Suggest Treatment For Hematoma On The Cheek

Posted on Mon, 21 Sep 2015

Question: I fell 14 days ago and landed on my right cheek. A very large hematoma formed and has not gone away. I applied ice for the first 48 hrs. and then switched to heat as per directions from my e.r. visit. The blood has coagulated and is very hard. Ive tried rotating warm and cold compresses. I went to a dr. on Monday and said it just required time. I'm starting to panic because i'm a teacher and return to work on Tuesday of next week. Any advice would be welcome.

Answered by Dr. Dr. Kakkar (21 minutes later)

Brief Answer:
Kindly upload an Image

Detailed Answer:
Hello. Thank you for writing to us

I have gone through your query and I have noted down your concern.

A hematoma usually resolves by itself. Any surface color changes that are part of a hematoma would usually take 2-3 weeks to resolve.

I suggest you to take an Oral Vitamin C supplement once daily.

However, I request you to kindly upload an Image so that I am able to guide you better.

You may upload an Image either at "Reports Section"

Or

You may mail me at YYYY@YYYY with the subject line as Attn: Dr. Kakkar.

Also let me know has it reduced Or is it still the same size? Is it painful?

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Kakkar (8 minutes later)

I"ve been doing vit. c and applying vit K cream externally for days now. Yes, it has reduced in size, it's just very solid, and large. I wouldn't say it's painful, it just feels as if a golf ball has been shoved under my skin. I will send a photo when my son comes home.

Is that info helpful?

Answered by Dr. Dr. Kakkar (1 hour later)

Brief Answer:
I suggest conservative management for another 3-4 weeks

Detailed Answer:
Hi.

Since it is hard that suggests that it has begun to organise.
You may wait another 2-4 weeks to see if it reduces by itself simply because it was a large hematoma initially and will take time to shrink
You may take an Oral anti-inflammatory e.g diclofenac preferably in combination with a serratiopeptidase to help resolve edema and inflammation.
Warm compresses might be useful by increasing local circulation and helping it resorb.
An ultrasound Or MRI scan will show the exact size of hematoma and give more details about the hematoma.
If the hematoma still does not resolve significantly even after 3-4 weeks, it may then require a minor surgical procedure to take it out.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Kakkar (8 minutes later)

is that oral anti-inflammatory and serratiopeptidase something i can get otc?

Answered by Dr. Dr. Kakkar (4 minutes later)

Brief Answer:
Would need a prescription

Detailed Answer:
Hi.

I think you would need a prescription for that. You can talk to your doctor regarding that.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Kakkar (0 minute later)

we currently have some diclofenac 75 mg tabs here. must i take this in combination w the other drug for it to beneficial? these are not mine, but my husbands.

Answered by Dr. Dr. Kakkar (8 minutes later)

Brief Answer:
Diclofenac can be tried

Detailed Answer:
Hi.

Can take a tablet of diclofenac once daily for a few days i.e a week and see how it helps. Ideally it should be in combination with serratiopeptidase.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Kakkar (2 days later)

Is serraitiopeptidase something one could get o.t.c.?

Is Biosuganril just as effective as serratiopeptidase?

Answered by Dr. Dr. Kakkar (7 hours later)

Brief Answer:
Biosuganril is same as serratiopeptidase

Detailed Answer:
Hi.

Biosuganril is same as serratiopeptidase. You need to check from a pharmacy whether it is available otc in your country.

Regards

Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar