15 Injuries that Require Emergency Care

15 Injuries that Require Emergency Care
Injuries, whether minor or major, are painful and cause discomfort. However, the fatality of an injury depends on how sensitive the injured organ is. Emergency rooms are equipped to handle injuries when they occur. While some injuries such as minor bruises or small cuts can be treated at home, other injuries require emergency care. Below is a variety of injuries, to the head, chest, limbs or skin that Bellaire ER has identified as emergencies.
Head Injuries
Injuries to the head are considered severe because the functionality of the brain should always be maintained. Some of the head injuries you should look out for are:
A concussion occurs when your brain bounces against the hard sides of your skull and is usually caused by blunt-force trauma. Concussions lead to the loss of functionality, but severe and continuous concussions can cause permanent damage.
This is the occurrence of a clot outside the blood vessels in the brain leading to pressure build-up in the skull. Apart from causing loss of consciousness, a hematoma can also cause permanent head damage.
This is uncontrolled bleeding in the space around your brain (subarachnoid hemorrhage) or your brain tissue (intracerebral hemorrhage).
This is swelling of the brain that occurs due to brain injury.
Skull Fracture
Despite being incredibly difficult to break, fractures to the skull occur. Unfortunately, the skull cannot absorb any impacts form a blow, and immediate treatment is required in case of a fracture.
Bone Fractures
Bone fractures are a common injury. Whether it’s a broken finger or a more severe fracture such as a femur, all bones breakages need immediate medical attention. Not only are fractured uncomfortable, but they are also painful, and could lead to severe malformations if they do not heal in the correct position. Seeking emergency medical care will ensure that appropriate scans are taken, and that plaster is placed on the limb for proper healing to take place.
Bone injuries could also result in internal bleeding which should be treated immediately, to avoid further damage to tissue.
A laceration is a deep cut on the skin that causes severe and uncontrolled bleeding. These cuts are usually caused by sharp objects, and require emergency treatment to control the bleeding. Professional stitching is also required to prevent scars, and clean the injury to prevent infection.
Internal Injuries
These are injuries that could occur due to motor vehicle accidents. Internal injuries cause damage to internal organs and cause internal bleeding. Unfortunately, internal injuries are not visible to the naked eye, and only manifest themselves through symptoms.
Sometimes, the skin may turn into a darker color, or patients may lose consciousness. In other cases, the patient may vomit blood. If signs like these occur, visit the nearest ER. If you are involved in an accident, do not hesitate to go to the ER. You may have minor injuries on the outside, but severe ones on the inside.
Severe Burns
Burns are painful and are a major cause of death and deformation if not appropriately treated. There are different types of burns.
First degree burns- mild burns that cause pain reddening of the epidermis
Second-degree burns- affect the epidermis and the dermis, and cause reddening, pain, swelling and blistering.
Third Degree Burns- These burns go through the dermis and affect more tissue. They cause severe pain, and skin whitening, blackening or charring.
Common causes of burns are:
Friction burns- Occur when a hard object rubs against your skin. E.g., a carpet
Cold Burns- commonly known as frostbite
Thermal Burns- Occur when your skin is in contact with very hot liquids or surfaces. Steam is also a major cause of thermal burns
Radiation Burns- These are burns that are caused by exposure to radiation, e.g., sunburn
Chemical Burns- Strong chemicals such as acids or detergents can cause chemical burns.
Electrical burns- occur when your skin is in contact with electrical current.

Eye Injuries
Eye injuries can occur in five of the following ways and require immediate medical assistance.
Eyes Scratches- Dust in the eye and rubbing can cause irritation and reddening of the eye
Foreign objects such as splinters or glass in the eye
Chemical burns due to detergents or cleaning liquids getting into the eye
Impact injuries from a baseball, or hockey stick

Tendon/ Ligament Injuries
A torn ligament could cause the dislocation of a bone, and also cause severe pain.
Neck Injuries
A neck injury can lead to pain, swelling, and in the case of a broken neck, death. The neck houses the trachea and should, therefore, receive treatment for breathing to continue
Gunshot Wounds
A gunshot to the flesh or an organ causes severe bleeding, and sometimes permanent damage. Emergency treatment is required for the location of the bullet to be determined, and for proper removal to prevent further damage to surrounding tissue. Removal of the bleeding should also stop internal bleeding.
Knee Injuries
Injury to the knee that may cause pain, swelling, and permanent injury if left untreated.
Nasal vascular Injuries
These are injuries to the nose, e.g., broken nose.
Bellaire ER is equipped to handle all the injuries as mentioned above. We pride ourselves in providing quality treatment and saving lives. For more information on Bellaire ER, kindly visit our website, or our facility today.

When to Visit a Clinic – Sore Throat

When to Visit a Clinic – Sore Throat

Having a sore throat is quite an irritating and annoying experience to have. It is characterized by an annoying pain, irritation, and scratchiness of the throat that often feels worse when you swallow something. One may, also, experience occasional swelling of the throat. Often sore throats are a signal that the flu or a cold is on the way, but sometimes it could be an indicator that there is a deeper problem. So if you are wondering whether or not you should visit a clinic for your sore throat, this post by Bellaire ER gives more insight on sore throats and their treatment to help you make the right judgment.

