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Suggest Treatment For Swollen Temple After Injury

Posted on Wed, 28 Jan 2015

Question: hi , I fell and hit my face quite hard on my fire grate , my temple is swollen and a visable scrap,that was36 hours ago , iv had some pain when I stand up but not severe, no headach today but my face feels warm my ear hurts inside and my cheek feel kind of tingly like when the dentist injections are wearing off. can you advice me please as its impossible for me to get medical attention tonight, also it hurts when I open my jaw and a very slight blurness in my eye, but I have been awake for 2 days as we had some bad news so haven't slept , iv not eaten ether

Answered by Dr. Sabiha Banu (43 minutes later)

Brief Answer:
needs er physician consultation.

Detailed Answer:
Hi,

I had gone through your question and understand your concerns that you are having facial injuries.

As per your clinical derails, it appears to be blunt trauma of face. As such, you require ER physician's consultation to rule out the depth of injuries by x- ray and local examination.

Anyway, as already 36 hours are passed ( no bleeding, no swelling, no fits), brain injuries seems likely. So you can take simple analgesic, like brufen 400 mg for pain. Remaining treatment can be started after the consultation of your primary doctor.

Kindly get back to me, if you have additional questions. I will be happy to answer your questions

Wishing you good health.

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Sabiha Banu (6 hours later)

thank you for your prompt reply , although I have got swelling to the temple area and a headach now it seems to not have gotton any worse. iv had no fits, so did you say its unlikely or likey of a brain injury , I do have quite a headach and earache tonight , thank you if you could send a reply , kind reguards

Answered by Dr. Sabiha Banu (8 hours later)

Brief Answer:
Conservative treatment

Detailed Answer:

Hi again,

If you have no such signs & symptoms of headache, vision blurring, nausea, vomiting, fits, restlessness, it indicates that your brain status remains absolutely normal.

As these are all signs of increased intra-cranial pressure, which you do not have.

Headache and radiating earache are quite common with such traumatic injuries.
Keep your head in at least 30`elevated position.

Pain killers like diclofenac/ brufen/or simple paracetamol added with serratiopeptidase twice daily will help in reduction of pain & swelling.

Cold compression on the affected area will give good temporary relief 3 to 4 times daily.

Any doubts, please put forward, sorry for the delay.
All the best, Take care.

Note: For further follow-up it is advisable to consult an emergency medicine specialist. Click here.

Above answer was peer-reviewed by : Dr. Ashwin Bhandari