Hi,I am Dr. Amitkumar Sharma (Internal Medicine Specialist). I will be looking into your question and guiding you through the process. Please write your question below.
I had a .5 golf ball size hematoma on the top, close to knuckles on right hand on 2/9. The week after the trauma it would turn bright red in the evening.( While making dinner) Now , 9 days later I have a painful filled sack between the knuckles ( size of Quarter) . Do I need to follow up with doc?
Detailed Answer: Hello, Thank you for using HCM. Generally the subcutaneous hematomas after trauma does reabsorb by them self's within three weeks or less. The color changes from that of a purplish-blue bruise to yellow and brown as the blood chemicals gradually are metabolized and the hematoma resolves. In case of persistence and organisation within a sack, as in your case, then should be done an ecography and then should be evaluated by a surgeon. The surgeon will evaluate the possibility to drain it by opening up the area (either to insert a needle or catheter-type device) . As it hurts , may be the hematoma is infected because it is a favorable place for bacteria to grow. You should take some oral antiinflamator drugs such as ibuprofen tablets 400 mg , 3 times a day after meals or diclofenac tablets 75 mg , 2 times a day after meal. Your surgeon, after visiting you, will decide for draining or not and if you need any additional therapy with antibiotics or not.
Hope this is helpful. Let me know if you need more clarifications. Otherwise please close and rate the answer. Kind Regards, Dr. Juarda
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What Could Hematoma On Knuckles Suggest?
Brief Answer: You should see a surgeon. Detailed Answer: Hello, Thank you for using HCM. Generally the subcutaneous hematomas after trauma does reabsorb by them self s within three weeks or less. The color changes from that of a purplish-blue bruise to yellow and brown as the blood chemicals gradually are metabolized and the hematoma resolves. In case of persistence and organisation within a sack, as in your case, then should be done an ecography and then should be evaluated by a surgeon. The surgeon will evaluate the possibility to drain it by opening up the area (either to insert a needle or catheter-type device) . As it hurts , may be the hematoma is infected because it is a favorable place for bacteria to grow. You should take some oral antiinflamator drugs such as ibuprofen tablets 400 mg , 3 times a day after meals or diclofenac tablets 75 mg , 2 times a day after meal. Your surgeon, after visiting you, will decide for draining or not and if you need any additional therapy with antibiotics or not. Hope this is helpful. Let me know if you need more clarifications. Otherwise please close and rate the answer. Kind Regards, Dr. Juarda