Common causes of a sore throat

A sore throat could be as a result of a number of factors, and they include:

• The flu or cold
A sore throat may be a sign of the flu or a cold. It may, also, be accompanied by a runny or a blocked nose, a high fever, a headache and a cough.
• Inflammation of the larynx
This is a condition called laryngitis. It results in a sore throat and may also cause one to have a dry throat, a hoarse voice and a constant feeling of the need to clear your throat.
• Strep throat
This is a bacterial throat infection that causes the glands in your neck to swell, and discomfort when swallowing, in addition to a sore throat.
• Tonsillitis
This is a condition that causes the tonsils to be inflamed. It is usually also accompanied by spotty tonsils, fever, and discomfort when swallowing.
• Glandular fever
Apart from a sore throat, you may also experience swollen glands, fever, and fatigue.
• Allergies
• Muscle strain
This can be as a result of excessive yelling like in a sporting event or a concert.
• Gastroesophageal reflux disease
This is a digestive system disorder that causes stomach acids and other contents in the stomach to rise up the food pipe. It also causes one to have heartburn and a sensation of lumping your throat.
• HIV infection
One of the early symptoms that occur to someone when they get HIV is that they get a sore throat.
• Tumors
A cancerous tumor of the tongue, larynx or the throat can result in a sore throat.
Other less common causes for sore throats are quinsy which is a painful condition that is as a result of the collection of puss in the throat, and epiglottitis which is an inflammation of the epiglottis.

Common symptom

Apart from the overall pain in the throat and the roughness, the main symptoms of a sore throat vary depending on the cause. The main symptoms include:
• Having difficulties swallowing food
• Experiencing pain when talking
• Scratchiness of the throat
• Swollen glands in your jaw and neck region
• Red tonsils
• Presence of pus or white patches in your tonsils
• Having a hoarse voice

Other symptoms include a high fever, a dry cough, having a runny nose, body ache, headaches, sneezing and nausea, and vomiting.

Signs that you need to visit a clinic for treatment

Generally, a sore throat does not warrant a visit to a doctor since the condition often wears off on its own after a few days. However, sometimes you may have to get treatment from a doctor. For children, take them to a doctor for sore throat treatment if the condition does not subside after their first drink of the day. Also, if your child is experiencing difficulties in breathing, swallowing or unusual drooling, get them to a clinic for treatment immediately.

For adults, the warning signals that hint that you should visit a doctor include having a sore throat that lasts more than one week, having difficulties in breathing and swallowing food and drinks, experiencing difficulty and pain when opening your mouth, pain in the joints, developing a rash, earache, having blood in your saliva, having a high fever of more than 101 F, when the sore throats occur and disappear frequently, when a lump develops in your neck and when the hoarseness of your voice doesn’t get better after two weeks.

Sore throat treatment

The first step of treatment is performing correct diagnosis. Often a throat swab is done to get a sample of the throat secretions for laboratory test. The results of the test will give a clearer picture of what the main cause of a sore throat is. Once the correct diagnosis has been done, then the appropriate mode of treatment is taken.

If a sore throat is due to a viral infection, one often does not need treatment. The condition will get better within few days. Your doctor, however, can administer some drugs to ease the pain and the fever. If a sore throat is due to a bacterial infection, the doctor might prescribe some antibiotics. Other forms of treatment may be administered too depending on the cause of a sore throat.

While a sore throat might seem to be a normal thing, if the symptoms persist, visit the clinic for treatment as soon as possible.

When to Visit a Clinic? Illness that is “going around”

When to Visit a Clinic? Illness that is “going around”

Infectious diseases are quite common in any society. For instance, there will be occasional pink eye breakouts, or the flu going around. In most cases, such illnesses are usually mild and will go away after a few days. However, sometimes, this does not happen. That is why we at Bellaire ER have prepared this guide to help you know when a visit to the clinic is necessary.

Understand how infectious diseases spread

In medicine, a common philosophy is that prevention is better than cure. While it can be difficult to avoid an infection airborne illness going around, there are steps you can take to minimize the risks.

The first step you need to take is by observing proper hygiene. That means you will need to wash your hands all the time. Every few hours, wash your hands, especially if you are in a public place such as a school. It is especially important to do so each time you visit the bathroom, before meals and each time you think you might put something in your mouth soon.

Besides that, it may be necessary for you to stay away from the public are if you can avoid it. For instance, if something is going around in your school, missing school for that week could help you avoid the worst of it. If you do catch it, you will have to miss school anyway.

The other step you need to take is to avoid being too close to people who have the bug that is going around. For instance, if your friend is away from school or work because of an infectious illness, now might not be the best time to visit them. The only thing that your visit will earn you is a bug, which will cause you to miss school or work. Wait until they get better before you visit them.

Additionally, you should watch out for the food you eat. If there were, an infection going around, it would be best for you to eat at home. Ensure that all the food you eat is properly cooked and prepared in a hygienic manner. If you are eating fruits, ensure that you wash them and peel them yourself. Eating street food would not be a good choice at any time. However, during an outbreak, it is even more advisable to avoid it.

