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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Persistent Swelling On The Buttocks

I fell two weeks ago and my back landed on the edge of the toilet. As a result I have massive brusing and a very large swollen area the size of a grapefruit. I had xrays and showed not fractured. The swollen area is not decreasing and I m wondering if this is normal?
Tue, 23 Jul 2019
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General Surgeon,  's  Response
Hello,

It seems to be having cellulitis turning to abscess as a result of that injection (which could be septic). Your mild fever could be the reason of this septic abscess.

You can feel the swelling by the back of your hand and it will be warm to touch that also suggests some sort of infection.

You can take ibuprofen with the antipyretic combination ( tab.combiflam available over the counter) with antacid (pantoprazole 40 mg).

But as I said earlier this kind of large abscess needs incision and drainage (I&D) under local anesthesia for which you should see a surgeon.

And it is a daycare procedure which will be followed by oral antibiotics, anti-inflammatory, and analgesics with other supportive treatment.

Here,do not start an antibiotic without consulting surgeon as it may lead to antibioma formation.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Ivan R. Rommstein, General Surgeon
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Suggest Treatment For Persistent Swelling On The Buttocks

Hello, It seems to be having cellulitis turning to abscess as a result of that injection (which could be septic). Your mild fever could be the reason of this septic abscess. You can feel the swelling by the back of your hand and it will be warm to touch that also suggests some sort of infection. You can take ibuprofen with the antipyretic combination ( tab.combiflam available over the counter) with antacid (pantoprazole 40 mg). But as I said earlier this kind of large abscess needs incision and drainage (I&D) under local anesthesia for which you should see a surgeon. And it is a daycare procedure which will be followed by oral antibiotics, anti-inflammatory, and analgesics with other supportive treatment. Here,do not start an antibiotic without consulting surgeon as it may lead to antibioma formation. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Ivan R. Rommstein, General Surgeon