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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Abdominal Pain After Injury

My 18 yr. old daughter just started complaining of sudden sharp pains in her abdominal lower left quadrant. I need to inform you that she was playing softball all weekend and at app. 4 p.m yesterday got hit by a pitch in that same area. She had nonpain last night , but about 2 hrs. ago started complaining of the pain. Upon examination I discovered a good sized bruise just to the left of her pain area ( between left love handle and belly button. Could these be related?
She is not nauseated or vomiting, just sharp pains, especially when she moves. Her pain tolerance is pretty high.
Wed, 12 Nov 2014
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General & Family Physician,  's  Response
I think that your findings are directly related to the abdominal pain that you are talking about. The ball hitting her lower left abdomen has bruised the outer part, but has also strained the muscles lying underneath. As a result, the muscles of that region of the abdominal wall are probably going into spasm from time to time and hence causing the pain. In such a case, no nausea or vomiting is likely to be present as in her case.
You may give her hot compress over the area and also some muscle relaxant tablet like myospaz forte twice a day for around three days and see if she gets relieved.
However, I would insist on getting her examined by a doctor and if required get an ultrasound of the abdomen done to be sure that nothing else is wrong.
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Suggest Treatment For Abdominal Pain After Injury

I think that your findings are directly related to the abdominal pain that you are talking about. The ball hitting her lower left abdomen has bruised the outer part, but has also strained the muscles lying underneath. As a result, the muscles of that region of the abdominal wall are probably going into spasm from time to time and hence causing the pain. In such a case, no nausea or vomiting is likely to be present as in her case. You may give her hot compress over the area and also some muscle relaxant tablet like myospaz forte twice a day for around three days and see if she gets relieved. However, I would insist on getting her examined by a doctor and if required get an ultrasound of the abdomen done to be sure that nothing else is wrong.