When to see a doctor

For a skin infection, you should see the doctor if the infection does not subside after seven days. Besides that, it is advisable to see a doctor if purse starts coming out of the infected area in large quantities. If not treated in good time, it could lead to permanent scarring.

For something such as pink eye, a visit to the doctor is usually not needed. Just a few days of rest at home is usually enough to help you heal. However, you may need to go see a doctor if you get more than just a tiny amount of discharge. Besides that, if your eyelids are stuck together in the morning when you awaken, you may have to visit the clinic. It could be a sign that the viral load is growing to unmanageable levels.

If you have pink eye, severe pain is also a reason to visit the clinic. In most cases, a bit of discomfort is expected. However, if the pain turns into a throbbing pain that keeps you awake all night, a visit to the ER is definitely needed. You should also visit the clinic if the condition goes away after about a week and recurs a few days later. It might be a sign that your body needs more time to heal.

For a cold or flu, anything that goes beyond a few days is a sign that you need to visit a clinic. For instance, if the symptoms of a cold go beyond seven days, go to the clinic to get a professional opinion on your condition.

It is especially important to make a clinic visit if you are an at-risk person. For instance, if you are an older adult aged 70 and above, even a simple cold could turn out to be worse. This is because your immunity has already been weakened by old age.

Another reason to visit a clinic is if everyone else appears to respond to medication but you. This is especially important if they are your fellow family members. Members of the same family should have a similar genetic makeup and thus similarly respond to medication for the same bug.


If you notice that you are the only one who appears to be sick after everyone else’s symptoms have improved, call the clinic, and make an appointment. That way, you do not have to wait in line while you feel terrible. The doctor will be able to determine in just a few minutes whether you have something worse.

When to Visit a Clinic? Fever that responds to fever-reducing medication

When to Visit a Clinic? Fever that responds to fever-reducing medication

Fever is not an illness by itself, and it is often a sign of an existing condition. It is characterized by higher than the normal body temperature. A normal body temperature of a healthy adult or child is 370 C, but this temperature can be slightly higher or lower depending on the following factors

The age of the person
Recent activities such as basking in the sun for too long
The part of the body where the temperature is taken from. For instance, most doctors recommend the use of the tongue or the ear to take temperature as this is more accurate than the use of the armpit.

When the body temperature is between 37 and 390C, this is a sign of a mild fever, but anything between 39 and 420C is said to be a high fever. Figures above 42.40C are dangerous and require immediate care.

Causes Of Fever

Most of the time a fever shows that your body is trying to fight an infection. Although it is usually associated with discomfort, it might not necessarily need treatment depending on your physical condition, age and the cause of fever. Most doctors will tell you that fever is a natural defense from your body against infection and that numerous non-infection conditions cause fever. Some of the common causes of fever include:

Viruses such as the one that causes flu or upper respiratory tract infections
Bacterial infections such as urinary tract infection, tonsillitis or pneumonia
Tropical illnesses such as typhoid or malaria
Malignant tumor
Heat stroke

A mild or a slightly high fever in a child or adult might just need home remedies before access to medical attention the following recommendations can help:

Drink plenty of fluids- Water is the best in such instances as it reduces dehydration which can lead to dizziness, seizures, low blood pressure and muscle cramps
Take fever-reducing drugs such as Panadol and Nurofen-These can be taken to reduce the fever especially if it is uncomfortable but they should be taken in the correct dosage
Get rid of heavy clothing- Clothes should be light to allow for air circulation and prevents excess heat which makes fever last longer
Get enough rest-This helps the body regain its normal temperature as it strengthens the immune system.
Avoid showers-Showers can constrict your blood vessels which can trap heat.

Fever In Adults

Mild fever especially in adults will usually last a few days and can be treated with OTC fever reducing and pain-relieving drugs. However, some situations need a visit to the clinic including:

If the body temperature is at 39.40C or higher
If the fever continues for more than seven days
If the symptoms of the fever get worse
Fever symptoms that warrant emergency care include:
Excessive sleepiness or confusion
Stiff neck
A sore throat, especially if there is drooling or difficulty swallowing
A severe headache
Chest pain
Difficult breathing
Abdominal pain
Continuous vomiting
Swelling of the legs
Blood in the stool
Painful urination
Hot, swollen or red area on the skin

A combination of a fever, stiff neck and severe headache could be a warning sign of meningitis which is a highly contagious and life-threatening bacterial infection, and such a person should be taken to the emergency room.

If the temperature of the patient is higher than 400C and the person seems confused, and he or she is unable to respond to stimuli this could be a sign of hyperthermia which is a medical emergency.

Also, patients that have a severe medical condition such a those with cancer or HIV might not have the described warning symptoms. However, any mild fever in such patients warrants a trip to the clinic to prevent the progression of the fever to a more serious infection.

