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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Heal Painful,swollen Ankle Twisting Along With Fever And Nausea?

I fell and twisted my ankle today. It twisted inward at a rather awkward angle. After it happened there was a little swelling and I felt cold with shivers. It's now four hours later and I feel feverish with a little nausea. The outside ankle bone is swollen about the size of a tennis ball. It is painful to the touch but not excruciating. I can walk on it although very gingerly. Should I get it x-rayed tomorrow or should I just assume that it's a bad sprain.
Fri, 28 Feb 2014
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General & Family Physician 's  Response
Hello dear,

The symptoms as mentioned in your post can be attributed to musculo-skeletal injury.
The fever & nausea is due to acute inflammatory response.
X ray of the ankle joint needs to be done to rule out any pathological cause for the symptoms.

Symptomatic relief can be obtained by application of ice, analgesic & muscle relaxant gel, intake of analgesics like Diclofenac (to be taken after food) + Pantoprazole (to be taken 30 minutes before meals).
Supplements of Calcium & Vitamin D can be included in diet which will help in strengthening of bones.
Physiotherapy exercise will also be helpful.

There is no need to worry, you will be fine.
Till then, maintain adequate hydration & nutrition status, take proper rest and avoid stress.
Wishing a Good Health.
Take care.
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  User's Response
HI
Thank for asking to HCM
I really appreciate your concern, I think x-ray study is must you can not take any chance you have to rule out the possibility of fracture, for the fever and pain, nauseas I would suggest the following medicine,
1) Tab Acetaminophen three times in day
2) Tab Domeperidone 30 mg three times in day
3) Tab Ibuprofen 400 mg three times in day
keep the leg in elevated position till you get done the x-ray, hope this information helps you, take care and have good day.
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How To Heal Painful,swollen Ankle Twisting Along With Fever And Nausea?

Hello dear, The symptoms as mentioned in your post can be attributed to musculo-skeletal injury. The fever & nausea is due to acute inflammatory response. X ray of the ankle joint needs to be done to rule out any pathological cause for the symptoms. Symptomatic relief can be obtained by application of ice, analgesic & muscle relaxant gel, intake of analgesics like Diclofenac (to be taken after food) + Pantoprazole (to be taken 30 minutes before meals). Supplements of Calcium & Vitamin D can be included in diet which will help in strengthening of bones. Physiotherapy exercise will also be helpful. There is no need to worry, you will be fine. Till then, maintain adequate hydration & nutrition status, take proper rest and avoid stress. Wishing a Good Health. Take care.