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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Hit Abdomen, Testis In Accident, Pain. Any Medicine To Cure The Pain?

Hi Few days back when i am driving my two wheeler, unfortunately to avoid a minor accident, i made my two wheeler to hit the divider. But, during that time two Wheeler s oil tank was hitten on my abdomen and testis. I am getting pain on abdomen and some times in testis. But, the pain is bearable. Any suggested medicine to cure the pain?
Wed, 20 Mar 2013
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General & Family Physician 's  Response
Hi,

It seams like a pain is their for longer then an hour, right?

Here lay a strong possibility of blunt abdominal and testicular trauma/injury based on the description of the event and you have not mentioned any laceration (cuts) on body parts.
BLUNT TRAUMA - can lead to a collection of blood pooling inside the organ known as "hematoma", it may not be visible by naked eyes but may be hidden deeply ( the shock wave can create an tiny blood vessels to rupture leading a loss on blood internally in the organ but the cover of the organ will mostly enclosed it so it will not come out but will stay their) eventually it will be healed by absorption and macrophages(blood cell) will engulf the hardened dark blood but will take a long time to regress.

Advice:
Please take an medical attention, and reasons of it are as follows
1) the pain still their.
2) testis are involved and may lead to permanent infertility.
3) issues with some systemic injuries not visible (colon, bladder) may be involved.
4) pelvic bone(hip bone) fracture in very rare case mostly (hair line crack due to impact)

Here is what they will mostly do
1) do the ultrasound of the abdomen and testis so they can detect any hematoma,
2) may need a pelvic -x-ray to find out any fractures are present and may cause issue later in life
3) And follow up the guidance by the physician, with required pain medication and required antibiotics if needed to prevent issue of infection.

Please get ultrasound at least .
hope it helps.


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General & Family Physician Dr. Mohammed Kappan's  Response
Hi,

Thanks for the query.

I understand your concern. The pain you have mentioned is mainly due to the trauma. It may take a few days time to get it completely relieved. You can use mild analgesics (Pain killers) such as Tab. Calpol 650mg, 3 times daily, to reduce the pain.

Drive safe!!

Regards
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Hit Abdomen, Testis In Accident, Pain. Any Medicine To Cure The Pain?

Hi, It seams like a pain is their for longer then an hour, right? Here lay a strong possibility of blunt abdominal and testicular trauma/injury based on the description of the event and you have not mentioned any laceration (cuts) on body parts. BLUNT TRAUMA - can lead to a collection of blood pooling inside the organ known as hematoma , it may not be visible by naked eyes but may be hidden deeply ( the shock wave can create an tiny blood vessels to rupture leading a loss on blood internally in the organ but the cover of the organ will mostly enclosed it so it will not come out but will stay their) eventually it will be healed by absorption and macrophages(blood cell) will engulf the hardened dark blood but will take a long time to regress. Advice: Please take an medical attention, and reasons of it are as follows 1) the pain still their. 2) testis are involved and may lead to permanent infertility. 3) issues with some systemic injuries not visible (colon, bladder) may be involved. 4) pelvic bone(hip bone) fracture in very rare case mostly (hair line crack due to impact) Here is what they will mostly do 1) do the ultrasound of the abdomen and testis so they can detect any hematoma, 2) may need a pelvic -x-ray to find out any fractures are present and may cause issue later in life 3) And follow up the guidance by the physician, with required pain medication and required antibiotics if needed to prevent issue of infection. Please get ultrasound at least . hope it helps.