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Fainted after head injury, facial swelling after stitches settling in corner of eyes - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Head Injuries
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1678 Questions
User :   After fainting and hitting the top of my head wich required stitches I have facial swelling and pooling in the corners of my eyes and center of forehead.
Doctor :   hi
Doctor :   Dr. here. let me read what you have typed.
User :   I spoke with a doctor in person this 15 hours ago, and another on this website maybe 5 hours ago, The swelling has gotten worse and is settling in the corner of my eyes, with a redish purple color.
Doctor :   how big was the injury? could you describe how you fell?
Doctor :   how many sutures/stitches were required?
User :   I feel perfectly fine, the injury was a jagged cut on the top of my head requiring 7 stitches.
Doctor :   ok. how long back was this incident of fall and hurt?
Doctor :   if the swelling is getting worse with redish purple color settling in corner of eyes, then it indicates some bleeding inside
User :   I used hot and cold compresses on the area for a bit but havent done much more, and it is actually worse. I just woke up and there is more swelling.
Doctor :   do not wait, go to ER and get a repeat check done
Doctor :   you may require to get a CT scan done
Doctor :   to look for causes behind the swelling getting worse
User :   I'm in our Emergency Rooms are kind of a joke unless in the capital city which is 3 hours away. Anything my local doctor can do?
User :   What will the CT scan do?
Doctor :   your local doctor can help to see what is going wrong
User :   And have him make the call to go for the CT scan or not.
Doctor :   th examination done by him wil help to know whether a bled is in question or the stitches with tissue fluid accumulation.
Doctor :   after the examination he will decide whether to send you for CT
Doctor :   the CT will be needed if bleed is suspected
Doctor :   to see where you are bleeding from, and where the blood is getting collected
User :   Anything I can do in the mean time?
Doctor :   make urgent call to your treating doctor and inform about the swelling getting worse
Doctor :   and ask for urgent appointment ASAP
Doctor :   try with cold compresses and see if the swelling is better.
Doctor :   continu eon medications prescribed
Doctor :   *continue on
Doctor :   have you followed what I have said?
Doctor :   are you there?
User :   yes I'm here
Doctor :   is there anything else I can help you with?
User :   I just spoke with my doctor, he said even the local hospital does not have capability for Ct's suggested i wait til morning. I'm at risk of anything by waiting?
User :   last time for a cold compress I used a plastic bag with with, any other suggestions that may be better?
Doctor :   you can use ice wrapped in clean tissue or cloth
Doctor :   clean the area with antiseptc after compress
Doctor :   and use the medications back for dressing
Doctor :   do teh compresses every 20-25 minutes each lasting for 10-25 minutes
User :   The medications back for dressing?
Doctor :   was anything prescribed to dress the wound?
User :   Head elevated or anything special
User :   I have a topical cream they gave me called neobal
User :   NEOBOL
Doctor :   ok, use that after cleaning with antiseptics solution
Doctor :   keep head elevated
User :   I believe the antiseptic solution I have requires water, and was told the keep the head dry. It suds like soap...
Doctor :   ok. then do not worry about it, do the cold compress with ice wrapped in plastic cover
Doctor :   and use the topical cream
Doctor :   get the examination done by your doctor at the earliset
Doctor :   report to ER if you develop fever, nausea, vomiting, dizziness, blurry vision
Doctor :   disorientation, confusion, clouding of memory
User :   okay
User :   keep using the topical cream ontop of the older dried topical cream. I normally wipe it off the best I can then apply more.
Doctor :   you have to wipe the old application and then put the new one else there will be no benefit
Doctor :   so continue what you are doing for the application of the cream.
User :   okay the anitseptic/germacide is called Sterop Lisan have you heard of it, it is a pink colored liquid.
Doctor :   yes.
User :   Is water required?
Doctor :   what is the concentration of it?
Doctor :   could you read out the % mentioned?
User :   4% p/v
Doctor :   ok. then you will need to dilute it with water, atleast use 1 cup of water with 5ml of the solution
User :   but that is okay to use on top of my stitches?
User :   The corners of my eyes are itchy.
Doctor :   yes it is ok, since you are not going t o use direct water,
Doctor :   so use it with cotton balls
Doctor :   to gently wipe and then again wipe with clean sterilised dry cotton before applying the cream on it
User :   okay that I have. Itchy corners of eyes anything to worry about.
Doctor :   it could be due to the reddish purple color settling in corner of eyes, it will subside down
Doctor :   once the swelling also comes down
User :   Can I take Ibuprofen. I take one pill daily of Arcoxia
User :   120mg
Doctor :   ok. you can take it after 8-12 hours of Arcoxia
Doctor :   when teh effect starts wearing off
User :   okay it is definately been that, but I will be taking the other Arcoxia in approximately 6 hours.
Doctor :   ok
User :   I was also perscribed NeoFlax 4Mg, what is that.
Doctor :   it is anti-inflammatory+ analgesic combination
User :   is that for pain as well?
Doctor :   yes
User :   okay thank you very much I think that is all.
Doctor :   ok. is there anything else I can help you with?
Doctor :   thanks for consulting me. bye for now.
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