Fever In Children

In infants and toddlers, fever is not a good sign. Fever that warrants a visit to the clinic for infants or toddlers include:

If the child is between 0 and three months and has a temperature of 380C or higher, they should be taken to hospital despite them not having any other symptoms. Children this age should not be given fever medicine unless directed by the doctor.
For children between 3 to six months with a temperature of 38.90 C, they should be encouraged to rest and take plenty of fluids. However, if the child is irritable, uncomfortable or lethargic, they should be taken to the clinic. If the child has a fever that is higher than 38.90C they should be taken to the hospital.
Children that are 6 months and above with a 38.90C temperature that is causing discomfort can be given fever-reducing drugs such as Tylenol or ibuprofen. However, they should be given the right dosage and no child under the age of 18 years should be given aspirin as it can cause a deadly infection called Reyes syndrome. If the fever lasts for more than three days, one should visit the clinic. However, failure to give medicine does not mean the fever will go up as the brain has an internal thermostat that controls the fever in case of infection.

Fever that does not respond to fever medicine might not mean that the patient is suffering from something serious. It should not be regarded as the only symptom for a serious illness. One should consider all the other symptoms that the child or adult shows. If the fever is accompanied by other named symptoms, it is best to visit a reputable health facility such as Bellaire ER which will provide you with the best care to reduce the fever.

When to Visit the Clinic – Ear Ache

When to Visit the Clinic – Ear Ache

Earaches are a pretty common thing, especially among young children. It is not limited to children only as adults too experience earaches. Earache may be sharp, dull or burning. It can occur in both ears, but most of the times it is usually in just one ear. Also, it may be constant or periodic. Bellaire ER characterizes ear aches as one of those conditions that warrant a visit to the clinic when experienced. The condition is supposed to be handled immediately to get rid of the irritation and discomfort and to prevent further complications from developing.

Signs of ear pain in children

While it can be quite obvious to know when your ear is aching, it is quite different for kids who cannot speak yet. You can know that your baby has an earache when you notice that they are fussy and irritable. Most cry while rubbing their ears. Other signs to that may indicate that your kid has an earache are if they are having trouble sleeping, a very high fever of more than 100 F, clumsiness, waking in the night, having difficulty hearing, loss of appetite, fluid draining from the ear and loss of balance.

For adults, the common symptoms are the sharp pain in the ear, a fluid discharge coming out of the ear and loss of hearing ability.

Causes of Earache

A temporary earache can be as a result of a change in air pressure or accumulation of ear wax. This often subsides after a while. The ear wax can be gotten rid of by simple waxing. This, however, has to be done carefully to prevent damaging of the eardrum and moving the ear wax far back inside making cleaning even more difficult. This could result in a chronic earache. A chronic earache can be as a result of a ruptured eardrum or tinnitus. It can also originate from a referred source. This is where the sensation of pain is felt inside your ears, but the source of the pain is another part of the body like the jaw area, the brain or the throat.

Another cause of chronic ear pain, although it is quite rare, is when your teeth and jaws experience a structural change. Presence of a foreign object in the ear, sinus infection, water or shampoo trapped inside the ear, tooth infection, temporomandibular joint syndrome, perforated eardrum, impacted tooth, trigeminal neuralgia or eczema are some of the other causes that may be the root to your earache problem.

Treatment for an earache

The main reason why it is important to visit a clinic to have your ear ache treated is that the treatment method to be employed will depend on the underlying cause of the pain. The doctor will perform a complete diagnosis to determine the cause of the problem. The main tests often conducted include:


This test involves the measuring of the eardrum movement. The device used seals the ear canal and adjusts the air pressure inside. This movement of the eardrum is monitored, and the pressure of the middle ear approximated.

Acoustic reflectometry

The test examines the amount of sound reflected back to the device used from the eardrum. It is used to determine the measure of fluids present in the middle ear. The more the fluid pressure present, the more the sound reflected by the eardrum.


This is a procedure that involves the doctor puncturing the eardrum to drain the fluid in the middle ear for tests. This test is often performed when one doesn’t respond to treatment due to an infection.

Other tests may be performed to establish whether the pain is due to referred source or any other cause.

There are some treatment approaches that the doctor may take. The doctor may decide to take on the wait-and-see approach where they will administer painkillers and observe if the symptoms of the earache subside without treatment. If the condition does not improve, then they can administer treatment.

If the cause of the earache is an infection due to presence of bacteria, antibiotic therapy is administered. They can be oral antibiotics or eardrops. For cases where buildup of earwax is the main problem, the doctor can perform the ear cleaning professionally to avoid damaging your eardrum. Often people use ear pads to remove ear wax. If done carelessly, they can puncture their ear. Also, the use of olive oil and eardrops to get rid of the wax has to be done carefully. If your eardrum has been punctured and you end up using these cleaning materials, you may end up causing more harm than good.

When to Visit a Clinic? Coughs and colds

When to Visit a Clinic? Coughs and colds

Cold symptoms such as an annoying cough, a scratchy throat and a lot of sneezing are all quite common. Besides that, you can also expect a stuffy nose and some achy joints. However, if it goes beyond that, you may need to visit a clinic to get an assessment from a qualified doctor. What you thought was a cold might turn out to be something much worse. Here are a few tips that we at Bellaire ER think should cause you to consider going to the clinic.

