Recognizing and Responding to Concussions: A Caregiver鈥檚 Guide
When you鈥檙e packing up for your child鈥檚 game or a family road trip, you鈥檙e likely thinking more about gear or the weather than the possibility of a head injury. Even if it isn鈥檛 a thought that crosses your mind, knowing the causes and signs of a concussion and what to do about them can help keep your family healthy and safe.听
Concussions are mild traumatic brain injuries. Although mild may sound like no big deal, when it comes to concussions, mild is still serious. This type of injury isn鈥檛 usually fatal, but it requires medical attention, follow-up care and a significant recovery period. Still, this condition can be easy to miss. Here鈥檚 what you need to know.听
A Brief Jolt to the Brain听
Whether it happens at home, in the car or on the field, concussions are caused by a sudden bump, hit or jolt to the body or head. During this brief moment, the brain moves back and forth quickly or twists inside the skull. This movement causes chemical changes and may damage and stretch brain cells.听
Concussions can lead to a brief loss of consciousness. However, in many cases, signs or symptoms of this type of injury surface days or weeks after the event that caused it.听
Concussions at Different Stages of Life听
Anyone can get a concussion, but it's more likely in young children, teens and older adults. While symptoms are similar regardless of age, common causes of concussion vary by age group. Knowing these differences may be especially helpful if you鈥檙e a part of the sandwich generation: adults raising children while caring for their aging parents.听
Infants, toddlers and young children often get a concussion from being hit on the head by a ball or toy, a bike or tricycle accident, a car accident or falls. Older children and teens can also sustain a head injury in these ways, but injuries are also a common cause for older children.听
Falls are the leading cause of concussions in older adults. However, they are often misdiagnosed or missed because symptoms of a concussion may overlap with signs of dementia or other health conditions which are common later in life.听听
An older adult needs to see a healthcare provider after hitting their head, even if no symptoms are present. Older adults have an increased risk of complications, including bleeding in the brain. Their risk is even higher if they take a blood thinner.听听
Recognizing the Signs听
Symptoms of a concussion can range from mild to severe. In many cases, they develop soon after the injury but may appear hours, days or weeks later.听听
In people of all ages, a concussion may cause:听
- Balance issues听
- Confusion听
- Dizziness听
- Fatigue or sluggishness听
- Headaches or neck pain听
- Nausea or vomiting听
- Sensitivity to light or sound听
- Sleep issues听
- Vision changes听
A person with a concussion may also report they 鈥渄on鈥檛 feel right.鈥澨听
You may notice some symptoms in a loved one before they do, such as difficulty following instructions, memory issues, slow responses or shifts in mood or personality.听听
In addition to common symptoms, babies and toddlers frequently have changes in behavior, such as:听
- Constipation, diarrhea or urination changes听
- Difficulty feeding or poor appetite听
- Heightened frustration or irritability听
- Increased attachment to a caregiver听
- More frequent crying or meltdowns听
- Withdrawal from others听
It may be especially challenging for physicians to recognize signs of a concussion in infants, toddlers and others who are unable to report symptoms or follow directions during an exam.听听
You know your loved one better than anyone. If you suspect a concussion and your loved one can鈥檛 speak for themselves, tell their doctor what you鈥檝e noticed and how it differs from their norm.听
Diagnosis and Care for Concussions听
No matter the cause, if a concussion is suspected, it鈥檚 crucial to get medical attention as soon as possible.听听
To diagnose a concussion, the healthcare provider will ask about what happened and the symptoms. Next, they鈥檒l do a physical exam and may check balance, coordination, eye movements, memory or thinking. Depending on exam results, they may also order one or more imaging tests to look for bleeding or swelling in the brain or fractures in the skull.听听
Before your loved one goes home from the clinic or hospital, their healthcare provider will provide information about any treatments needed, the recovery process and when to schedule follow-up care.听听
Even with a solid post-concussion care plan, it鈥檚 vital to watch for new symptoms that may develop. Rarely, new symptoms are a sign of a serious complication called a hematoma, a potentially life-threatening collection of blood in the brain.听听
If your loved one isn鈥檛 showing improvement after two to three weeks, or if symptoms worsen, let their healthcare provider know.听听
Call 911 or go to the emergency department immediately if you notice any of these symptoms:听
- Inconsolable crying in babies or toddlers听
- Loss of consciousness听
- One pupil鈥攖he center of the eye鈥攊s larger than the other one听
- Refusal to eat or nurse听
- Repeated vomiting听
- Seizures or other shaking or twitching听
- Slurred speech听
- Unable to wake up听
- Unusual behavior听
Recovery and Return to the Usual Routine听
Most people fully recover from a concussion. However, it usually takes several weeks. Recovery typically starts with two to three days of rest. Next, your child or parent can slowly return to their usual non-strenuous activities. If an activity makes symptoms return or worsen, avoid it. Always get approval from a healthcare provider before returning to driving or sports.听
After a concussion, children and adolescents may need additional support to succeed at school. Talk with your child鈥檚 teachers or a school counselor about their injury. If needed, a can be created to provide extra support during recovery.听听
In children and adolescents, concussions increase the risk of developing mental health issues, such as anxiety, depression or thoughts about self-harm. Similarly, teens often find it challenging to reintegrate into friend groups, school or teams long after concussion symptoms are gone. Because of this, your child may need to develop coping skills and resilience.听听
Ensure your child or parent goes to all scheduled follow-up appointments. Even if they feel better, regular checkups ensure recovery is going as expected and allow providers to watch for signs of complications. The provider can also connect you to community resources, provide education and offer needed reassurance and support to your child or parent throughout recovery.听听
If your loved one has signs of a concussion, 日本av色情片 doctors are here to help. .听听