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Forum Name: Headaches

Question: Headache, facial injury, slight swelling bridge of nose! Now


 Freddie - Sun Aug 05, 2007 6:57 pm

Age 13, female, hit nose/forehead on bottom of pool. Slight swelling on bridge of nose in between eyes and above eyes in sinus area. Headache, pain in area of swelling. No Bleeding. Eyes normal, respond to light. She did not pass out. Administered ibuprofen for pain, 600 mg. oral. It's Sunday. Should I take her to ER, or can it wait for morning appt at pediatrician?
 Dr. Chan Lowe - Wed Aug 08, 2007 3:50 pm

User avatar Hi Freddie,

Sorry for the delay in answering. You've probably already made a decision but here's some information for you.

Often for nose trauma, as long as the patient is otherwise OK, there isn't much that is done. If the nose is fractured it generally will heal on its own. It would be unusual for the fracture to need surgical repair.

It may also be that the swelling is due to the soft tissue injury which can be significant. This, too, will generally heal without incident.

If she is otherwise OK, it is probably fine to wait to see her regular doctor. If she has worsening headaches, mental status changes or nosebleeding that won't stop after 10 minutes of direct pressure she should be seen sooner.

Best wishes.

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