Contusion hematoma
A few days ago, I slipped off a rock while playing and hit my groin and abdomen.
It was very painful at first, but it got better after a while and there was no bleeding.
However, two days later, my vulva is still swollen and painful.
There are no issues when I use the restroom, but pressing on the vulva causes pain.
There are no visible abnormalities.
Should I see a doctor? What could have happened, or is it just a bruise?
Yang, 10~19 year old female. Ask Date: 2017/11/13
Dr. Huang Jianzhong reply Obstetrics and Gynecology
A few days ago, I slipped off a rock while playing and hit my groin and abdomen.
It was very painful at first, but after a while, it got better and there was no bleeding.
However, two days later, my vulva is still swollen and painful.
There are no abnormalities when I use the restroom, but pressing on the vulva causes pain.
I don't see any other issues.
Should I see a doctor? Is it possible that something happened, or is it just a bruise? Answer: It is likely just a bruise, and there is no need to see a doctor at this time.
Reply Date: 2017/11/13
More Info
Experiencing bruising and pain after a fall, especially in sensitive areas like the groin and abdomen, can be concerning. It’s essential to understand the potential implications of such injuries and when to seek medical attention.
First, let’s consider the nature of your injury. Bruising occurs when small blood vessels break under the skin due to trauma, leading to bleeding in the surrounding tissues. This can result in discoloration, swelling, and pain. In many cases, if the bruising is minor and the pain subsides, it may not require medical intervention. However, there are specific signs and symptoms that warrant a visit to a healthcare provider.
Given that you experienced immediate pain upon impact, followed by swelling and tenderness in the groin area, it’s crucial to monitor your symptoms closely. Here are some factors to consider:
1. Severity of Pain: If the pain is severe and persistent, or if it worsens over time, it’s advisable to seek medical attention. Severe pain could indicate a more serious injury, such as a fracture or internal bleeding.
2. Swelling and Bruising: While some swelling and bruising are normal after a fall, significant swelling or a rapidly expanding bruise could suggest a more serious injury. If the swelling does not improve or continues to increase, it’s a sign to consult a doctor.
3. Changes in Urination: You mentioned that there were no abnormalities when using the restroom, which is a good sign. However, if you experience pain during urination, blood in your urine, or difficulty urinating, these symptoms should prompt immediate medical evaluation.
4. Mobility and Function: If you find it difficult to move or if the pain limits your daily activities, it’s essential to see a doctor. This could indicate a more severe injury that requires treatment.
5. Signs of Infection: If you notice any signs of infection, such as increased redness, warmth, or discharge from the area, or if you develop a fever, you should seek medical care promptly.
6. Underlying Conditions: If you have any pre-existing medical conditions that could complicate your recovery, such as blood clotting disorders, it’s crucial to consult a healthcare provider.
In summary, while it’s possible that your symptoms are due to simple bruising, the nature of the injury and the location necessitate caution. If you experience any of the concerning symptoms mentioned above, or if you have any doubts about your condition, it’s best to err on the side of caution and see a doctor. They can perform a thorough examination, possibly including imaging studies like an ultrasound or CT scan, to rule out any serious injuries and provide appropriate treatment.
In conclusion, while minor bruising and pain may resolve on their own, the potential for more serious injuries, especially in sensitive areas, makes it prudent to seek medical advice if symptoms persist or worsen. Your health and safety should always come first, and a healthcare professional can provide the reassurance and care you need.
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