Is It Serious? Pain and Bruising Above the Belly Button - Surgery

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I was hit above the belly button?


Hello Doctor,
Here's the situation: Today, while joking around with a female classmate, she punched me in the stomach (the area above the navel).
At that moment, I felt pain, and later I noticed that the area appeared red when I looked in the mirror.
Breathing does not cause pain, and I don't feel much discomfort when sneezing or laughing; however, pressing on that area does hurt (it feels more like superficial skin bruising).
I'm wondering if this could lead to internal bleeding.
I'm a bit concerned, so I would like to ask if I need to see a doctor, or should I just observe it for a few days?

hh, 20~29 year old female. Ask Date: 2014/07/24

Dr. Ke Fangxu reply Surgery


If the abdominal blunt trauma is caused merely by playful teasing and not by someone like a world champion boxer, it is unlikely to result in serious injury.
As long as the abdominal pain does not worsen or there is no rebound tenderness (pain upon release rather than pressure), there is no need for special concern.

Reply Date: 2014/07/24

More Info


Based on your description, it seems that you experienced a direct impact to your abdominal area, specifically above the belly button, which has resulted in localized pain and redness. The symptoms you are experiencing—pain upon pressure, redness, and minimal discomfort during breathing or sneezing—suggest that you may have sustained a superficial injury, such as a bruise or contusion, rather than a serious internal injury.

When a blunt force is applied to the abdomen, it can cause damage to the skin and underlying tissues, leading to bruising. Bruises occur when small blood vessels break and leak blood into the surrounding tissues, resulting in discoloration and tenderness. The fact that you are not experiencing significant pain during normal activities such as breathing or sneezing is a positive sign, as it indicates that there is likely no severe internal injury, such as a rupture of internal organs.

However, it is important to monitor your symptoms closely. Here are some key points to consider:
1. Pain Management: For mild pain and discomfort, over-the-counter pain relievers such as acetaminophen or ibuprofen can be helpful. These medications can reduce inflammation and alleviate pain.

2. Rest and Observation: It is advisable to rest the affected area and avoid any activities that may exacerbate the pain. Keep an eye on the injury for any changes, such as increased swelling, worsening pain, or the development of new symptoms.

3. Signs of Concern: While your current symptoms do not suggest a serious issue, you should seek medical attention if you experience any of the following:
- Severe or worsening abdominal pain
- Difficulty breathing or shortness of breath
- Nausea or vomiting
- Dizziness or fainting
- Any signs of internal bleeding, such as blood in urine or stool, or severe bruising that spreads significantly
4. Follow-Up: If the pain persists or worsens over the next few days, or if you develop any concerning symptoms, it would be prudent to consult a healthcare professional. They may perform a physical examination and, if necessary, imaging studies such as an ultrasound or CT scan to rule out any internal injuries.

In summary, while your symptoms suggest a minor injury, it is essential to remain vigilant and monitor your condition. If you have any doubts or if your symptoms change, do not hesitate to seek medical advice. It is always better to err on the side of caution when it comes to potential injuries, especially in the abdominal area.

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