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I Fell 1 Wk Ago And Fractured My Rib. My

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Posted on Wed, 24 Feb 2021
Question: I fell 1 wk ago and fractured my rib. My stomach is very swollen and distended and I have not been able to move my bowels on my own without a laxative. Is this normal? Should I go to the hospital for further testing?
doctor
Answered by Dr. Abhijit Deshmukh (15 hours later)
Brief Answer:
hi

Detailed Answer:

Hello
Welcome to ask a doctor.
Thank you for your query.
I understand your concern.
Possibilities are
1) during fall if you have hurt your abdomen with blunt trauma to tummy can cause internal injury to internal organs of tummy and distention. But usually this is associated with severe pain with i think you dont have to unlikely to have a blunt injury to internal organs.
2) Second more likely is possibility of constipation and reduced intestinal motility due to pain killers / medications taken for rib fractures. So for that can try taking laxatives to ensure bowel movements and stop pain killers which may cause reduced intestinal movements and constipation.
So if there is pain, vomiting, too much distention, severe constipation or inability to pass flatus and reduced oral intake then worth visiting hospital at earliest.
Also take soft or liquid predominant diet avoid excess fibre intake in the mean while.
Also some laxative may increase distention (like lactulose or lactitol ) so better to avoid them too.
Hope this answers the query.
Wish you a speedy recovery.
Happy to help.
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Yogesh D
doctor
Answered by
Dr.
Dr. Abhijit Deshmukh

Gastroenterologist

Practicing since :2001

Answered : 597 Questions

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I Fell 1 Wk Ago And Fractured My Rib. My

Brief Answer: hi Detailed Answer: Hello Welcome to ask a doctor. Thank you for your query. I understand your concern. Possibilities are 1) during fall if you have hurt your abdomen with blunt trauma to tummy can cause internal injury to internal organs of tummy and distention. But usually this is associated with severe pain with i think you dont have to unlikely to have a blunt injury to internal organs. 2) Second more likely is possibility of constipation and reduced intestinal motility due to pain killers / medications taken for rib fractures. So for that can try taking laxatives to ensure bowel movements and stop pain killers which may cause reduced intestinal movements and constipation. So if there is pain, vomiting, too much distention, severe constipation or inability to pass flatus and reduced oral intake then worth visiting hospital at earliest. Also take soft or liquid predominant diet avoid excess fibre intake in the mean while. Also some laxative may increase distention (like lactulose or lactitol ) so better to avoid them too. Hope this answers the query. Wish you a speedy recovery. Happy to help.