What are the chances it is not a cold?

The common cold affects US adults about three times a year. Dangerous viruses such as the enterovirus D68, which received wide media coverage, only affect less than a 100 people in the one month there was a major outbreak. Interestingly, the common cold and this illness have similar symptoms. The flu and common cold also share similar symptoms.

The CDC estimates that about 5% to 20% of all Americans get the flu every year. However, unlike the common cold, there is a vaccine available for this illness. Another virus that can be airborne is Ebola. Thus far, there have been three confirmed cases of the virus in the US. However, the virus comes with additional symptoms such as heavy perspiration, vomiting, and unexplained bruising.

Thus, if you feel the onset of a common cold, there is a high chance that it is what you have. This is especially so considering its prevalence in comparison to illnesses such as Ebola and the D68. However, if you notice some of the below signs, it might be time for you to pay a visit to your local clinic. There is always the small risk of even a common cold getting worse, leading to the increased risk of contracting another infection.

When to Visit the Clinic

Deciding when to visit the clinic can be hard, especially in a non-emergency case. The best way to tell whether you are getting better is to stay hydrated and get enough rest. If your symptoms seem to get worse, despite doing these two things, it is probably time to visit the clinic. Here are the signs that your situation warrants a visit to the clinic.

Difficulty with Breathing

A cold should not make it almost impossible for you to take a breath. Chest congestion is quite common when you are having a cold. This is where you will feel as though your lungs are backed up with water. However, it should not cause you any excess difficulty in breathing. If it causes you anything more than some discomfort, you may not have a clod at all. If you have a child and you notice that they have so much difficulty breathing that it causes their skin to change color, you should visit the clinic. It is probably a sign that you have a lung infection.

You are part of an at-risk population

Some people usually have increased risk factors because of their lifestyles, their genetic makeup, or their age. For instance, a chain smoker who experiences a cold will already have a weakened immune system. Thus, what may seem like a cold at first may turn out to be troubling signs of a much worse infection.

Consequently, if you are a chain smoker and you experience such symptoms, it is always important to visit the clinic for an evaluation. Besides that, if you have a child or an older adult living in the house, a common cold may warrant a visit to the clinic.

You experience persistent vomiting

It is especially so if it happens to a child. If he or she has a common cold and keeps vomiting after every meal, a visit to the clinic is needed. This is also the case for an adult, not only is vomiting not a sign of a common cold, but it could also cause severe dehydration if left unchecked.

Child with Asthma or Severe allergies

If you have a child who has been diagnosed as having asthma or severe allergies, the signs of a common cold may not be a cold at all. In such a case, a visit to the clinic is warranted. An evaluation by a doctor at the clinic can help to rule out the chances that it is anything worse than a common cold.

The symptoms persist more than a few days

A common cold should never go beyond seven days. If it gets to the second week and the cold has not yet subsided, you definitely need to be evaluated by a professional. It might turn out to be a severe infection in the lungs, which could cause you to lose a lung if not treated early enough.


If you are unsure, whether you should go to the clinic or not, you should err on the side of cautiousness. Before visiting the clinic, you should call the doctor. That way, you can make an appointment and will not have to wait in line.

When to Visit the Clinic – Ankle Sprain and other Strains of Muscles and Joints

When to Visit the Clinic – Ankle Sprain and other Strains of Muscles and Joints

When people think of ankle sprain and other strains of muscles and joints, they mostly associate them with athletes who engage in vigorous sporting activities. But the truth of the matter is that you do not need to be an athlete or a sportsperson to twist and hurt your ankle or joint by tripping or stepping on an uneven surface. But one this is for sure whether you are an athlete or not, ankle sprains and muscle and joint sprains can be quite painful. This post by Bellaire ER is meant to bring a deeper insight on ankle sprains and other strains of muscles and joint and when to visit the clinic for treatment.

A sprain occurs when a ligament is stretched or torn. Ligaments are the tough fibrous tissue bands that connect the bones in your joints together. The ankle is usually the most common victim of sprains. A strain, on the other hand, occurs when a muscle or a tendon is stretched or torn. Tendons are the fibrous cord tissues that join the muscles and the bones together. The hamstring muscle and the lower back are the most common locations where strains occur.

Causes of ankle sprains

Ankle sprains occur as a result of shifting your feet suddenly with a rapid movement. It often occurs to people playing vigorous sport, but it can occur to anyone at any time too. The sudden movement is what causes the ligaments to stretch or tear as the foot turns. The sprain can be mild or severe depending on the extent of the ligament damage. A mile sprain usually causes the ankle to swell and be tender and stiff. Pain is usually present, but it is not that sharp. One can walk. A severe sprain is usually characterized by a massive amount of pain that makes walking difficult. The ankle may feel wobbly.

