Road Accident+Pregnant

Question

I had road accident 4days back. Had head injury. Got hit on right side of my face. Had nose bleeding immediately after accident. But doctors were not able to do any scan as i m pregnant (1st trimister). I was kept undr observation for 24hrs in hospital n thn got discharged. I have internal bleeding in eye socket n as per doctor i have a small crack too. But the issue is since 3days i m having blood clots and fresh blood in sputum. Infact in vomitting too. Had 2 more nose bleedings aftr 2days of accident. My doc is saying tht this bleeding is common aftr head injury. But now i m also having fever and feeling down too. And my ulcer pain has increased despite taking medicine to ease ulcer.
Should i check another doctor?  Should i go for MRI (take the risk in pregnancy) or wait for another week n thn see?

Dr. Qurban Hussain · Answer

yes MRI is safe in pregnancy if not contrast is given.You need antibiotic prophylaxis for risk of meningitis and CSF leak.currently you look ok but monitoring is required.Get MRI done and get PT/APTT INR done.as you are vomiting so must get admitted till neurosurgeon examin you and your MRI films and allow you to leave.

Dr. Kashif Ijaz Ahmed · Answer

hi
the photo you shared is suggestive of very mild contusion. i think the blood you have been passing in a spot very likely a trickle from the back of the nose.if no headache confusion any fluid leak from ears vomiting etc i don't think anything of major concern. stomach /ulcer pain can be made worse by stress and use of meds like ibuprofen unless there is severe abdominal pain chances of seatbelt injury to bowls are very low .i dont think any investigation is warranted .watchful observation seems a more sensible option

regards
Dr Kashif I jaz Ahmad
Consultant family physician/Community diabetologist
MBBS, MRCP(UK),MRCGP(UK), FRSPH,CCT, PGDip (LONDON)

Dr. Faisal Masood · Answer

Yes it is safe to go for MRI but it's better to wait for at least one more week it will be settle down by himself if not proceed for MRI

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