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Does pain on the back after a fall indicate internal bleeding?

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Posted on Thu, 2 Aug 2018
Question: My husband slipped down 6 icy stairs outside at about 3:30pm. He's complaining about pain on his right side on his back seemingly near his rt kidney..applying heat to it seems to help..could it be a bruise on his kidney or a bleed out he refuses to go to er....

Would a cold compress work better for pain?

I'm concerned about internal bleeding more than a vertebrae being out of place
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Answered by Dr. Bhagyesh V. Patel (21 minutes later)
Brief Answer:
various possibilities as external or internal issue .guidelines given .

Detailed Answer:
Hello dear

Warm welcome to Healthcaremagic.com
I have evaluated your query thoroughly .

* There can be various types of effects from this incidence as muscle stretch ,
sprain or internal organ insult in form of swelling or else .

* Internal bleed in kidney represent with substantial amount of pain , blood in
urine and other features , so do not panic at present .

* Recommendations at present

- Alternate application of heating pad and ice pack each for 5 minutes at an
interval of 3 hours .
- Bed rest with home ambulation .
- Avoid sleeping on right side .
- Maintain his hydration with plenty of liquids .
- Give narrated medicines every 6 hourly after meals preferably with antacids as
Ranitidine .
- Local application of analgesic spray or ointment also helps .

* Watch for any
- onset of fever , vomiting , increased pain , blood in urine
In which case make him to get visit to ER .

* Follow up after 24 hours or early as per the requirement .

Wishing him fine recovery .

Regards take care .
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
Answered by
Dr.
Dr. Bhagyesh V. Patel

General Surgeon

Practicing since :1999

Answered : 20416 Questions

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Does pain on the back after a fall indicate internal bleeding?

Brief Answer: various possibilities as external or internal issue .guidelines given . Detailed Answer: Hello dear Warm welcome to Healthcaremagic.com I have evaluated your query thoroughly . * There can be various types of effects from this incidence as muscle stretch , sprain or internal organ insult in form of swelling or else . * Internal bleed in kidney represent with substantial amount of pain , blood in urine and other features , so do not panic at present . * Recommendations at present - Alternate application of heating pad and ice pack each for 5 minutes at an interval of 3 hours . - Bed rest with home ambulation . - Avoid sleeping on right side . - Maintain his hydration with plenty of liquids . - Give narrated medicines every 6 hourly after meals preferably with antacids as Ranitidine . - Local application of analgesic spray or ointment also helps . * Watch for any - onset of fever , vomiting , increased pain , blood in urine In which case make him to get visit to ER . * Follow up after 24 hours or early as per the requirement . Wishing him fine recovery . Regards take care .