Causes of muscle strains

Muscles strains will occur to you when your muscles are subjected to excessive and extensive force or work that they are not used to. The chances of them occurring increase when you do not warm up properly before you engage in strenuous physical activity, when you have poor flexibility, when you condition your body poorly and when you are fatigued. You can also get a muscle strain by slipping or when you lose your footing, jumping, running, when lifting heavy objects and when you position yourself in the wrong manner while lifting something heavy.
Cold weather usually increases the chances of one getting a muscles strain because lower temperatures usually cause the muscles to become stiffer. Also, you can get a muscle strain if you sit in an awkward position in your desk at work or when you continually maintain poor posture.

Diagnosis and treatment of an Ankle sprain and other strains of muscles and joints

If you sprain your ankle or you get a muscle or joint strain that is mild, simple first aid will do the trick. All you have to do is to relax your muscles or injured joint. This means that you will have to spend the next couple of days doing minimal activity. While resting, apply ice and pressure on the injured muscle to minimize swelling and to numb the pain. You may use anti-inflammatory medication too. Also, try to keep the injured part of your body above your heart level as much as you can.

If you have performed these and after a few days you notice that the pain is seemingly not subsiding, the area injured is getting numb, you are unable to walk due to pain, and there is blood emanating from the injured spot, rush to see a doctor.

The first step in the doctor’s exam usually is the diagnosis. The healthcare specialist may want to know the circumstances surrounding the injury and whether your muscles or joints were damaged due to the impact. The specialists may get x-ray scans to check whether your bones were broken. An MRI or a CT scan may be performed to evaluate the condition of the ankle joint, the muscles and the bones. They, also, help detect damage to the muscles, tendons, cartilages, ligaments and other structures around the injured organ.

Most of the times the physical exam is enough, but if there is tissue damage or if there is a broken bone and the condition is serious, surgery may be required. Sometimes surgery is considered if the patient intends to get back to their activity after recovery. In such cases, surgery may be considered to speed up the healing process by repairing the muscles, ligaments, and tendons. Normally surgery is not usually a must since not all ligaments need surgical repair.

Mild strains on various parts of the body are pretty normal and can occur at any time. However, if upon administering first aid and taking medication the pain does not subside, that should be an indicator that you need to visit the clinic. Sometimes the damage may be more serious than it seems and things can get worse if treatment is not administered early enough.

When to Visit a Clinic – Abdominal Pain

When to Visit a Clinic – Abdominal Pain

Abdominal pain is basically a very intense pain in the abdominal region. The abdomen is the anatomical area that is bounded by the diaphragm and the lower margin of the ribs. Abdominal pain basically emanates from the tissues surrounding the abdominal area. This pain can be quite irritating and cause one a great deal of discomfort. Normally, one can just take some basic drugs from the store to cure the condition, but some times call for one to visit a clinic for treatment. Bellaire ER provides more insight on abdominal pain and how to know if you need to visit a clinic.

Cause of abdominal pain

Some factors could be the root of abdominal pain. Some of the common causes include:
This condition, otherwise called stomach flu, is often accompanied by vomiting, fluid-filled stool, and acute abdominal pain. It is mainly caused by viruses and bacteria, but the condition often lasts just a couple of days before it subsides. Persistence of the problem could be an indicator of a deeper condition like inflammatory bowel disease.
Gas forms up when the bacteria in the digestive system breaks down food found intolerant by the body. If there is a lot of pressure due to the gas in the system that could result in a sharp pain in the stomach. It can, also, be accompanied by belching.
Acid influx
This is a situation where the stomach acid goes back up the throat causing a burning sensation. This usually results in acute abdominal pain.
Gastritis is a condition that causes the inner lining of the stomach to become inflamed. It is usually accompanied by nausea, vomiting and bloating.
Food intolerance
Presence of a large amount of undigested food and gas in the abdominal track could result in sharp abdominal pain.
Stomach or peptic ulcers
Stomach ulcers are wounds in the stomach that do not heal resulting in severe and persistent abdominal pain.

Other causes of abdominal pain include Crohn’s disease, celiac disease, strained muscles, endometriosis and urinary tract infection.

Common symptoms associated with abdominal pain

The main symptom is the sharp pain in the abdomen. Other symptoms one may experience include fever, diarrhea or rectal bleeding. The symptoms vary depending on the cause of the pain. If you happen to experience any of these conditions, rush to the nearest clinic for treatment immediately.

Severe pain that does not subside over a long period of time
Pain and/or bleeding in the vagina if you are pregnant
Abdominal pain that is accompanied by pain in your scrotum
Vomiting and shortness of breath
Vomiting blood
When your body becomes clammy and pale
Difficulty in passing urine
Difficulty in moving your bowels and passing gas

Diagnosis of abdominal pain

The first step in diagnosis is determining the pattern of the pain. The physician will inquire when the pain occurs most frequently and how long it lasts when it occurs. Knowledge of the location where the abdominal pain is felt the most can help determine its cause. For instance, appendicitis usually results in one feeling pain in the middle of the abdomen. The pain then moves to the right side of the lower abdomen. If the cause is Diverticulitis, the pain is usually concentrated on the left-hand side of the lower abdomen. If biliary colic is the problem, the pain will be situated on middle or upper abdomen near the bladder.

