Hepatic hematoma: Hepatic hematomas are formed in the liver. A large hematoma may last weeks to months and as it heals it will change color and slowly shrink in size. This causes blood to flood into the space between the skin and the cartilage, resulting in sudden swelling. De Villeneuve Bargemon J-B, et al. If a person experiences trauma and develops symptoms such as confusion, intense headache, uneven pupils, or other neurological signs, seek immediate medical care. How long does a hematoma take to heal? Lightly wrap the injury with an elastic or soft bandage. For example, a patient who injures the base of his thumb might cause a hematoma, which will slowly move all through the finger within a week. Therefore, an urgent evacuation of the haematoma must be performed to release the tension over the skin. Hematomas will usually reabsorb into the body, like a bruise. There are several methods for dealing with ear hematomas in cats. Studies have shown that trephination has the same efficacy as complete removal of the nail. A hematoma is a bad bruise. Hematomas will usually reabsorb into the body, like a bruise. An aural hematoma may feel squishy or taut to the touch. These over-the-counter drugs arent recommended because they can slow blood clotting. Surgical evacuation of muscular hematoma is indicated when there is a neurological compromise due to the hematoma or localized ischemia. Without prompt treatment, this can result in permanent tissue damage. 22. This includes the brain. Chronic expanding hematoma is a rare persistent hematoma that can sometimes be misdiagnosed as a malignant tumor due to its clinical and radiological features. The evacuation of the hematoma is done by a neurosurgeon. Recovery time can range between a few days to a few weeks. A bruise, or a contusion, is a bleed into the skin that occurs when small blood vessels break. If there is no break in the skin, the blood stays inside, leading to discoloration. Acute management of auricular hematoma: a novel approach and retrospective review. A blood vessel wall can break due to injury, allowing blood to flow into surrounding tissues. Hematoma can occur after blunt trauma or surgery, in patients with clotting deficiencies, or spontaneously. The blood has nowhere to go, since there is no opening in the skin for it to flow out of, and it begins to build up in the area. Why Do Cross Country Runners Have Skinny Legs? A bruise, also known as a contusion, typically appears on the skin after trauma such as a blow to the body. If home measures dont give you relief, you should contact a doctor for the next steps. Occasionally a haematoma remains serous and persists indefinitely as an intramuscular cyst. Once the needle is sterilized, you will need to puncture the hematoma with the needle. How long does it take for a hematoma to clot? A hematoma is generally associated with pain and swelling. All rights reserved by myacare.com, PIRIFORMIS SYNDROME & HERNIATED DISC: SIMILARITIES AND DIFFERENCES. The bruise gets bigger or becomes more painful. Lost all or part of your toenail? Muscle hematoma: Muscle hematoma is due to the extravasation of blood in the muscle group. Epidural hematoma: A collection of blood between the skull and the dura mater (the outer protective lining of the brain). If you have a large hematoma that doesnt go away for several days following your injury, your doctor might suggest that it be drained. These steps can be remembered with the acronym RICE. (Video) What does a blood clot in the leg feel like? How do you drain a hematoma on your leg? Subungual hematoma drainage. Home | About | Contact | Copyright | Report Content | Privacy | Cookie Policy | Terms & Conditions | Sitemap. Trephination can be done by electrocautery, laser, syringe, or nail puncture. Rest will help your body heal and will also help prevent more damage. It has become hardened. The skin over the hematoma may turn bluish then brown and yellow as the blood is dissolved and absorbed. The swelling and pain of the hematoma will go away. The surgical management of chronic subdural hematoma. Jamieson, K. G., & Yelland, J. D. N. (1968). Sterilize your ear with alcohol or iodine. (2018). This takes from 1 to 4 weeks, depending on the size of the hematoma. 