What could cause severe leg swelling after an accident?

Hi,

Welcome to icliniq.com.

I read your query and understand your concerns.

The possible causes of swelling include:

1. Soft tissue injury: A contusion or hematoma (bleeding under the skin or within the muscles) can lead to significant swelling and bruising.

2. Fracture: A broken bone, especially if there’s pain upon movement or weight-bearing, visible deformity, or swelling that continues to worsen.

3. Infection (cellulitis): Characterized by red, hot, and painful skin.

4. Compartment syndrome (emergency): Swelling inside a muscle compartment that restricts blood flow, leading to severe pain, tightness, numbness, or pale or cold toes. This condition is a surgical emergency.

I recommend taking a digital X-ray of the leg, including both AP (anterioposterior) and lateral views.

Management plan:

1. Continue taking Diclofenac 75 mg one tablet in the morning and one tablet at night for five days.

2. Take Danzen DS (Serratiopeptidase) one tablet in the morning and one tablet at night for seven days to reduce tissue inflammation and swelling.

3. Take Augmentin 1 g (Amoxicillin 875 mg and Clavulanic acid 125 mg) one tablet in the morning and one tablet at night for five days. This antibiotic will help prevent infection.

4. Take Omeprazole 20 mg, one tablet, 30 minutes before breakfast, for two weeks.

After following this medication plan, I hope that the swelling and pain will subside. Please share the X-ray report with me to determine if there is any fracture. If the pain persists, I recommend that she visit the emergency department.

I hope this answers your query. Feel free to reach out anytime.

Thank you.