The duration of the pain can help in figuring out the cause of the pain. Biliary colic usually results in abdominal pain that lasts anywhere between 30 minutes and a couple of hours. For the case of Pancreatitis, the pain often last for a day or two. Therefore, the physician will use the knowledge of the pain duration during the examination to determine the main cause of the problem.

The physician will, also, want to know what makes the pain worse. Some abdominal pains become worse when one consumes food, when they breathe or when they walk. Most of the inflammation causes of abdominal pain like appendicitis, cholecystitis, pancreatitis, and diverticulitis are usually aggravated when one sneezes, coughs or when they make a jarring motion. Also, things that make the pain subside can give a better understanding of the cause of the condition.

Plain x-rays of the abdomen may be taken if necessary to reveal any underlying condition. The physician will then determine the appropriate treatment course basing on the results of the diagnosis. The physician always administers painkillers to help ease the pain. The patient may, also, be given fluids intravenously to help rest the bowel and to correct the fluid loss experienced. Appropriate medicine for the main cause of the pain will, also, be administered.

Abdominal pain is basically any pain one experiences within their abdominal region. While this pain can be as a result of causes that are not that serious and can be countered with just a few painkillers, it is important to be vigilant and to be aware of the situations that warrant a visit to the clinic.

When to Use The ER? Coughing or Vomiting Blood

When to Use The ER? Coughing or Vomiting Blood

Coughing or vomiting blood is a serious indication of an underlying medical condition, which could be fatal. For this reason, it is advisable to call for an ambulance or visit the ER after coughing or vomiting blood. However, it is also essential to know some of the medical conditions that may cause vomiting or cough blood. If you notice any of the signs below, contact Bellaire ER immediately for emergency medical care.

What does Blood in Vomit Look like?

Vomiting blood is a medical condition known as haematemesis and may occur due to internal bleeding from the gut. The following colors of blood show different meanings:
• Dark Blood: The color looks like ground coffee and means that the bleeding is relatively slow
• Bright Red Blood: Suggests that bleeding is rapid and large

What causes vomiting Blood?

Vomiting blood may occur due to bleeding from one of the following organs in your gut.
1. Bleeding from the Oesophagus which can occur due to one of the following conditions:
Oesophageal varices: These are enlarged swollen blood vessels in the gut or stomach, that are often a complication of liver cirrhosis.
Inflammation of the oesophagus (oesophagitis)
Oesophageal cancer
Mallory Weiss Syndrome

2. Bleeding from the Stomach could occur due to:
Stomach ulcer
Infection with a bacteria called Helicobacter pylori
Anti-inflammatory medicine
Stomach cancer
Mallory-Weiss Syndrome

3. Bleeding from the Duodenum:
Duodenal Ulcer
Duodenitis: Inflammation of the duodenal lining

4. Bleeding that is not from the gut
Sometimes, it is possible to swallow blood after a nosebleed, and then vomit it. In this case, the doctor will assess before ordering treatment.

5. Rare causes form any part of the Upper Gut
Radiation Poisoning
Uncommon infections of the gut

What Tests Should You Expect?

Doctor assessment: The doctor will try and assess the source and cause of the blood in your vomit
Blood tests: To find out how much blood you have lost and if you need intravenous fluids. The tests are also used to determine the functionality of your liver.
Gastroscopy: An internal examination of the gut.

What is the Treatment for Vomiting Blood?

Initial Treatment: If bleeding is severe, blood transfusion or a drip into the vein may be required to compensate for lost blood.
Instruments that can be passed down the endoscope
Emergency surgery and other treatments

Symptoms That Accompany Vomiting Blood

Dizziness or fainting
Confusion and forgetfulness
Skin that looks clammy and pale
Rapid heart rate and anxiety or agitation
Enlarged Pupils
Blurred vision
Rapid Shallow Breathing
Reduced urine production

Coughing Blood

Coughing up blood is a medical condition also known as hemoptysis. The blood may be bright red or may occur in phlegm

What are some of the causes?

Lung Cancer
Benign tumors
Blood Thinners
Pulmonary Embolism
Pulmonary Edema
Congestive heart failure
Inflammatory or autoimmune conditions (lupus, Wegener’s granulomatosis, microscopic polyangiitis, and many others)
Trauma (e.g., from a gunshot wound)
Pulmonary arteriovenous malformations
Taking anticoagulants such as warfarin, rivaroxaban, dabigatran
Excessive smoking
Heavy coughing
High Altitudes

What Tests Should You Expect?

History and Physical Examination: The doctor will try and find the source of blood and also identify if it is coming from the lungs and the trachea.
Chest X-ray: To show areas where bleeding could be occurring before treatment is administered.
CT Scan: provide a better image of the chest for more analysis
Bronchoscopy: The doctor inserts an endoscope through the nose or mouth into the windpipe to find the source of bleeding
Coagulation tests: To find out if blood clotting is functioning normally
Arterial Blood gas: To find the oxygen level in the blood
Blood Chemistry Profile: A test to measure the electrolytes and kidney function
Pulse oximetry

What Are Some of the Treatments That May Be Administered?

