Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
170 Doctors are Online

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 : 1777 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.
Question is related to
© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor