Hi, I hit the back of my head training jiu

Patient

Q: Hi, I hit the back of my head training jiu jitsu at 7:15 pm when I fell backwards on it attempting a throw; it is now midnight. My butt hit first so the head blow didn't happen at the full speed of my body falling; I was fairly under control, it was a practice move I was trying at less than medium speed. The mats in the gym are not soft, they are like the wall mats in a basketball gym, very firm. I felt a quick "zap" or "jolt" when I hit, but never lost consciousness, never felt sick, never had a headache, no lump, no dizziness. I checked my pupils and they were opening and closing fine in response to light. I am 35 years old, great shape, and very healthy. My problem is I have terrible anxiety and am a terrible hypochondriac....I have been using Xanax sparingly for anxiety attacks about health situations, just like this one. I am having an anxiety attack now and can't sleep, which makes me dwell on every feeling in my head. No headache still, but these little tingles and slight sensations now and then are sending me into a panic....3 questions: 1) it's approaching 5 hours since the fall, should I get in my car and go to the ER? 2) if not or so, is it okay to go (or try to go) to sleep? 3) can I take a Xanax to calm down a bit or is that bad to have in the wake of a potential brain trauma? Thanks for any help.

Doctor

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