A concussion is a mild traumatic brain injury that temporarily affects brain function. It occurs when the brain moves or twists inside the skull due to a bump, blow, or jolt to the head or body. Headaches are a common symptom, and managing them is important for recovery.
Tylenol as an Option
Acetaminophen (Tylenol) is generally considered a suitable choice for managing headaches after a concussion. Medical professionals often recommend it as a first-line treatment because it reduces pain without affecting blood clotting. This means it does not increase the risk of bleeding within the brain, unlike other pain relievers.
For adults, the typical dosage is 500 to 1000 milligrams every six hours as needed. Adhere to package directions and do not exceed the maximum daily dose, which is generally 4000 milligrams over a 24-hour period.
Medications to Steer Clear Of
Certain pain relievers should be avoided, particularly in the initial days following a concussion, due to potential safety concerns. Non-steroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen (Advil, Motrin), naproxen (Aleve), and aspirin, thin the blood. This increases the risk of bleeding, which could worsen any bleeding within the brain.
The heightened risk associated with NSAIDs is especially relevant during the first 24 to 48 hours after a head injury. Taking these medications during this acute period could also inadvertently mask more serious symptoms, making it harder to identify if a more severe brain injury is present. For these reasons, healthcare providers typically advise against their use after a concussion, favoring acetaminophen as a safer alternative.
Non-Drug Approaches to Symptom Relief
Several non-pharmacological strategies can help alleviate concussion symptoms. Rest, encompassing both physical and cognitive aspects, is a primary component of recovery. Limiting activities that demand significant mental or physical exertion for one to two days can help reduce symptoms like headache, dizziness, and light sensitivity. However, prolonged complete rest, such as isolating oneself in a dark room, is generally not recommended as it does not promote recovery.
Minimizing exposure to triggers that worsen symptoms, such as bright lights, loud noises, and excessive screen time, is also beneficial. Gradually reintroducing activities as symptoms improve. Maintaining adequate hydration is another important element, as dehydration can intensify symptoms like headaches and fatigue. Consuming 8 to 12 glasses of non-caffeinated fluids daily can support brain function and overall healing.
When to Consult a Doctor
While many concussion symptoms improve with rest, certain signs warrant immediate medical attention. A worsening headache that does not subside, unusual drowsiness, or difficulty waking up are serious indicators. Other concerning symptoms include slurred speech, new weakness or numbness in the limbs, or problems with coordination and balance.
Repeated vomiting, seizures, or increasing confusion, such as difficulty recognizing people or places, also necessitate urgent evaluation. If you observe any of these symptoms after a head injury, seeking prompt medical care is important. Even if acetaminophen has been used for pain relief, these severe symptoms indicate a need for professional medical assessment to rule out more serious complications.