anaerobic metabolism
so I would say walk and don't run
ok got it. so if I stay away from any excess alocohol and excercie in moderation ike jog is ok Ill improve?
try not to raise your heart rate too much
am i safe to fly an airplane?
the alcohol set me back i had too many wines friday and now am disappointed in the way i feel
if you function day to day, and only have problems with running, you can fly
well use moderation. ok?
so that in fact could be he culprit
ok thank you very very much. i will do my best. last question
so you do i think I will be ok correct, not to worry about internal bleed?
very unlikely to be an internal bleed with a normal CT
it is very sensitive to small amounts of bleeding
you should improve day by day
good luck to you
Dr Frank T
thank you kindly, the best to u 2