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Suggest Treatment For Hematoma Hard Lump

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Posted on Thu, 28 May 2015
Question: I have busing in my cafe right leg. It turned into hematoma hard lump. It has been over 10 days and now I have bruising down my leg and into the foot. Should I be concerned?
doctor
Answered by Dr. Rakesh Madhyastha (12 minutes later)
Brief Answer:
not be concerned

Detailed Answer:
Hello

Thanks for the query

Most hematomas will resolve on its own without any treatment however a few of them will require surgical intervention especially if it becomes septic.

I suggest you to do the following
1. Tab enractin is a good drug to reduce inflammation. I give it twice daily for 5 days
2. Avoid squeezing or meddling with the swelling
3. If the swelling becomes increasingly painful or you start developing fever then it means that it has turned into an abscess which requires drainage

It is usual for the redness to come down below especially if the hematoma is below the fascia so don't worry about that

I hope I was of help, if you have any further queries please get back to me

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Rakesh Madhyastha (4 days later)
I would like more information. The Hematoma is on the left calf about 7 inches below the knee. The redness and black and blue has migrated down the leg and into the foot. There is some swelling in the ankle and foot. The leg below the Hematoma is sore to the touch and feels very sensitive. Heating and iceing see to help. Is all this normal and should I continue to run 2 miles a day on this leg?
doctor
Answered by Dr. Rakesh Madhyastha (28 hours later)
Brief Answer:
please do not continue to run

Detailed Answer:
Hello

Thanks for getting back

I am sorry for the short delay in my reply, there was a family emergency. I usually get back within 12 hours.

It is normal for redness to migrate below the hematoma but the fact that it is sore indicates that there is still some amount of inflammation.
Here is what you should do

1. Continue to ice and warm the area of soreness.
2. Please do not run until the soreness is better. It might worsen it
3. I recommend that you get a ultra sound of the hematoma to rule out it forming an abscess
4. Tab acetaminophen is the ideal tablet for the soreness, it can be taken three times a day

I hope I was of help

Regards
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Rakesh Madhyastha

Nephrologist

Practicing since :2009

Answered : 4364 Questions

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Suggest Treatment For Hematoma Hard Lump

Brief Answer: not be concerned Detailed Answer: Hello Thanks for the query Most hematomas will resolve on its own without any treatment however a few of them will require surgical intervention especially if it becomes septic. I suggest you to do the following 1. Tab enractin is a good drug to reduce inflammation. I give it twice daily for 5 days 2. Avoid squeezing or meddling with the swelling 3. If the swelling becomes increasingly painful or you start developing fever then it means that it has turned into an abscess which requires drainage It is usual for the redness to come down below especially if the hematoma is below the fascia so don't worry about that I hope I was of help, if you have any further queries please get back to me Regards