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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Swollen Abdomen After Injury

I fell on the edge of a bathtub landing on my ribs and hip area, left side. I had xrays of pelvis and ribs. Nothing is broken so Dr. said bruised, gave me an anti-inflamitory and hydrocodone. In the last two days my abdomen has swelled and I look 6months pregnant. Could I have damaged something else?
Thu, 25 Sep 2014
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General Surgeon,  's  Response
Hi. Yes it is possible that there is an internal injury as per your history of swelling of the abdomen.
I would advise you to get admitted and urgent investigations and treatment.
Nil orally means stop taking anything orally til your Doctor orders you to take.
Intravenous fluids and antibiotics.
You need : X-ray of the abdomen in standing position to see for gas under diaphragm on air-fluid levels in the intestine.
CT scan of the abdomen and the chest also to determine whether there is an internal injury, and of which nature.
This will give us an idea whether to go for a conservative medical treatment or surgical exploration by Laparoascopy or Laparotomy.
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Suggest Treatment For Swollen Abdomen After Injury

Hi. Yes it is possible that there is an internal injury as per your history of swelling of the abdomen. I would advise you to get admitted and urgent investigations and treatment. Nil orally means stop taking anything orally til your Doctor orders you to take. Intravenous fluids and antibiotics. You need : X-ray of the abdomen in standing position to see for gas under diaphragm on air-fluid levels in the intestine. CT scan of the abdomen and the chest also to determine whether there is an internal injury, and of which nature. This will give us an idea whether to go for a conservative medical treatment or surgical exploration by Laparoascopy or Laparotomy.