Dd injured - not happy with A&E.....

[whojamaflip]

Posting here for traffic

Dd took a crashing fall from a height at sports training last night and has hurt her foot and unable to bear weight on it.

Went to A&E last night and they took X-rays and said her ankle was fine. They wouldn't listen to her when she repeatedly told them the pain was under her arch and across the top of her foot not in her ankle. Sent her home still unable to weight bear with no crutch's and a self care leaflet for ankle injuries.

Would ibu to take her to our local minor injuries unit today for a second opinion? She's on paracetamol and ibuprofen alternating every 2 hours and it's only just taking the edge of the pain. Foot is swollen along the outside and across the bridge and is very painful to the touch. She also has a high pain threshold so when she is crying in pain I sit up and take notice!

Dh reckons they will review her X-rays as a matter of course this morning and will ring if they've missed anything - is this right?

Agreed!

And to add that all this confident asserting of dosage from most people has not specified the tablet size/dosage. I have three different tablet sizes of Ibuprofen available in my cupboard right now - 200mg, 400mg and 600mg, and two different sizes of paracetamol - 350g and 500g but there is also a 600mg version available here in the USA

Please always read the packet dosing info.

Take her! My friends DD kept TELLING A&E that her pain from a fall was mid upper arm, not elbow but they insisted on X-ray of elbow which was fine. She gradually healed at home and a year later got a huge swelling where the (unfound) fracture had healed weirdly and caused a large benign tumor. She’s had to travel halfway across the country three times to have it operated on as it was all meshed in with ligaments (or whatever is in there - clearly I’m not medically trained!🤪)
anyway, it’s been a nightmare and their reasoning was that only old people have breaks mid upper arm - not kids, well she’s 7, and she broke it, wore it in a sling crying for weeks poor kid.

I think they way Maldives explains it is sensible though - by spacing it out every six hours you get the maximum amount of coverage. If you took them every 4 hours, your minimum spacing, then you’d be 8hours without paracetamol. I think that’s what she meant, that’s what I do, with the ibroprufen evenly spaced in between.

This is what I had. Really bad sprain that ripped the foot bones apart. And one of the foot fractures missed with the result that I still limp 10 or more years later. But the ligament damage was equally painful and very slow to heal.

But why would anyone read the pack of medication when they could just do whatever an anonymous Mumsnet poster says?!

(sarcasm just to be clear!)

@YorkshireRog

NWB
PWB
TWB
HWB
TTWB
NBW
WBAT
Non-Axial WB

These will do instead 😂

ps, you got it right with bear 🤗

As an nhs worker i can inform you that Ibrufen should only be taken every 6-8 hours, it can damage the lining of your stomach espically in a child. Also Paracetamol works better when taken 2 every 4 hours.

It sounds very much like a bad sprain to me. Sprains can be more painful than fractures and the injured area can swell and bruise just as much as a fracture. My advice would be to bathe the infected foot/ankle in ice to reduce the swelling and relieve the pain. Also keep the leg elevated. I would give it a few days and if there still isnt any improvent then take her back.

As an NHS worker surely you know it’s ibuprofen and not ibrufen, you know the difference between infected and affected, and you know that if you take paracetamol every 4 hours that you will over dose - the key bit you’ve missed there is - up to a maximum of 8 tablets in 24 hours.

They don’t give out crutches! When my adult daughter broker her foot , they wouldn’t give her crutches, but she needed to be able to get about for work, so went and bought some from Argos for £20-odd quid.
I understand the reasoning behind it, but she needed to be able to get about!!

Quite concerning how many posters are claiming to be nurses or 'healthcare professionals' and yet are all giving conflicting advice about pain relief. OP ask a pharmacist, they are the experts.

Or at least signpost to the accurate advice. OP if you are still reading:

• https://www.nhs.uk/conditions/sports-injuries/
• https://www.nhs.uk/medicines/paracetamol-for-adults/
• https://www.nhs.uk/medicines/ibuprofen-for-adults/

The amount of misinformation about medicines on this site frightens me - I've reported many times in the past but nothing changes.

My daughter hurt her leg at trampoline training. I thought she probably broke it. A and E didn’t want to x-ray. But I pressed for it. She had fractured her femur. It’s worth getting a second opinion.

My DS had a foot injury during a football game. He was in absolute agony. I was convinced he'd broken it but X-rays shows nothing and indeed, it was much better after a few days.

He was very surprised because he was in much more pain then the 4 times he broke his arm, once all the way through and dislocated his finger.

Pain is not always in direct correlation with severity of injury.

Pain relief should be given max 3 dowse of ibuprofen and 4 paracetamol in any 24 hours so if say you gave paracetamol at 8am then wait 4 hours to give ibuprofen at 12pm, then 4pm paracetamol, 8pm ibuprofen, 12am paracetamol and 4am ibuprofen then back round to paracetamol at 8am the next day. This ensures regular pain relief without overdose. Make sure she’s eating and drinking to have them work effectively, Rest, ice, compression and elevation above her heart for swelling. Things like hairline fractures can be missed as there’s lots of bones in the foot especially the metatarsal ones they’re so easy to fracture. I had a fractured metatarsal for above a year and finally had to have it operated on. Please get a second opinion if she cannot bear weight on it.

I think it would be advisable to follow the instructions on the pack.

Hush with your common sense 😂

Go to MIU if you feel its Appropriate it'd ok to alternate but make sure you are not exceeding maximum dose in 24 hours and try to stretch it out a bit longer between doses
They will review but that can take ages

I know; I guess I’m showing my age, I have this reaction to quite a lot of Mumsnet threads 🙄

The painkillers are being alternated not both taken every 2 hours. So that would be one taken and then 2 hours later the other taken, so 4 hours between each.
When my son had major leg surgery he had his painkillers this way plus stronger one (cannot remember what it was at the moment it was as his surgery was 16yrs ago) every 8 hours.

Exactly @TVK9 drugs have a half life within the time they work so you need to keep topped up rather than having nothing on board

I had a serious foot injury and went to A&E. They took an x-ray as they don't do scans. It looked fine as no broken bones. They prescribed co codemol for pain and swelling. I still couldn't walk a week later and went for private scan. I had torn the plantar fascia in more than one place under my foot which doesn't show up in an x-ray.

Hi,

Hope your daughter is ok. It’s worth mentioning that they only x ray in the NHS and don’t scan for ligament tears which can be as bad or worse than a break!

shocking to think that’s never checked for. If she’s no better then push for a second opinion.