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What Causes A Painful Bruise On The Abdomen After A Fall?
Question: My dog caused me to fall yesterday while walking him on a leash. I am bruised but have developed a sharp pain in the center of my abdomen that has me concerned. Anti-inflammatory pills do not touch the pain.
Brief Answer:
as explained in details.
Detailed Answer:
Hi.
To recapitulate: Female/61 - h/o fall yesterday - while walking the dog on a leash - bruised - developed a sharp pain - left of center above line of naval - Aleve and Motrin did not help....
The history indicates one of the following:
Hematoma in the rectus sheath, being a close cavity due to sheath, the pain can be sharp as explained.
Spasm of the muscle, could have been relieved with the measures you have taken.
I would advise you the following in such a situation:
Get a clinical evaluation and examination by your Doctor, preferably a General Surgeon to get a clinical diagnosis.
To get a high resolution ultrasound for the abdominal wall, aspiration of the hematoma, if present, to relieve the pressure and pain and allow early healing.
Ultrasonography of the abdomen as a whole to rule out any internal problem although you have not mentioned any symptoms related to internal injury.
Continue the medications that you are taking.
It is better to get a PPI like Omeprazole to avoid acidity related to NSAIDs.
Complete bed-rest to help with healing and not to increase the problem further.
Please let the Doctors/me know if you develop any other symptoms like nausea, vomiting, bloating, constipation or black stool and so on.
Please be on liquids only till well diagnosed.
I hope this answer helps you, awaiting further details..
Please feel free to ask for further relevant queries if you feel that there is a gap of communication.
Regards
as explained in details.
Detailed Answer:
Hi.
To recapitulate: Female/61 - h/o fall yesterday - while walking the dog on a leash - bruised - developed a sharp pain - left of center above line of naval - Aleve and Motrin did not help....
The history indicates one of the following:
Hematoma in the rectus sheath, being a close cavity due to sheath, the pain can be sharp as explained.
Spasm of the muscle, could have been relieved with the measures you have taken.
I would advise you the following in such a situation:
Get a clinical evaluation and examination by your Doctor, preferably a General Surgeon to get a clinical diagnosis.
To get a high resolution ultrasound for the abdominal wall, aspiration of the hematoma, if present, to relieve the pressure and pain and allow early healing.
Ultrasonography of the abdomen as a whole to rule out any internal problem although you have not mentioned any symptoms related to internal injury.
Continue the medications that you are taking.
It is better to get a PPI like Omeprazole to avoid acidity related to NSAIDs.
Complete bed-rest to help with healing and not to increase the problem further.
Please let the Doctors/me know if you develop any other symptoms like nausea, vomiting, bloating, constipation or black stool and so on.
Please be on liquids only till well diagnosed.
I hope this answer helps you, awaiting further details..
Please feel free to ask for further relevant queries if you feel that there is a gap of communication.
Regards
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Above answer was peer-reviewed by :
Dr. Arnab Banerjee
Answered by
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