What happens if someone kicks you in the stomach
This can result in injury to the pancreas, diaphragm, stomach, gallbladder, bladder, or intestines. Any organ in the abdomen can be injured. A single organ or multiple organs can be injured. Because these injuries can result in rapid blood loss, it's important to recognize them as soon as possible.
If you or the team coach, doctor, or trainer suspects this type of injury, your child should be transported to an emergency care facility for evaluation. When your child has symptoms of abdominal trauma and is being evaluated by emergency caregivers, the most important part of the diagnosis is the pulse and blood pressure.
A rapid pulse and falling blood pressure indicate internal bleeding. If there are signs of internal bleeding, an IV intravenous line is inserted and fluids are given to stabilize the blood pressure. If blood pressure can't be stabilized, your child will be taken to the operating room for repair of any internal bleeding. If blood pressure is stabilized, a CT scan with contrast may be done to search for or pinpoint any internal damage. Contrast is a special type of dye that is injected into the bloodstream to make the X-ray images easier to read.
If there is any blood in the urine, a special type of CT scan that includes putting contrast dye into the bladder and kidneys may be done. In some people, abdominal injury is obviously severe such as many gunshot wounds. Doctors take such people directly to the operating room for exploratory surgery and do not do tests to identify the specific injuries.
However, most people with an abdominal injury require testing. The testing identifies the specific injury and, combined with the findings on the physical examination, helps doctors decide which people require an operation. The main testing options include ultrasonography and computed tomography CT. Ultrasonography can be done quickly at the person's bedside and is useful for finding severe bleeding.
CT takes a little longer and requires moving the person to the scanner but gives more precise images. CT also can detect other injuries such as fractures to the spine or pelvis.
Depending on the type of injury, x-rays of the chest or pelvis may also be needed. Doctors also do urinalysis to detect blood in the urine, which indicates damage to some part of the urinary system. Usually a complete blood count is done so doctors have initial information to compare to later samples taken if the person's condition deteriorates.
People are given intravenous fluid as needed to replace blood loss. People who have lost a significant amount of blood are given blood transfusions Blood Transfusion read more.
An alternative to surgery for ongoing bleeding is a procedure called angiographic embolization. In this procedure, doctors thread a large IV catheter up a large artery in the groin and into the bleeding vessel. Then they inject substances that block that vessel and stop the bleeding. Although many injuries to solid organs, such as the liver and spleen, heal on their own, people with abdominal organ injury detected by CT or ultrasonography are hospitalized and examined every few hours to ensure that bleeding stops and symptoms do not worsen.
Sometimes CT or ultrasonography is repeated. From developing new therapies that treat and prevent disease to helping people in need, we are committed to improving health and well-being around the world.
The Merck Manual was first published in as a service to the community. Learn more about our commitment to Global Medical Knowledge. This site complies with the HONcode standard for trustworthy health information: verify here. Common Health Topics. Commonly searched drugs. Hematoma rupture Intra-abdominal abscess Intestinal obstruction Abdominal compartment syndrome.
Abdominal Injuries. Test your knowledge. The hip joint consists of several areas: the pelvis, then the round upper end head of the thighbone femur , then the area below the head of the femur also called the neck of the femur , and then two large bumps beneath the neck of the femur also called trochanters.
Most hip fractures occur in which of the following areas of the hip? More Content. Abdominal wall. Hollow organs that is, the stomach, small intestine, colon, ureters, or bladder.
Hematoma rupture. A rapid heart rate. Imaging tests. Manage or reverse blood loss. Minor injuries rarely have long-term effects. Also, sexual function or sperm production isn't likely to be affected by a testicular injury.
You'll definitely feel pain if your testicles are struck or kicked, and you might also feel nauseated for a short time. If it's a minor testicular injury, the pain should gradually ease in less than an hour and any other symptoms should go away. To feel better, you can take a pain reliever, lie down, gently support the testicles with supportive underwear, and apply wrapped ice packs to the area. It's a good idea to avoid strenuous activity for a while and take it easy for a few days.
These are symptoms of a much more serious injury that needs care as soon as possible. Serious testicular injuries include testicular torsion and testicular rupture. Testicular torsion is when the testicle twists around, cutting off its blood supply. It's rare, and when it does happen it's often for no clear reason. Occasionally torsion is due to a serious trauma to the testicles or heavy activity.
Testicular torsion is a medical emergency. It's most common in guys ages 12 to 18, so if you think it's happening to you, go to the emergency room right away. If doctors fix a torsion within 4 to 6 hours of when the pain starts, there's usually no lasting damage to the testicle. A torsion that isn't fixed quickly is likely to lead to loss of the testicle or permanently reduced sperm production.
Doctors sometimes fix a torsion manually by untwisting the testicle. If that doesn't work, they do a simple surgery. Testicular rupture is a rare type of testicular trauma. It can happen if the testicle gets a forceful direct blow or is crushed against the pubic bone , causing blood to leak into the scrotum. Testicular rupture, like testicular torsion and other serious injuries to the testicles, causes extreme pain, swelling in the scrotum, nausea, and vomiting.
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