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Post injury query - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Bones, Muscles and Joints
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2577 Questions
User :   After falling and requiring stitches my forehead appears to be swelling more and more
Doctor :   Hello.
User :   Hello
Doctor :   Do you have any other symptom like fever, increased pain at the site, etc?
User :   No, my neck area is a little sore with slightly limited range of motion, but doctor checked column and didnt have any added pain.
User :   The swelling of my forehead is new, it was a little this morning and more now, the accident took place last night around 2:00 am.
Doctor :   Ok.
User :   so about 20 hours ago
Doctor :   Ok.
Doctor :   where did you get the stitches?
User :   From a local doctor here in Costa Rica, there are a total of 7 stitches
Doctor :   I meant which part of the body?
User :   The injury was jagged in a variety of locations on the top of my head, not my forehead, what concerns me is now my forehead is swollen.
User :   From top of forehead back 3-4 inches towards top of head.
Doctor :   Ok.
Doctor :   what is the color of the swelling ?
Doctor :   How big is it?
User :   No color, my skin tone appears to be the same.
Doctor :   Is it soft to touch?
User :   it starts at the bridge of my nose, up to almost the top of my forhead, and above each eye
User :   fairly soft to the touch
Doctor :   Ok.
Doctor :   Any tenderness?
User :   No tenderness
Doctor :   Ok.
User :   I have a very mild headache
Doctor :   Can you rate the pain from 1 to 10?
User :   a 1 or 2 meaning very week. Just worried about continued swelling through the night.
User :   Is it normal to have a swollen forhead after a top of head injury?
Doctor :   It could be collection of blood or the fluid in that arae.
Doctor :   'area.
User :   blood would change the color of my skin though correct? Is it of concern?
Doctor :   In your case it could
Doctor :   be the body fluid.
User :   could change the color, or could be of concern
User :   ?
Doctor :   If there is change of color
Doctor :   It is matter of concern.
User :   okay but until then, swelling doesnt matter?
Doctor :   Just watch out
User :   and watch for changing color....anything else?
Doctor :   if the swelling does ]
Doctor :   not increase
User :   Can I take Ibuprofen to reduce it?
Doctor :   in size at rapid pace.
Doctor :   Yes.
User :   What is rapid, because it has changed quite a bit in the last 10 hours, it is definately bigger.
User :   changed as in gotten larger, but again no discoloration.
Doctor :   Do you have any past history liver or kidney disease?
User :   No I do not
Doctor :   Rapid in the senses
Doctor :   doubling in size.
User :   How about showering with stitches in the top of my head is that an issue?
Doctor :   No shower for 2 to 3 days
Doctor :   on that area.
Doctor :   keep the area dry
User :   Okay, and if I already have?
Doctor :   and avoid any contamination
User :   obviously wont anymore
Doctor :   of the wound.
Doctor :   Is there any thing else?
User :   Doctor gave me a cream Neobol, how do I put it on the wound and then not clean it when it is dried out.
Doctor :   Clean it with sterile cotton.
User :   and just wipe it off?
Doctor :   Yes.
User :   okay, he also gave me a type of soap Sterop Lisan
User :   thats why I thought it was okay to shower
User :   Clorhexiina Gluconato 4% p/v
User :   Clorhexidina Gluconato
Doctor :   Ok.
User :   supposed an antiseptic and germicide.
Doctor :   you can take shower after 1 or 2 days.
User :   okay and then use the soap...okay. So when should the swelling go down?
User :   in my forehead that is.
Doctor :   When did the doctor say you can take shower?
User :   I thought the next day...
User :   as in today...
Doctor :   Ok.
Doctor :   Did he prescribe any painkillers?
User :   yes and two antibiotics
Doctor :   Are you taking it?
User :   Yes
User :   Arcoxia Extrocixib 120 MG
User :   Clavulanic Acid 125 MG
Doctor :   Ok.
User :   NeoFlax tiocolchicosido 4 MG mild muscle relaxer
Doctor :   Ok.
User :   heard of any of that?
Doctor :   Then you need not take Ibuprofen.
User :   Sorry one is Curam 1000MG and Amoxocilan 875 and the other 124 is Clavulanic Acid
Doctor :   As you already taking Arcoxia Extrocixib 120 MG.
User :   Ah okay, that is one pill per day....
Doctor :   As prescribed by the doctor.
User :   yup
Doctor :   Is there any thing else i can help with?
User :   Anything else I can do to reduce the swelling?
Doctor :   You can give hot water bag compressions.
User :   okay sounds good thank you.
User :   will the Ibuprofen hurt?
User :   in addition to the Acoxia?
Doctor :   Combining two painkiller is not advised.
Doctor :   It will cause in wanted effects.
User :   okay thank you.
Doctor :   un wanted
Doctor :   Any thing else?
User :   nope that is all thank you.
Doctor :   Bye for now.
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