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Child has swelling and bruise on hand. Had fallen from ladder. Treatment?

My 2 year old daughter fell from 1.5m ladder (leading to slide) onto metal grid surface on Thursday. She fell on her arm . She has no fracture - x ray confirmed, but severe swelling around elbow and lower arm area (double size of other arm) and severe bruising on both sides of the arm. She is incapable of bending her elbow. Can you help me understand about the bruising. I m worried.
Asked On : Wed, 20 Feb 2013
Answers:  3 Views:  36
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Pediatrician 's  Response

Thanks for writing to health care magic.

I feel you should consult your doctor once again. There could be a fracture or dislocation if there is such severe pain. Bruising is bleeding beneath the skin. Some times a large hematoma may prevent movement of the limb. A child may not move limb because of pain some times.

Continue to ask further queries as required.
Hope this helps.
Take care.
Dr Y V Siva Sankara Murty
Associate Professor of Pediatrics
Answered: Sun, 4 Aug 2013
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Pediatrician Dr. Samik Basu's  Response
Hi ,
Thank you for your query.
Are you sure there is no dislocation or greenstick fracture??
Kindly check the X rays again.
You are very lucky in not having a fracture.
Bruising is due to tissue hemorrhage as a result of the physical trauma.
Apply ice,elevation to the local area.Give her painkillers for the pain and immobilize the area .
Consult an orthopedic.
If you have any further queries you are free to consult me.
Hope this answers your query.
Wishing a speedy recovery.
Have a nice day.
Answered: Wed, 20 Feb 2013
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Pediatrician Dr. Synthyia Bhagat's  Response
Thanks for your query.
Your child is having soft tissue injury and swelling will take few days to subside.
I suggest you to get orthopedic consultation.
Give her combination of acetaminophen and ibuprofen as per dosage three times a day.
Apply cold compresses over injured area 2 to 3 times a day.
Keep arm elevated.

Wishing your baby good health.
God bless.
Answered: Thu, 21 Feb 2013
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