Hit my head and on blood thinners

[Buffy6956]

I stupidly pulled the boot door down onto the top front of my head earlier it really hurt and I immediately got a walnut sized lump.. I’ve checked and there is no bruising... I don’t have any symptoms of concussion but am on blood thinners duel platelet therapy and don’t know if that means I need to get a ct scan of my head? Can anyone shed any light on this or has any of you hit your heads before and been ok?

[Hidden]

Personally in the circumstances you have described I would not consider doing anything to either cause more hospital congestion or risk catching Covid, as you have said you have no signs of concussion, nausea etc? I would think you would have to to be going some to slam it down with enough force to cause damage to your brain.

[EwaUK]

Hi Buffy . I slipped in my bathroom just before Xmas and hit my forehead really hard in the mirror. I fell on to the floor and waited till the shock subsided. On getting up I notice a lump and told my daughter. She immediately rang 111 and told them that I'd had a heart attack september 2020 and was on aspirin and blood thinners. The told me to go to a and e immediately as I'd need a scan to rule out a blood clot. Luckily every thing was fine and I was checked over thoroughly and the scan was fine.

Next day woke up to a large bruise on my forehead that got bigger and bigger over the weekend in fact ended up with two very black eyes. I still have very slight bruising under one eye but expect that will go in due course.

I personally think it's best to get a scan and a thorough check over. Just to be on the safe side. Hope your ok . Please let us know how you get on. Best wishes 💐

[MichaelJH Heart Star]

This is from the BHF pages on Novel Anticoagulants:

If you are taking anticoagulant medicine (for example, warfarin or dabigatran) and you suffer a head injury, such as falling and hitting your head, or experience a blow to the head, seek medical help without delay to rule out internal bleeding which may not be immediately obvious.

The full page is here:

bhf.org.uk/informationsuppo...

I would ring 111 - they will probably will want you to go for a CT scan to be safe.

[JennyRx in reply to MichaelJH]

She’s not on anticoagulants. She’s on anti platelet therapy.

[MichaelJH Heart Star in reply to JennyRx]

The purpose of both types of medication is to stop clots forming with potentially dangerous consequences. So therefore OP should get checked out!

[JennyRx in reply to MichaelJH]

I was pointing out the link you posted wasn’t clinically appropriate for dual antiplatelet therapy. The risk is actually less. However any fall by any patient should be treated seriously.

[JennyRx in reply to JennyRx]

CT head scans are recommended by NICE for falls when on warfarin but not for antiplatelets. But obviously individual A&E doctors will make a decision accordingly

[GreenGuy999]

Go seek assistance, there’s no harm really.

[jerry12953]

Scalp woulds bleed copiously in my experience! I've noticed that I bleed more even on low-dose aspirin with even minor cutsso that may help you decide what to do......

As an aside I have a dentists appointment next week where I'm expecting my gum to be cut open to reveal a root. I'm thinking of stopping the aspirin for a couple of days to reduce the bleeding. Does this make sense?