Bladder Injury from Workplace Accident: Symptoms and Risks - Urology

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Accidentally bumped the bladder while working?


Yesterday, I accidentally hit my bladder area with some wood while working, and it was very painful.
However, there were no visible injuries, and my urination has been normal.
This morning, after using the bathroom, I felt fine and went back to sleep.
When I woke up, I noticed a sharp pain in my right flank.
I'm not sure if it's due to poor posture or if the impact from yesterday is affecting me.

john, 20~29 year old female. Ask Date: 2020/10/31

Dr. Du Shixi reply Urology


Hello: If there are no issues with urination, lower back pain can often be monitored initially.
However, if the pain persists, it is advisable to seek medical attention.
Wishing you good health.

Reply Date: 2020/10/31

More Info


Bladder injuries can occur due to trauma, such as being struck by heavy objects, and they can lead to a variety of symptoms. In your case, it seems that you experienced a direct impact to the bladder area, which could potentially lead to a contusion or even a more serious injury, depending on the severity of the impact.


Symptoms of Bladder Injury
Common symptoms of bladder injury may include:
1. Pelvic Pain: Pain in the lower abdomen or pelvic area is a common symptom. Since you mentioned experiencing pain in your right flank (lower back), this could be related to the injury.

2. Difficulty Urinating: While you reported normal urination initially, any changes in urination patterns, such as increased frequency, urgency, or pain during urination, should be monitored.

3. Blood in Urine: Hematuria (blood in urine) can be a sign of bladder injury. If you notice any blood, it is crucial to seek medical attention immediately.

4. Abdominal Distension: Swelling or distension in the abdomen can indicate internal bleeding or fluid accumulation.

5. Nausea or Vomiting: These symptoms can accompany severe abdominal injuries.


Risks and Complications
While you may not have immediate symptoms of a serious injury, there are risks associated with bladder trauma:
- Internal Bleeding: Even if there are no visible signs of injury, internal bleeding can occur, leading to complications.

- Infection: Trauma can increase the risk of urinary tract infections (UTIs), especially if there is any disruption to the bladder lining.

- Delayed Symptoms: Sometimes, symptoms may not appear immediately after the injury, so it is essential to monitor your condition closely.


Recommendations
Given your situation, here are some steps you should consider:
1. Monitor Symptoms: Keep track of any changes in your symptoms, especially regarding urination and pain levels. If you notice any worsening symptoms, such as increased pain, difficulty urinating, or blood in your urine, seek medical attention promptly.

2. Rest and Positioning: Since you mentioned waking up with pain in your right flank, it could be due to sleeping position or muscle strain. Try to rest and avoid positions that exacerbate the pain.

3. Hydration: Ensure you are well-hydrated, as this can help maintain bladder health and assist in flushing out any potential irritants.

4. Seek Medical Evaluation: If the pain persists or worsens, it is advisable to consult a healthcare professional. They may recommend imaging studies, such as an ultrasound or CT scan, to assess for any internal injuries.


Conclusion
While your initial symptoms may not indicate a severe bladder injury, it is essential to remain vigilant. The pain in your right flank could be related to the trauma or other factors, such as muscle strain. Monitoring your symptoms and seeking medical advice if they worsen is crucial for ensuring your health and safety. Remember, early intervention can prevent complications and promote better recovery outcomes.

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