How to Know if You Have Hematoma in Your Foot
- What is a hematoma?
- What are the causes of hematoma?
- What are the symptoms and signs of a hematoma?
- When should I seek medical care for a hematoma?
- How is a hematoma diagnosed?
- What is the handling for a hematoma?
- Can I care for a hematoma myself?
- What is the medical treatment for a hematoma?
- Should I follow-up with my doctor?
- Can a hematoma exist prevented?
- What is the outlook after suffering a hematoma?
What is a hematoma?
Hematoma is generally defined equally a collection of blood outside of claret vessels. Most ordinarily, hematomas are acquired by an injury to the wall of a claret vessel, prompting blood to seep out of the blood vessel into the surrounding tissues. A hematoma can effect from an injury to any type of blood vessel (artery, vein, or small capillary). A hematoma usually describes haemorrhage which has more or less clotted, whereas a hemorrhage signifies active, ongoing bleeding.
Hematoma is a very common problem encountered by many people at some time in their lives. Hematomas tin can be seen nether the pare or nails as purplish bruises of different sizes. Skin bruises can also be called contusions. Hematomas tin too happen deep inside the body where they may not be visible. Hematomas may sometimes form a mass or lump that can exist felt. Sometimes hematomas are named based on their location. Some examples include:
- Subdural hematoma: a hematoma between the brain tissue and the inside lining of the brain
- Spinal epidural hematoma: a hematoma between spinal vertebrae and the outside lining of the spinal cord
- Intracranial epidural hematoma: a hematoma between the skull and the outside lining of the brain
- Subungual hematoma: a hematoma under the boom
- Intra-intestinal, peritoneal, or retroperitoneal hematoma: a hematoma inside the abdominal cavity
- Ear or audible hematoma: a hematoma betwixt the ear cartilage and overlying skin
- Splenic hematoma: a hematoma within the spleen
- Hepatic hematoma: a hematoma inside the liver
Near hematomas resolve spontaneously over time as the blood debris is removed and the claret vessel wall is repaired by the trunk's repair mechanisms. Other times, surgically removing or evacuating the blood in a hematoma becomes necessary based on its symptoms or location.

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What are the causes of hematoma?
The most common cause of a hematoma is injury or trauma to blood vessels. This can happen as a consequence of any damage to blood vessels that can disrupt the integrity of the blood vessel wall. Even minimal damage to a small-scale claret vessel tin outcome in a hematoma. For example, a hematoma under a nail (subungual hematoma) can merely occur from pocket-size trauma to the smash or from a light stroke against an object.
More than severe traumas tin cause more than major hematomas. Falling from a peak or getting into a motor vehicle blow can cause noticeably large haemorrhage under the pare or inside body cavities (chest or abdomen).
Other types of tissue injury causing a hematoma can result from surgeries of any sort, invasive medical or dental procedures (for case, biopsies, incision and drainage, cardiac catheterization), and injection of medications (for case, insulin, claret thinners, vaccines). Because these procedures damage nearby tissues and blood vessels, often hematomas may course effectually the site of the procedure.
Occasionally, a hematoma may happen spontaneously without any identifiable cause or recollection of any specific injury or trauma.
Certain blood thinner medications can increase the risk of hematoma formation. People who take medications such every bit Coumadin (warfarin), Plavix (clopidogrel), aspirin, Persantine (dipyridamole)), or aspirin-containing products (similar Alka Seltzer) may develop a hematoma much easier and with less severe injury to their blood vessels than other people. These medications impair the clotting power of the blood and therefore, minor damage to a claret vessel becomes more difficult to repair, resulting in hematoma formation.
Other common medications and supplements that may increase bleeding tendencies include:
- vitamin East,
- nonsteroidal anti-inflammatory drugs or NSAIDs such as ibuprofen (Motrin, Advil, Aleve),
- garlic supplements, and
- Ginkgo biloba.
In summary, a list of medications causing excess bleeding include:
- warfarin (Coumadin),
- clopidogrel (Plavix),
- aspirin,
- aspirin-containing products (Alka Seltzer),
- dipyridamole (Persantine),
- vitamin E,
- NSAIDs, for instance, ibuprofen, Motrin, Advil, Aleve,
- garlic supplements, and
- Ginkgo biloba.
At that place are likewise sure medical conditions that may pose an additional risk for developing hematomas. Individuals with the following conditions are potentially at a higher gamble for hematomas:
- chronic (long standing) liver disease,
- excessive alcohol use,
- haemorrhage disorders (such as hemophilia and Von Willebrand disease),
- blood cancers, or
- low platelet count (thrombocytopenia).
What are the symptoms and signs of a hematoma?
Symptoms of a hematoma generally depend on its size and location. Pain, swelling, redness, and disfiguring bruises are mutual symptoms of hematoma in general. Some symptoms specific to the location of a hematoma are:
- Subdural hematoma symptoms: headache, neurologic bug (weakness on one side, difficulty speaking, falling), defoliation, seizures
- Epidural hematoma symptoms: back pain, weakness, loss of bowel or bladder control
- Subungual hematoma symptoms: nail pain, nail weakness, nail loss, disfiguring smash
- Splenic, hepatic, or peritoneal hematoma symptoms: abdominal pain, flank pain
Sometimes there are not whatsoever symptoms at all associated with even a very big hematoma. For example, if bleeding happens to exist inside the abdominal cavity, information technology can aggrandize into a very large size before it causes any symptoms. This can happen considering the hematoma tin spread in a relatively free infinite without pressing on whatsoever organs to cause pain or other symptoms.
