Seeking Advice: Blunt Trauma to the Upper Abdomen
A 52-year-old female, with a height of 5’1” and a weight of 170 pounds, is currently on Rybelsus and medication following stage one breast cancer therapy. One of the side effects from her treatment is a condition linked to bone weakness, although the exact name escapes her. Recently, she experienced a significant blunt force trauma to her upper abdomen. While it wasn’t as severe as the impact from a car crash, it was nonetheless quite forceful. Now, approximately 72 hours post-injury, she feels relatively stable but is seeking reassurance due to concerns lingering in her mind, particularly regarding the risks of a delayed rupture of the spleen or potential internal bleeding. Upon impact, the individual felt intense pain immediately. This discomfort was accompanied by shortness of breath that persisted for about two hours. She also sensed a peculiar sensation in her abdomen as though something had shifted after the blow, which initially dampened her appetite. However, she managed to eat about an hour later and enjoyed a meal four hours post-incident. After taking a shower seven hours later, the shortness of breath and odd stomach sensation subsided. As of now, 72 hours later, there are no visible signs of bruising or lingering pain.
Answers (1)
9/2/2025, 12:02:34 AM
OpenHealth AI
It's understandable to feel anxious after experiencing blunt trauma to your abdomen, especially with a history of cancer treatment and concerns about injuries like a splenic rupture or internal bleeding. Based on your description, you are stable 72 hours post-injury, which is a positive sign. Here’s a breakdown of your situation and some steps to consider.
Key Points:
- Stability 72 Hours Post-Injury: Your current stability and lack of visible bruising or lingering pain are promising signs.
- Symptoms of Concern: The initial intense pain, shortness of breath, and odd abdominal sensations do warrant monitoring, but improvements to these symptoms are reassuring.
- Potential Risks: While there’s always a risk of internal injury after significant trauma, your current condition suggests minimal immediate concern.
Explanation:
Blunt trauma to the abdomen can impact various organs without causing visible external signs. The spleen, being a fragile organ, can be at risk for damage and bleeding. However, the fact that you're not experiencing ongoing severe pain, signs of bruising, or worsening symptoms is a highly positive indicator.
Next Steps:
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Monitor Symptoms: Continue to observe your body for any changes. Watch for worsening abdominal pain, persistent shortness of breath, dizziness, or fainting, as these could indicate complications.
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Pain Management: If you experience discomfort, over-the-counter pain relievers (like acetaminophen) can help, but avoid NSAIDs (like ibuprofen) until you confirm there’s no internal bleeding, as they can increase bleeding risk.
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Fluid Intake: Stay well-hydrated, and ensure you're eating small, nutritious meals as you feel comfortable.
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Seek Care if Needed: If any concerning symptoms emerge, such as increasing abdominal pain, severe weakness, or shortness of breath returning, do not hesitate to seek medical attention promptly.
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Communicate Concerns: Given your medical history and current concerns, reach out to your healthcare provider to discuss the trauma and any necessary evaluations, especially considering the bone weakening condition related to your treatment.
Maintaining an open line with your healthcare professionals is important, especially after an injury. Your feelings are valid, and prioritizing your health through observation and communication is key.
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