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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Swollen Hard Lump Below Sternum After Injury

I have been punched in the upper abdomen and was instantly winded, now just below my sternum I have a hard lump and It jolts as if its pivoting when I move a certain way, it isn t pain as in aching but very uncomfortable when it jolts, it is swollen around the hard area and it wasn t there before. I would apprieciate some advice. thank you
Wed, 24 Jun 2020
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General Surgeon,  's  Response
Hello,

As per my clinical experience, the painless lump after injury indicates organised hematoma most likely. My guidelines of protocol approach:
- Local application of ice
- Prescription of anti-inflammatory with proteolytic enzymes such as Diclofenac with serratiopeptidase, antibiotics such as Penicillin, Cephalosporin or others covering gram positive bugs to prevent secondary bacterial infection
- Regular periodic evaluation by your primary care provider to see the decline in the size

Certain cases which do not respond to above measures, may need an incision and drainage type surgical procedure.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Bhagyesh V. Patel, General Surgeon
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Suggest Treatment For Swollen Hard Lump Below Sternum After Injury

Hello, As per my clinical experience, the painless lump after injury indicates organised hematoma most likely. My guidelines of protocol approach: - Local application of ice - Prescription of anti-inflammatory with proteolytic enzymes such as Diclofenac with serratiopeptidase, antibiotics such as Penicillin, Cephalosporin or others covering gram positive bugs to prevent secondary bacterial infection - Regular periodic evaluation by your primary care provider to see the decline in the size Certain cases which do not respond to above measures, may need an incision and drainage type surgical procedure. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Bhagyesh V. Patel, General Surgeon