25. Read More Created for people with ongoing healthcare needs but benefits everyone. Watch closely for changes in your health, and be sure to contact your doctor or nurse advice line if: The bruise lasts longer than 4 weeks. Trauma is the most common cause of a hematoma. What helps a large hematoma on your leg? To update your cookie settings, please visit the, Clinical outcome of IR drainage of breast seroma following mastectomy with reconstruction, Percutaneous primary jejunostomy tubes inserted using fluoroscopic guidance: comparison to laparoscopically inserted jejunostomy tubes, https://doi.org/10.1016/j.jvir.2013.01.133, Hematomas - to drain or not to drain, the interventionalist's dilemma. Wrap the bruised area in an elastic bandage. If your symptoms dont improve within a few days of developing the injury, see your doctor. Most hematomas are harmless and not a cause for concern. A clinical examination and brain imaging are required for assessment. Rest the area. A hematoma is a bad bruise. For larger hematomas, the whole ear flap will be engorged, and the weight of the hematoma may cause the ear flap to droop. Read . ), Elevate (Elevation of the injured area above the level of the heart is recommended.). Subungual hematoma. The process doctors follow to drain subungual hematomas is as follows: Relief from pain and pressure may be immediate after trephination. The technique is easy to perform and permits rapid evacuation of hematomas, thereby minimizing patient discomfort. Apply ice as directed. I have a large hematoma on my hip/buttock from a bike fall over two weeks ago. These measures usually help to reduce inflammation and diminish its symptoms. However, adequate care is required to avoid complications. Avoid all movement and massage of the bruised area. If blood is spontaneously draining from the hematoma, drainage of subungual hematoma is generally not required. If drainage is the chosen treatment, be prepared to return to your veterinarian for a few visits, as repeated draining is often necessary. Additionally, you can take pain medications such as acetaminophen. When an injury occurs to a blood vessel, such as damage from a cut or impact from a blunt object, blood leaks out of the blood vessel and into the tissue around it. Whats the difference between a contusion and a hematoma? 9. The subdural hematoma will gently drain away within two to four days. Repeated draining is often needed so be prepared to return to your veterinarian for a few visits. Some people may feel better within a few weeks or months, while others may never make a full recovery even after many years. Mild hematomas and contusions typically heal within about five days. Should you elevate a leg with a hematoma? Ice: Apply an ice pack to the injured area for 20 minutes at a time, 4-8 times a day. Can you get a blood clot from a hematoma? Why would a hematoma need to be drained? Why Do Cross Country Runners Have Skinny Legs? When a hematoma is present, the pinna will appear very thick and spongy. I know what you people are going thru and I also cannot believe a hematoma of this nature. Can you get a blood clot from a hematoma? ), Elevate (Elevation of the injured area above the level of the heart is recommended. A primary care doctor can diagnose a soft tissue hematoma in a physical exam. It usually takes around four to six weeks for a hematoma to disappear, but in some cases it may take months. A hematoma can be defined as a pool of blood trapped outside a blood vessel. Doctors who typically care for patients with hematoma are emergency room physicians, urgent care physicians, surgeons, neurosurgeons, and internal medicine doctors. How long should you sleep with your leg elevated after knee surgery? Injuries occurring in capillaries, veins, or arteries can form hematomas. #shorts #hematoma, (Video) DRAINAGE OF A LARGE HEMATOMA - DR. TANVEER JANJUA - NEW JERSEY, (Video) Thigh hematoma (not drained) how to treat and help heal (personal experience), (Video) Hematoma: leg bruising and swelling, (Video) Trephination of a Fingernail Subungual Hematoma, (Video) Subungual Hematoma Emergency and Trephination Procedure. Petechiae are tiny dots of blood usually less than 3 millimeters in diameter (0.12 inch) while purpura is less than 10 millimeters in diameter (0.40 inch) and ecchymosis is greater than 10 millimeters in diameter. Why it is impossible for identical twins to be a girl and a boy? If a clot from a hematoma reenters the bloodstream, it can block an artery, cutting off blood flow to part of the body. If you have a muscular hematoma, doctors generally recommend the RICE method rest, ice, compression, and elevation to reduce the swelling and give it time to heal. Hovall is a website that writes about many topics of interest to you, a blog that shares knowledge and insights useful to everyone in many fields. Any bruise or other hematoma of the skin that increases in size over time could also present a danger. Arterial embolization is also considered a treatment option for muscular hematoma. Nails that grow back may have ridges or other abnormalities. Which Teeth Are Normally Considered Anodontia? This method isn't always effective & the hematoma may recur. However, there is a risk of ongoing bleeding in spontaneous hematoma that can be life-threatening. This takes from 1 to 4 weeks, depending on the size of the hematoma. I'm sorry that your surgeon does not want to remove the hematoma.In my opinion there is more likelihood of infection if you leave an open draining hematoma in place than if you are properly treated by removal of the implant removal of the hematoma cleansing of the pocket with triple antibiotic solution and replacement of your breast implant. Auricular hematoma, if untreated, can lead to the death of auricular cartilage. 