UPDATE.......Here we are 4 months after my sons concussion and he still does not feel good. Brought him to Boston Childrens Hospital to see a Neurologist and she doesn't think he is still suffering from the concussion. The concussion specialist (Neuro Psychologist) also thinks he is healed from the concussion. Everyone else....Pediatrician, ER Doctor, Immunologist all say post concussion syndrome. My son had been through so many blood tests and meds since this all happened trying to figure out why he still feels so bad. His current symtoms are aching and headaches behind eyes, fatigue, diarrhea off and on and ringing in the ears. I am going down a check list of ailments trying to do process of elimination because I am given conflicting info about post concussion syndrome. If its not that then what is it is my question? Recently we saw an Allergy/Immunologist and he is testing for auto immune disease. Hearing test for the ringing was normal, could have possible chronic sinusitis but allergist says its hard to diagnose. Brain MRI was normal although Allergist/Immunologist saw white matter spots which is making him suspect auto immune. I just want my boy to feel better, he is so depressed and irritable about this all. Not to mention the anxiety it is causing him
So sorry to read this update. How difficult.
I also found when I had my own concussion that I was getting lots of different information from lots of different doctors. I think I saw about five or six different people and they each told me different things, too; lots of conflicting information. Fortunately, I had very good results with the neurologist I saw.
I'm quoting my previous post on this thread for emphasis on the bolded.
I have a baseball-playing son who has had that exact situation (hit in helmet w 85mph fastball) and other situations with him, along with the sequelae. And I myself had a very bad concussion last year which caused me a lot of problems.
First - and this is what I see in your son's situation - one of the worst things that can happen is getting a SECOND concussion on top of a first concussion. They warned me about that. It sounds like he might've had a concussion from the first hit (brain slams into skull after an impact, resulting in bruise to area of brain that hit), then got a second after the elbow hit, and that's when you saw the worse symptoms.
Honestly, I would take him to see a neurologist and have him follow whatever he or she says. When I had mine I got different information from different people. It wasn't until I saw the neurogist that I got the best advice. Healing needs to take place, and it can take quite a while. (She told me up to a year, sometimes longer.) It can be stress-producing to experience symptoms from this. For example, I lost a lot of my vision for a while, and it really scared me. And the headaches were excruciating. There are a lot of things that can go along with a concussion (or two!). Please take him to see a good neurologist. Hang in there.
Did the neurologist say anything to you about his having TWO probable concussions? It is well known in the concussion community that having two can be disastrous. I mentioned in my first post here, when I had my concussion the neurologist I saw spent several minutes talking to me about avoiding a second one. She actually said things like make sure you hold onto railings and things so I didn't fall, etc. Because, she said, I did NOT want to have a second one on top of the first, no matter what. This is when things can get really bad, she said. So that is the sense I'm getting here with your son. (And it sounds like most of the other doctors you see also feel it is post-concussion syndrome.) My neurologist was clear that it can take a year or longer to heal from a single concussion. It's really frustrating to be in a place where you don't know which way to turn next.
I do think that having some of these symptoms can cause anxiety (I was freaking out a bit about my vision myself; thankfully it returned relatively quickly). Given the stress he's been under, along with the symptoms he's been having, it would be fairly easy for him to get into a pattern where his anxiety can build up, so it will probably be helpful to institute some measures to help his anxiety in a general way. (Look to The Wellness Book.) Most of the symptoms you mention can be related to post-concussion syndrome, of course! (The diarrhea, I would have to research, but I wonder if that might be related to the anxiety, which is known to increase stomach acid, or if his eating habits have changed, etc.) And remember that even without having this going on, senior year in and of itself and all the pressures it entails can be anxiety-provoking even in absence of a concussion (or two). So I think that working in a general way on that might help. I'm not sure I'd even be looking for other causes at this point if several doctors think it's post-concussion syndrome. You can always get another opinion from a different neurologist if you want, too. (The question is, who to see?) The thing is, there's often not a lot they do for it other than counseling you of how to deal with your symptoms. I think some of the immediate pp's had some great information and ideas. The one thing that the neurologist did for me was some cognitive testing such as short term memory and such which helped her ascertain what was going on with me. Did the neurologist your son saw do that?