Bronchial Artery Embolization: the bleeding artery is blocked, and other arteries compensate for it.
Surgery: This is required in severe conditions where a lung needs to be removed.
Antibiotics for pneumonia and tuberculosis
Chemotherapy/radiation for lung cancer
Steroids for inflammatory conditions

What Should You Do If You Cough Up or Vomit Blood?

Once you start coughing or vomiting blood that is not generated from trauma such as a punch, visit the nearest emergency room for consultation and treatment. If you are not in a position to go to a hospital, ask for an ambulance. Once you get to the doctor, be honest to ensure that you get the right treatment for your condition.

Do not ignore, or try self-medication and self-diagnosis. Seeking professional medical attention is crucial towards saving your life.


Bellaire ER offers emergency medical services for coughing or vomiting blood. With state-of-the-art technology and professional staff, you are assured of receiving quality emergency medical care when you arrive. We ensure that a thorough analysis of your existing medical condition is carried out before administering treatment. For more information, kindly contact us through our website.

When to Use the ER? Uncontrolled Bleeding

When to Use the ER? Uncontrolled Bleeding

The sight of blood means danger in most cases but not all bleeding cases. This danger could range from the dysfunction of a body organ which culminates into more severity if not dealt with immediately and can even be fatal to the patient. Some bleeding cases, however, do not warrant a visit to the emergency room, which would then mean that doing so would be an unnecessary expense. But then how do you tell if your case of uncontrolled bleeding warrants a visit to the emergency room?

This article has considered these factors and has compiled a list of common bleeding conditions that may warrant a visit to the emergency room depending on how they are experienced, courtesy of Bellaire ER.

Nose Bleeding

Nosebleeds medically known as epistaxis are usually nothing serious and can be easily dealt with at home. During a nosebleed, the patient experiences blood trickling from one or both of their nostrils which can be heavy or light. The bleeding can go on for a few seconds to ten minutes or even more, which is where one can distinguish as to whether a visit to the ER is necessary or not.

To stop a nosebleed, you should take the following steps:

First, take a seat and hold the soft region above your nostrils between your thumb and index finger, for ten to fifteen minutes at least.
Then lean forward and breathe using your mouth. This step helps you direct the blood to run down your nose instead of draining it down the back of your throat.
Place a cold clothe, icepack or bag of frozen vegetables on the bridge of your nose to reduce and ultimately stop the bleeding.
Avoid lying down and try to stay upright instead so that you can reduce the blood pressure in the blood vessels of your nose, which works to prevent further bleeding.

These steps should stop the bleeding, which then renders the nosebleed, not emergency room worthy. However, if the bleeding persists then you must take the visit to an emergency room.

Gastrointestinal Bleeding

Gastrointestinal bleeding is a symptom of a serious condition that affects your digestive tract whose organs includes; the esophagus, stomach, small intestines, duodenum, large intestines, rectum, and anus. Gastrointestinal bleeding can occur in any of these organs, which differ as a symptom of the condition it may represent. Some of these conditions warrant an emergency room visit whereas others can be dealt with under normal medical procedures. Here are some of the conditions, urgent and non-urgent, that exhibit gastrointestinal bleeding.

Stomach ulcers, which are painful sore that develop in the lining of your stomach. This condition is manageable within normal medical procedures.
Peptic ulcers. These are rather worse sores that not only line up at the stomach but also on the esophagus and small intestines. These type of ulcer, just like the former, does not warrant an emergency room visit.
Bleeding esophageal varices, which entails an increase in the pressure on the vein that carries blood from the digestive organs to the liver, known as the portal vein. Increased pressure on the portal vein causes portal hypertension which can lead to their rupture and bleeding causing a life-threatening condition. This condition is to be considered a medical emergency thus warrants a visit to the ER.
Intussusception, which occurs when a portion of the intestines folds inside another part causing blockage. This condition also requires urgent medical attention thus should be dealt with within an emergency room.

Surgical Bleeding

After a surgical procedure, a patient may experience bleeding on the area operated on due to given factors. These factors include; injury or post-surgery medicine such as aspirin or anticoagulants also known as blood thinners. This kind of bleeding should be treated as a medical emergency, thus warrants an ER visit. For such a case, the doctor will examine you for the cause of bleeding using imaging tests such as a CT scan, MRI or Ultrasound. However, to avoid such an eventuality you can follow these guidelines;

Always keep the area clean and dry.
Keep a dressing over the incision.
If it is bandaged, change the bandage every day.
Avoid using hydrogen peroxide or alcohol since they slow the healing process.
Avoid straining the incision.

Injury Bleeding

There are minor and major bleeding episodes where; the former are easy to treat and have no long-term consequence whereas the latter can be very dangerous and even fatal. Accidental cuts or puncture wounds caused by contact with sharp objects can cause extensive bleeding. If the bleeding cannot be controlled by putting pressure on the wound, then it is a medical emergency. That is because it causes decreased blood pressure and a drop in organ blood resulting in shock.

Conclusively, now you know what to do for the bleeding conditions you may commonly experience as compiled within this article. However, seeking professional assistance is the best solution, and Bellaire ER is the best institution to offer the professional assistance you may need on matters of medical urgency.

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