4. Find out. In patients with hematomas less than 2 cms in diameter and presenting within 48 hours, needle aspiration is suggested. All 50 were successfully drained by SIR criteria for diagnosis, with 46 patients resolving the clinical episode that precipitated drainage. Rarely, these swellings slowly expand3,6 and can be mistaken for a soft tissue malignancy. After the subungual hematoma has been drained, follow-up is usually not necessary. The key is to ensure that the hematoma is not older than 48 hours. 13. Surgery. A hematoma may form in a muscle or in the tissues just under the skin. Certain indications for surgical drainage of hematoma are mentioned below: 1. Can you get a blood clot from a hematoma? In general, superficial hematomas of the skin, soft tissue, and muscle tend to resolve over time. Nasal septal hematoma has a high risk of forming an abscess and can lead to sepsis. That said, you may experience drainage for a couple days after the procedure. Emergency medicine, urgent care, primary care physicians frequently care for patients with hematomas. 11. Hematoma is the accumulation of blood in the surrounding tissues following an injury to blood vessels. Subdural hematoma: Subdural hematoma is generally the tearing of veins in the space between the internal linings of the brain. Next, you will need to sterilize a needle by boiling it for 3-5 minutes. Can a bruise turn into a hematoma? A hematoma is a collection (or pooling) of blood outside the blood vessel. Determine outcomes associated with the percutaneous drainage of hematomas. A hematoma can arise from injuries, certain medications such as aspirin, clopidogrel, warfarin, rivaroxaban, dabigatran, and bleeding disorders such as thrombocytopenia. What happens if you don't get a hematoma drained? Pain when moving the limb (normally exercise induced) Swelling Pressure Heat If the hematoma is left to grow and is not treated soon then the blood can continue to leak for some time and can cause a condition known as 'compartment syndrome' which can cause nerve and muscle damage. It is a pooling of blood outside of the blood vessels deeper in the skin than a bruise occurs. The formation of seromas is the body's response to dead space within tissue that was attached to something before surgery. They usually resolve over time as the blood clot is removed and the blood vessels are repaired. How much does draining a hematoma cost? Anand on March . Some hematomas are medical emergencies. If the nail was removed and a cut in the nail bed was stitched closed, you should see your doctor in 48-72 hours for re-examination. This condition can be caused by traumatic injury, infections, certain medications, and cancer. Surgery may be more likely if the blood is putting pressure on the spinal cord, brain, or other organs. Loss of movement (paralysis) on the opposite side of the body from the head injury. It usually takes around four to six weeks for a hematoma to disappear, but in some cases it may take months. If the bruise is on a leg or arm, compression (wrapping with an ace wrap) may help. Hematomas are similar to bruises, except they are more severe. Many hematomas are simple. How do you get rid of a hard hematoma? 1 When feeling a hematoma, it may feel like a firm lump beneath the skin. If you have a hematoma over your shinbone, your doctor may recommend surgery. When does a hematoma need to be drained? Hematoma Patients suffering from hematoma are offered incision and drainage to relieve pressure caused by the collection of blood leaking out into the soft tissues of the body. Treatments for possible complications caused by a hematoma include: Depending on the cause, it can take anywhere from 1 to 4 weeks for a hematoma to go away. However, some hematomas need surgical drainage depending on the location and symptoms. How long does a hematoma take to heal? 4. Follow up of patients is recommended to ensure that there is no infection and the hematoma has resolved. This takes from 1 to 4 weeks, depending on the size of the hematoma. A few examples of hematomas include: The treatment of hematoma depends on the location, symptoms, and medical condition of the patient. With an aural hematoma, your cat's ear flap will be swollen. You can apply heat to boost circulation and increase blood flow. If a haematoma is