Abdominal Discomfort After a Sports Injury - Gastroenterology and Hepatology

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Stomach discomfort?


Last night while practicing volleyball, I collided with a teammate while running, and their hand hit my stomach area.
At that moment, I didn't feel like vomiting, but I felt a lot of pain and fell to the ground.
Afterward, pressing on the area also caused pain.
When I went to bed today, I felt some discomfort in the area that was hit yesterday, and it seems to be an internal discomfort (in the stomach area), but it doesn't feel like the usual stomach discomfort or pain (like a stomach ache).
I'm worried about the possibility of gastric bleeding or internal injuries.
Thank you, doctor, for your hard work.

Wang Tongxue, 10~19 year old female. Ask Date: 2019/05/31

Dr. Chen Qifeng reply Gastroenterology and Hepatology


No.

Reply Date: 2019/05/31

More Info


Experiencing abdominal discomfort after a sports injury, particularly following a collision during a volleyball practice, can understandably cause concern. It is essential to differentiate between various types of pain and discomfort to determine the appropriate course of action.

From your description, it sounds like you experienced a direct impact to the abdominal area, which can lead to several potential issues. The immediate pain you felt after the collision is likely due to soft tissue injury, such as a bruise or strain in the abdominal muscles. This type of injury can cause localized pain, tenderness, and discomfort when pressure is applied to the affected area.
However, your concern about potential internal injuries, such as gastric bleeding or other internal organ damage, is valid. While it is less common for a direct blow to the abdomen to cause severe internal injuries, it is not impossible. Symptoms of internal injuries can include persistent or worsening pain, swelling, bruising, or changes in bowel habits. If you experience any of these symptoms, especially if the pain intensifies or if you develop nausea, vomiting, or blood in your stool, it is crucial to seek medical attention immediately.

In the absence of severe symptoms, here are some steps you can take to manage your discomfort:
1. Rest: Allow your body time to heal. Avoid activities that may exacerbate the pain, including strenuous exercise or movements that involve twisting or bending at the waist.

2. Ice Therapy: Applying ice to the affected area can help reduce swelling and numb the pain. Use an ice pack wrapped in a cloth for 15-20 minutes every hour as needed.

3. Pain Relief: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help alleviate pain and reduce inflammation. Be sure to follow the recommended dosage on the packaging.

4. Gentle Movement: While rest is essential, gentle movements, such as walking, can promote blood flow and healing. However, listen to your body and stop if the pain worsens.

5. Monitor Symptoms: Keep an eye on your symptoms over the next few days. If the pain persists or worsens, or if you develop any new symptoms, consult a healthcare professional for further evaluation.

6. Consult a Doctor: If you have any doubts about the severity of your injury or if you experience significant discomfort, it is always best to consult a healthcare provider. They may recommend imaging studies, such as an ultrasound or CT scan, to rule out any serious internal injuries.

In summary, while it is likely that your discomfort is due to a soft tissue injury from the impact, it is essential to monitor your symptoms closely. If you experience any alarming signs or if the pain does not improve with conservative measures, do not hesitate to seek medical attention. Your health and safety should always be the priority, especially after a sports-related injury.

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