Abdominal Pain After Basketball Injury: Is It Serious? - Internal Medicine

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Abdominal injury from playing basketball?


Hello doctor, I was playing basketball the day before yesterday and was struck hard in the lower rib area of my abdomen by a friend's wrist.
This has caused severe pain when pressing on that area, and I am unable to exert force on my abdomen.
Additionally, I am experiencing dizziness and nausea.
Could this be a sign of internal organ injury? Thank you for your response.

Sun Xiansheng, 40~49 year old female. Ask Date: 2021/09/28

Dr. Hong Yuanbin reply Internal Medicine


Hello, the area you are referring to is usually the liver or the spleen.
Whether these two organs are injured may require further examination.
If the abdominal pain persists, it is advisable to visit a gastroenterology clinic for evaluation.
Thank you for your inquiry.

Reply Date: 2021/09/28

More Info


When it comes to abdominal pain following a basketball injury, particularly after a significant impact to the area below the ribs, it is essential to approach the situation with caution. The symptoms you describe—severe pain upon pressure, inability to exert force in the abdomen, and accompanying dizziness and nausea—could potentially indicate a serious injury, including damage to internal organs.

Firstly, the location of the pain is critical. The area below the ribs houses several vital organs, including the liver, spleen, and parts of the gastrointestinal tract. A direct blow to this area can lead to contusions (bruises) or even lacerations of these organs. Symptoms such as severe pain, dizziness, and nausea are concerning and warrant immediate medical evaluation.
In cases of abdominal trauma, it is crucial to consider the possibility of internal bleeding, especially if the pain is severe and persistent. The liver and spleen are particularly susceptible to injury from blunt force trauma, and if either organ is damaged, it can lead to internal bleeding, which may manifest as abdominal pain, dizziness, and even fainting.
Given your symptoms, it is advisable to seek medical attention as soon as possible. A healthcare provider may recommend imaging studies, such as an ultrasound or CT scan, to assess for any internal injuries. These tests can help visualize any potential damage to the organs and determine the appropriate course of action.

In addition to imaging, the healthcare provider will likely conduct a physical examination to assess the extent of your pain and any other symptoms you may be experiencing. They may check for signs of internal bleeding, such as abdominal rigidity or tenderness, and evaluate your vital signs to ensure that you are stable.

If internal injuries are ruled out, the treatment may involve rest, pain management, and monitoring for any changes in symptoms. However, if there is evidence of a significant injury, more invasive interventions may be necessary, including possible surgery.

In summary, your symptoms following the basketball injury are concerning and could indicate a serious condition. It is crucial to seek immediate medical evaluation to rule out any internal injuries and ensure proper treatment. Remember, when it comes to abdominal trauma, it is always better to err on the side of caution.

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