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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Should A Swelling That Does Not Go Down Require Medical Care?

8 days ago I had an impact injury my lower shin, dime size cut and a bruise about 4 inches around. The area is still very hard, swollen and burning . I have been applying warm compresses and taking ibuprofen for the swelling doesn t appear to be helping . Is there anything I should be worried about ?
Wed, 30 Jul 2014
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General & Family Physician,  's  Response
Hello dear,

The cut wound needs to be cleaned properly with regular dressing & a course of prophylactic antibiotics to prevent secondary infection.
The swelling in the shin after injury is due to accumulation of fluid & blood and it is called Hematoma.
The blood cells accumulated are eventually broken down and absorbed in the body.
But this is a slow process & takes times to disappear completely.
Till that time, symptomatic relief is obtained by analgesics preparations (like paracetamol/ ibuprofen)+ serratiopeptidase, ice compression & adequate rest.

If it still persists or there are any other associated symptoms like fever, loss of sensation, etc...then it will be better to consult your Doctor.
Under such circumstances, a proper clinical+ radiological evaluation will be needed to rule out any pathological cause for symptoms.

Till then, maintain adequate hydration & nutrition status.
There is no need to worry, you will be fine.

Wishing you a good health.
Take care
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Should A Swelling That Does Not Go Down Require Medical Care?

Hello dear, The cut wound needs to be cleaned properly with regular dressing & a course of prophylactic antibiotics to prevent secondary infection. The swelling in the shin after injury is due to accumulation of fluid & blood and it is called Hematoma. The blood cells accumulated are eventually broken down and absorbed in the body. But this is a slow process & takes times to disappear completely. Till that time, symptomatic relief is obtained by analgesics preparations (like paracetamol/ ibuprofen)+ serratiopeptidase, ice compression & adequate rest. If it still persists or there are any other associated symptoms like fever, loss of sensation, etc...then it will be better to consult your Doctor. Under such circumstances, a proper clinical+ radiological evaluation will be needed to rule out any pathological cause for symptoms. Till then, maintain adequate hydration & nutrition status. There is no need to worry, you will be fine. Wishing you a good health. Take care