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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Fluid Filled Lump On Lower Abdomen

Have a 9 cm painful swollen bruise on the side of my left lower abdomen.Has fluid and a lump and is incredibly sore and all muscles around hurt and tummy is swollen tonight also. I noticed it yesterday afternoon starting to appear (it started as a hard lump sticking out, hardly any bruise) have not had a bash or fall. have been exercising a lot recently with weights and doing lots of sit ups. i am 34 years old. went to the doctor here in seychelles who gave me antibiotics? feel a bit worried.
Tue, 9 Sep 2014
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General Surgeon 's  Response
Hi.
You had a definite history of strenuous exercises like weight lifting and sit-ups.
The strain on the muscle group must have caused a tear in the blood vessel to cause a collection of blood called hematoma.
I would advise you to get a CT scan pertaining to this area to study and diagnose whether it is just a muscle tear of Hematoma formation. A large hematoma needs aspiration and tight bandage, full bed rest, review with ultrasonography for the progress. Antibiotic may not be necessary if the skin is intact. Anti-inflammatory and muscle relaxants work well. IT takes about 3 weeks of bed-rest.
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Suggest Treatment For Fluid Filled Lump On Lower Abdomen

Hi. You had a definite history of strenuous exercises like weight lifting and sit-ups. The strain on the muscle group must have caused a tear in the blood vessel to cause a collection of blood called hematoma. I would advise you to get a CT scan pertaining to this area to study and diagnose whether it is just a muscle tear of Hematoma formation. A large hematoma needs aspiration and tight bandage, full bed rest, review with ultrasonography for the progress. Antibiotic may not be necessary if the skin is intact. Anti-inflammatory and muscle relaxants work well. IT takes about 3 weeks of bed-rest.