On the other paw, a small hematoma nether the boom tin can nowadays with a lot of hurting because the blood expands into a very tight space under the blast bed and causes inflammation and irritation of the nearby nail and pare, resulting in pain and swelling.
Depending on the location of the hematoma, a mass or lump can sometimes be felt.

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When should I seek medical care for a hematoma?
Medical attention may be sought for a hematoma if its symptoms are severe or its size continues to expand. For instance, hematoma in the encephalon (subdural) or epidural hematoma mostly require prompt medical and surgical attention, especially if they are associated with neurologic problems.
Doctors who typically care for patients with hematoma are emergency room physicians, urgent intendance physicians, surgeons, neurosurgeons, and internal medicine doctors.
How is a hematoma diagnosed?
Examination of a hematoma includes physical inspection along with a comprehensive medical history. In general, there are no special blood tests for the evaluation of a hematoma. Even so, depending on the situation, tests including complete blood count (CBC), coagulation panel, chemistry and metabolic console, and liver tests may be useful in evaluating a person with a hematoma and to assess any underlying conditions and evaluate whether these are responsible for the hematoma formation.
Imaging studies are often needed to diagnose hematomas inside the body.
- Computerized tomography (CT) of the head can reliably diagnose subdural hematoma.
- CT of the abdomen is a good exam if a hematoma in the abdominal cavity (intra-abdominal, hepatic, splenic, retroperitoneal, peritoneal) is suspected.
- Magnetic resonance imaging (MRI) is more reliable in detecting epidural hematomas than a CT scan.
What is the treatment for a hematoma?
Treatment of hematoma depends on the location, symptoms, and the clinical situation. Some may require no treatment at all while others may be deemed a medical emergency.
Can I care for a hematoma myself?
Elementary therapies at home may be utilized in treating superficial (under the peel) hematomas. Most injuries and bruises can be treated with resting, icing, compression, and elevating the expanse. This is remembered past the acronym RICE. These measures unremarkably help to reduce inflammation and diminish its symptoms.
- Rest
- Ice (Apply the ice or cold pack for 20 minutes at a time, 4 to 8 times a twenty-four hours.)
- Compress (Compression can be accomplished by using elastic bandages.)
- Eastlevate (Tiptop of the injured area above the level of the heart is recommended.)
When using ice packs, utilise the ice or cold pack for 20 minutes at a fourth dimension, 4 to 8 times a mean solar day. Compression tin be accomplished by using elastic bandages, and elevation of the injured area above the level of the heart is recommended.
What is the medical handling for a hematoma?
For sure small and symptom-costless hematomas no medical treatment may be necessary. On the other manus, symptomatic hematomas or those located in certain locations sometimes require medical or surgical treatment.
Fifty-fifty though no specific mediation is available for the handling of hematomas, management of any related symptoms tin can be achieved by medications. For example, pain from a hematoma can be treated with pain medications such every bit acetaminophen (Tylenol).
Surgical drainage is a common method of treatment for certain hematomas. Presence of symptoms and location of the hematoma more often than not dictate what type of procedure is needed and how urgently it needs to exist done. For example, a subdural hematoma resulting in symptoms such as headache, weakness, or confusion may crave urgent drainage past a neurosurgeon. Conversely, if a subdural hematoma is idea to be symptom-free and chronic, it may be left lone and monitored occasionally by imaging studies (CT scan).
Furthermore, a subungual hematoma with severe discomfort can be drained through the nail to permit the blood to drain from the space between the nail and the underlying tissue. Big subungual hematomas that are left in place can sometimes compromise the nail and result in the nail dying and falling out. Draining such hematomas can salvage the overlying smash.
If any underlying cause or contributing factor exists that predisposes to bleeding, its correction or handling may also be a necessary step in treating hematomas. For case, if a person with a hematoma is on a blood thinner medication for another condition, the treating doctor may opt to discontinue or even reverse the blood thinner, depending on the private situation.
Should I follow-upwards with my doctor?
Location, symptoms, and size of a hematoma are the typical factors that decide its proper follow-up. For example a small, symptom-gratis (asymptomatic) subdural hematoma may just require echo CT scans of the head every few months for follow-upwards. On the other hand, a large leg hematoma that had been opened and drained may be observed within a few days to ensure expected improvement.
Tin can a hematoma be prevented?
Prevention of all hematomas is non entirely possible. All the same, prevention of hematomas in certain contexts deserves special attention.
In people, especially the elderly, who accept blood thinners or anti-platelet medications (aspirin or clopidogrel), falls are a mutual crusade of trauma and hematoma formation. Falls can crusade hematomas in the legs, chest, or brain, and may, at times, issue in significant affliction or death. Therefore, measures to prevent falls in this population potentially lower the frequency of hematomas equally well.
Children are also at risk to develop hematomas ofttimes due to falls and small-scale injuries. In item, younger children are more prone to bumping their head, causing a small egg-shaped swelling in the surface area of injury. Therefore, child-proofing the home and furniture may help in decreasing hematomas in children.
Hematoma that results from trauma due to heavy physical piece of work or contact sports is less preventable unless such activities are stopped or modified to reduce the risk of trauma and injury.
What is the outlook afterward suffering from a hematoma?
In general, the outlook for hematoma is favorable, and most times they practise non lead to serious illness or disability. The location of a hematoma plays a role in its prognosis.
From
References
Reviewed past:
Tova Alladice, M.D.
American Board of Physical Medicine & Rehabilitation
Source: https://www.rxlist.com/hematoma/drugs-condition.htm
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