Penetrating Injuries To The Kidneys, Ureters, Or Bladder

WHAT YOU SHOULD KNOW:

Penetrating Injuries To The Kidneys, Ureters, Or Bladder (Discharge Care) Care Guide

  • Penetrating injuries are also called piercing injuries. These may be caused by anything that goes through the skin and into the body. Piercing injuries to the abdomen (stomach) and lower back area may injure the kidneys, ureters, or bladder. Injuries may include a tear, bruise, or, in severe cases, a ruptured kidney or bladder. The organ's blood vessels may also be affected. A piercing injury may also cut or put a hole in the ureter. The kidneys are located on each side of the spine (backbone) in the back of your abdomen. The ureters are tubes that carry urine from the kidneys to the bladder. The bladder is a hollow, round organ that holds urine. Gunshot, stab wounds, or objects going into the abdomen may also cause organ injuries. These objects may include shrapnel, spikes, broken bones, and other pointed objects.

  • Signs and symptoms may include blood in the urine, bleeding from open wounds, and abdominal pain. Bruising, swelling, or scratches over the injured area may also be seen. A complete check-up of your body to look for open wounds may help diagnose piercing injuries. Imaging tests that take pictures of your abdomen, such as x-rays, ultrasound, and computerized tomography (CT) scan, may be done. Treatment will depend on your symptoms, condition, and how severe your injuries are. Sometimes, watchful waiting may be all that is needed for mild injuries. You may have surgery or other procedures to treat bleeding or more severe organ injuries. With treatment, such as surgery, your kidneys, ureters, or bladder may heal over time, and serious problems may be prevented.

AFTER YOU LEAVE:

Take your medicine as directed.

Call your primary healthcare provider if you think your medicine is not helping or if you have side effects. Tell him if you are allergic to any medicine. Keep a list of the medicines, vitamins, and herbs you take. Include the amounts, and when and why you take them. Bring the list or the pill bottles to follow-up visits. Carry your medicine list with you in case of an emergency.

Td vaccine:

This vaccine is a booster shot used to help prevent diphtheria and tetanus. The Td booster may be given to adolescents and adults every 10 years or for certain wounds and injuries.

Ask for information about where and when to go for follow-up visits:

For continuing care, treatments, or home services, ask for more information.

Rest:

Rest when you feel it is needed. Slowly start to do more each day. Return to your daily activities as directed.

For more information:

Having a piercing injury to the kidneys, ureters, or bladder may be hard. You and those close to you may feel scared, sad, or angry. These are normal feelings. Contact the following for more information:

  • American College of Surgeons
    633 N. Saint Clair St.
    Chicago , IL 606113211
    Phone: 1- 312 - 2025000
    Phone: 1- 800 - 6214111
    Web Address: http://www.facs.org

CONTACT A CAREGIVER IF:

  • You have a fever.

  • Your skin becomes itchy, swollen, or has a rash.

  • You have chest pain or trouble breathing that is getting worse over time.

  • You have any questions or concerns about your condition, treatment, or care.

SEEK CARE IMMEDIATELY IF:

  • You have pain in your abdomen or it feels more full, tender, or harder than normal.

  • You feel dizzy all of a sudden or have vomiting.

  • You have trouble urinating, have blood in your urine, or your urine turns pink or red.

  • You have a fast heartbeat.

  • You suddenly feel lightheaded and have trouble breathing.

  • You have new and sudden chest pain. You may have more pain when you take deep breaths or cough. You may cough up blood.

  • Your arm or leg feels warm, tender, and painful. It may look swollen and red.

© 2013 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

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.

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