Should My Elderly Mother Get An X-ray For Rib Pain And Abdominal Distension After A Fall?

Hello, In an 84-year-old, a fall onto ribs with new abdominal distension is something we shouldn t take too lightly. From what you described, the rib pain and bruising do sound very typical of a rib injury, and yes, it is easy for an older adult to crack a rib with what seems like a minor impact. That part alone is pretty common. But it s the new lower abdominal distension that concerns me. Sometimes, following a blow to the rib or upper abdomen, the body can react with some internal bruising and swelling, or-in rare but serious circumstances-a delayed internal bleed or irritation of the abdominal organs. Even an inward-pointing fractured rib can irritate deeper tissues. I cannot say this is happening to her, but at her age, we cannot assume it is just swelling or just gas. Getting examined in person is the safest and most sensible step. Yes, an X-ray of the ribs should definitely be done. But more importantly, I would strongly suggest she has: • A physical examination • Probably an ultrasound or abdominal scan, depending on the findings by the doctor If her abdomen is getting tighter, or she feels nauseated, light-headed, short of breath, or her pain is worsening, then please do not wait — go to the emergency department. Pain medicines can be used if they have been safe for her before; do not start anything new until she is checked because some medicines may worsen issues if there is internal injury. Honestly, I think she should be evaluated today. In older adults, even a small injury can evolve over the course of 48–72 hours, and this new swelling is a definite indication that she needs to be re-evaluated. Take care. Hope I have answered your question. If you have any further query I will be happy to help. Wish you good health. Regards, Dr. Usaid Yousuf General and Family Physician