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Pain in abdomen after injury. Ruptured spleen/fractured ribs?

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Hi. Two weeks ago I was hit in my left side. I'm pretty sure one or two ribs were fractured. I fought through it and started feeling much better by this past week. Until about 36 hours ago all of a sudden the pain was back and I noticed that my left abdominal area right above my hip is a little swollen. Also I haven't had much of an appetite all day. Could I have ruptured my spleen, or I'd this probably the fractured rib? I do not have health insurance l, therefore am trying to avoid the ER. Thank you!

Category: Internal Medicine Specialist

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Dr. Deepu Sebin Sebastian is online now

Expert:  Dr. Deepu Sebin Sebastian replied 4 Days.

Thank you for your query at DoctorSpring.com
I understand your concern and I appreciate how you have fought through the intense pain that you were subjected to after your injury.
The lower ribs ( mostly from the 7th- 10th ) are prone to fracture and can present with intense pain. Since you're feeling a swelling it needs to be clinically examined now to rule out a diaphragmatic hernia. Such injuries have the propensity to injure diaphragm leading to a hernia. Splenic rupture is an emergency and does not look likely here. The symptoms in a splenic rupture are intense pain in the epigastric region and the left flank, giddiness and loss of consciousness due to hypovolemia which developed rapidly following ruptured spleen, and sometimes a referred pain in the left shoulder.
However, splenic injury can't be ruled out with mild enlargement of the spleen.
So kindly get yourself examined and you definitely need a CT SCAN of your abdomen for a conclusive diagnosis.
Please feel free to discuss further,

Dr. Deepu Sebin Sebastian
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MD, Internal Medicine - Stanley Medical School
Medical School - MBBS - Govt. Medical College, Kottyaam

Diagnostic Prediction - Stanford School of Medicine
Received Specialty training in Critical Care, Cardiology, Neurology, Gastroenterology, Nephrology from Stanley Medical College and in Endocrinology, Rheumatology.

Hematology and Geriatrics from Madras Medical College.
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