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Ski fall caused head ache and blood in stools - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Average Posted in: Headache and Migraines
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3424 Questions
User :   Is this working yet?
Doctor :   hi
User :   Ok
Doctor :   how can i help u today ?
User :   This website has not been working for an hour. I'll type it again now.
Doctor :   ok ,
User :   At 2pm today, my girlfriend took a bad fall while ski-ing down a mountain,
User :   now she has blood in her stool,
User :   at first she had symptoms of shock and stomach pain,
User :   but those two symptoms have subsided.
User :   Now she has a headache.
User :   Should I take her to the emergency room?
Doctor :   may i know her age ?
User :   30
Doctor :   is the blood in stool very severe ?
Doctor :   any mucus or red blood in the stool ?
User :   i'm not sure how severe... I'm guessing like 2 tablespoons at the most
User :   its red blood
Doctor :   does she feel dizzy ?
Doctor :   ok
Doctor :   can u feel her pulses ?
User :   well she's on the bus coming back to the city now
Doctor :   is she able to walk , eat and do her regular activities as usual ?
User :   i'm at my office
User :   she is able to do activities,
Doctor :   ok
User :   she keeps saying she'll be okay but i'm worried about the headache and bloody stool
User :   i asked just now and she says it was a lot of blood
Doctor :   in that case, the bleeding could either indicative of stress induced bleed or an internal injury in the intestines
User :   she says she's not dizzy, just the headache
Doctor :   she should be checked up, just in case to rule out intestinal injures and to prvent any long term effects
User :   so, yes, i believe she caused internal bleeding from the fall
Doctor :   the headache is fine ,
User :   well something's bleeding; it could be kidney, stomach, intestines, right?
User :   and how serious would that be?
User :   is that common?
Doctor :   no not kidneys
Doctor :   but the intesitnes or the stomach would be the site of bleed
User :   and is that serious?
User :   will it heal on it's own?
Doctor :   since the bleed is very less, 2 tsp,
User :   no i think it's more than 2 tablespoons
User :   i asked here a moment ago
User :   "i asked her"
Doctor :   that is not serious and could indicate a mucosal tear
Doctor :   if the bleeding is more, or not knowne properly, and it is continuous, then it is absolutely essential to have a look by a doctor
User :   so when she gets home in an hour, if the bleeding has stopped, maybe we don't need the ER?
Doctor :   yes
Doctor :   if she is fine, then no need to go to ther ER
User :   if she's still bleeding, and if it's the intestines or stomach, what can the doctor do?
Doctor :   SHE CAN be given antacids and medications IV to reduce the bleeding
Doctor :   a examination can help rule if there has been stomach injuries and blunt abdominal trauma as well
User :   and i'm a little worried about head injury. how do we decide if she has head injury?
Doctor :   and based on the findings , the doc may get a CT SCAN if needed
Doctor :   since she ia able to go up and about, without any unconsious state , and also carry her activities, the risk of head injury will be very less
Doctor :   if she ahd vomiting, nausea, persistant sever headache, loss of consciousness then it could be associated with head trauma
Doctor :   I hope you have understood my comments ?
Doctor :   Are u there ?
User :   yes you've been very helpful.
Doctor :   you are most welcome
User :   her jaw hurts
User :   and she sprained her arm
User :   i guess those are just minor things?
Doctor :   that could be due to an impact due to the fall
User :   she didn't throw up
Doctor :   and adequate rest and icepacks, along with motrin or tylenol will help
User :   ok, well thank you very much!
User :   thank you!!!!
Doctor :   that is a very good sign
User :   this is a great service
Doctor :   thanks and take care
User :   you too
Doctor :   bye for now
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