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What Should Be Done After Injury In The Ribs Area Which Has Intensified To Symptoms Of Abdominal Cramps And Blood In Stool?
Question: I FELL TO MY SIDE BACK WARDS ON TO A ROCK ON LEFT SIDE AT UNDER RIB CAGE tord side of lower back large bruise 4 by 3. one rib is cracked feel movement or popping sound at the end of one rib when inspected at bruise end of rib pushed with fingers, have cramps in guts and blood in stool today 7 days later and side and guts painful still, if i try to work my side 4 anything siting, walking turning side to side coughing hurts, i understand the rib, so the guts small or large intestine what bruised, lacerated this was an intrusive impacted the day it happened, the next day i could barely walk, no cuts blunt impact big bruise, what are thoughts doc.
Brief Answer:
Adequate pain relief, lower GI bleed unlikely to be related to rib fracture
Detailed Answer:
Hello,
In case of a rib fracture, adequate pain relief has to be ensured. If despite the medication, NSAIDs, hot tub etc there is inadequate relief then a local inter costal nerve block should be considered to prevent secondary atelectasis as a complication.
The GI bleed as a result of the trauma is unlikely. Stool routine examination plus ova / parasite can be advised after local examination/ digital rectal exam to determine the cause. Some medication can lead to hard stool that may erode the anal mucosa resulting in a lower GI bleed. Stool softeners and laxatives can be advised in that case, in consultation with your doctor.
Wishing you best of health
Thanks
Let me know if you have any query
Dr. Muhammad Sareer Khalil
Adequate pain relief, lower GI bleed unlikely to be related to rib fracture
Detailed Answer:
Hello,
In case of a rib fracture, adequate pain relief has to be ensured. If despite the medication, NSAIDs, hot tub etc there is inadequate relief then a local inter costal nerve block should be considered to prevent secondary atelectasis as a complication.
The GI bleed as a result of the trauma is unlikely. Stool routine examination plus ova / parasite can be advised after local examination/ digital rectal exam to determine the cause. Some medication can lead to hard stool that may erode the anal mucosa resulting in a lower GI bleed. Stool softeners and laxatives can be advised in that case, in consultation with your doctor.
Wishing you best of health
Thanks
Let me know if you have any query
Dr. Muhammad Sareer Khalil
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Above answer was peer-reviewed by :
Dr. Raju A.T
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