Contusion In Children
WHAT YOU SHOULD KNOW:
A contusion is a bruise that appears on your child's skin after an injury. A bruise happens when small blood vessels tear but skin does not. When blood vessels tear, blood leaks into nearby tissue, such as soft tissue or muscle.
- NSAIDs: These medicines decrease swelling, pain, and fever. NSAIDs are available without a doctor's order. Ask your child's primary healthcare provider which medicine is right for your child, and how much to give. Give these medicines to your child as directed. NSAIDs can cause stomach bleeding and kidney problems if not taken correctly.
- Pain medicine: Your child may be given a prescription medicine to reduce pain. Do not wait until the pain is severe before you give your child more medicine.
- Give your child's medicine as directed: Call your child's primary healthcare provider if you think the medicine is not helping or if he has side effects. Tell your child's primary healthcare provider if your child takes any vitamins, herbs, or other medicines. Keep a list of the medicines he takes. Include the amounts, and when and why he takes them. Bring the list or the pill bottles to follow-up visits.
- Do not give aspirin to children under 18 years of age: Your child could develop Reye syndrome if he takes aspirin. Reye syndrome can cause life-threatening brain and liver damage. Check your child's medicine labels for aspirin, salicylates, or oil of wintergreen.
Follow up with your child's primary healthcare provider as directed:
Write down your questions so you remember to ask them during your child's visits.
Help your child's contusion heal:
- Rest: Your child may need to rest the injured area or use it less than usual. If he bruised his leg or foot, he may need crutches or a cane to help him walk. This will help him keep weight off his injured body part. Have your child use crutches or a cane as directed.
- Ice: Ice helps decrease swelling and pain. Ice may also help prevent tissue damage. Use an ice pack, or put crushed ice in a plastic bag. Cover it with a towel and place it on your child's bruise for 15 to 20 minutes every hour or as directed.
- Compression: An elastic bandage may be wrapped around a bruised muscle to support the area and decrease swelling. Make sure the bandage is not too tight. You should be able to fit 1 finger between the bandage and your skin.
- Elevation: Have your child elevate (raise) his injured body part above the level of his heart to help decrease pain and swelling. Use pillows, blankets, or rolled towels to elevate the area as often as you can.
- Do not leave your baby alone on the bed or couch: Watch him closely as he starts to crawl, learns to walk, and when he plays.
- Make sure your child wears proper protective gear: These include padding and protective gear such as shin guards. He should wear these when he plays sports. Teach your child about safe equipment and places to play, and teach him to follow safety rules.
- Remove or cover sharp objects in your home: As a very young child learns to walk, he is more likely to get injured on corners of furniture. Remove these items, or place soft pads over sharp edges and hard items in your home.
Contact your child's primary healthcare provider if:
- The injured area is red and warm to the touch.
- Your child's symptoms do not improve after 4 to 5 days of treatment.
- You have questions or concerns about your child's condition or care.
Return to the emergency department if:
- Your child cannot feel or move his injured arm or leg.
- Your child begins to complain of pressure or a tight feeling in his injured muscle.
- Your child suddenly has more pain when he moves the injured area.
- Your child has severe pain in the area of the bruise.
- Your child's hand or foot below the bruise gets cold or turns pale.
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The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.