Post-Car Accident Wound Care: Managing Fever and Pain - Surgery

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Wound after a car accident


I was in a car accident on the morning of January 17.
I started having a fever the following evening, reaching up to 38.6 degrees Celsius.
I took antipyretics with my meals, and after the fever subsided, it returned shortly after.
This pattern continued until January 20, with an average temperature of 38.6 degrees.
I would like to know what potential effects this could have.
Whenever I lie down and try to get up or sit and stand, I experience bloating and pain.
Today, January 21, I noticed that the pain has worsened.
What should I do?

Wu, 20~29 year old female. Ask Date: 2024/01/21

Dr. Xu Kaixi reply Surgery


Persistent fever is an abnormal phenomenon.
If accompanied by other symptoms (including the bloating and pain you mentioned, as well as the location of the pain you described), it is essential to seek immediate medical attention.
It is advisable to go to the emergency department for examination and treatment as soon as possible.

Reply Date: 2024/01/21

More Info


After a car accident, experiencing persistent fever and pain can be concerning and may indicate underlying complications. In your case, you mentioned that you began to experience a fever of 38.6 degrees Celsius starting the night after the accident, which continued for several days despite taking antipyretics. Additionally, you reported increased pain when getting up from a lying position or sitting, and that the pain has worsened.

First and foremost, it is essential to understand that a fever following an injury can be a sign of several potential issues. In the context of a car accident, it could indicate an infection, particularly if there are open wounds or if there was any internal injury. The body often responds to injury or infection with inflammation, which can manifest as fever. If your fever persists, it is crucial to seek medical attention promptly, as untreated infections can lead to more severe complications.

The pain you are experiencing when moving from a lying to a sitting position or vice versa could be due to several factors. It may be related to muscle strain, soft tissue injury, or even a more serious condition such as a fracture or internal bleeding, especially if there was significant trauma during the accident. The fact that the pain has increased suggests that it may not be resolving on its own and could require further evaluation.

Here are some steps you should consider taking:
1. Seek Medical Attention: Given the persistent fever and worsening pain, it is advisable to visit a healthcare provider as soon as possible. They may perform a physical examination and possibly order imaging studies (like X-rays or CT scans) to assess for any fractures or internal injuries that may not have been initially detected.

2. Monitor Symptoms: Keep track of your symptoms, including the frequency and intensity of your fever, the specific locations of your pain, and any other symptoms such as swelling, redness, or discharge from wounds. This information will be helpful for your healthcare provider.

3. Pain Management: Continue to use over-the-counter pain relievers as directed, but do not exceed the recommended dosages. If the pain becomes unmanageable, inform your doctor, as they may prescribe stronger medications or recommend other pain management strategies.

4. Rest and Hydration: Ensure you are getting adequate rest and staying hydrated. This is crucial for recovery, especially if your body is fighting an infection or healing from injuries.

5. Follow-Up Care: If you have any follow-up appointments scheduled with your healthcare provider, make sure to attend them. They will help monitor your recovery and adjust your treatment plan as necessary.

In summary, the combination of persistent fever and increasing pain following a car accident warrants immediate medical evaluation. Do not hesitate to seek help, as early intervention can significantly impact your recovery and overall health.

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