left untreated and the pressure within the haematoma exceeds the blood pressure in the dermal and subdermal capillaries, it may result in a large area of necrosis of the overlying skin. Learn how we can help 4.6k views Answered >2 years ago Thank 3 thanks A 17-year-old female asked: In other cases, doctors may want to drain a hematoma that is at risk of infection. How long does a drained hematoma take to heal? Surgery may be more likely if the blood is putting pressure on the spinal cord, brain, or other organs. Using home methods such as a heated pin or paperclip to make a hole in the nail may cause infection from bacteria entering the wound. In general, hematoma exhibits an acute growth period and resolves spontaneously ; however, in some cases, hematoma expands slowly, mimicking a malignant soft tissue tumor. Small hematomas may resorb after a few days. In this procedure, the hematoma would be pierced and drained under anesthesia, but it is likely to recur and may need to be drained multiple times. You can learn more about how we ensure our content is accurate and current by reading our. 2.5cm incision inferior to eschar. What happens if hematoma is not drained? If left untreated, a subdural haematoma can grow and press on the brain. If you experience this type of injury, dont hesitate to get checked out by a doctor. If your fingernail has fallen off because of the pressure of the hematoma, it may take between 4 and 6 months to fully grow back. Drainage of a subungual hematoma is often accomplished with use of an electrocautery device or heated 18-gauge needle. In most cases, a drain is placed in your dog's ear to keep additional fluid from building up within the earflap. Do not drink alcohol until your doctor says it is okay. (Video) Hematoma, Causes, Signs and Symptoms, Diagnosis and Treatment. How long does it take for a hematoma to reabsorb? Rest will help your body heal and will also help prevent more damage. As more blood fills your brain or the narrow space between your brain and skull, other signs and symptoms may appear, such as: Without advertising income, we can't keep making this site awesome for you. The surgical drainage is done by a neurosurgeon. Two other types of bleeding under the skin are petechiae and purpura. If a hematoma is left untreated, it can sometimes result in various complications. 12. If you're treating a hematoma at home, do not take aspirin or ibuprofen (Advil, Motrin). Incision and drainage are suggested for larger hematomas more than 2 cms in diameter or those presenting after 48 hours. Do you ever drain a hematoma? A hematoma is not a bruise. Myositis ossificans usually results from muscle contusion and occurs in large muscles of the extremities. The skin over the hematoma may turn bluish then brown and yellow as the blood is dissolved and absorbed. A hematoma is a common problem that occurs as a result of damage to one of the larger blood vessels in the body. Similarly, a large hematoma that does not improve over a week usually requires surgical drainage. A bruise is a type of hematoma. Epidural Hematoma: This type of hematoma is generally due to arterial bleeding between the skull plate and the outer lining of the brain. 23. However, depending on the size, location and cause of the hematoma, the area may need to be drained surgically, or take a longer period of time to resolve. If surgery is needed, costs will be higher due to the need for anesthetic drugs, use of the operating room, and multiple medical personnel. Any bruise or other hematoma of the skin that increases in size over time could also present a danger. Antibiotics are not routinely needed after a subungual hematoma is drained, as infections are uncommon. The skin over the hematoma may turn bluish then brown and yellow as the blood is dissolved and absorbed. If you have a hematoma, your skin might feel spongy, rubbery or lumpy. Slurred speech. Do Men Still Wear Button Holes At Weddings? Whats the difference between a contusion and a hematoma? Usually, this only takes a couple of weeks but can last months. 2. However, depending on the size, location and cause of the hematoma, the area may need to be drained surgically, or take a longer period of time to . Kinds of Hematoma Hematoma is a common condition that many individuals face at some point in their life. After the first 48 hours and whilst you wait for it to heal, just keep gently exercising and stretching the area as long as you dont cause pain. After the first 48 hours, you may use heated compresses (which may be a heating pad, or a very warm wash cloth), 2 or 3 times a day . Hematomas-to drain or not to drain, the interventionalist's dilemma. Doctors who typically care for patients with hematoma are emergency room physicians, urgent care physicians, surgeons, neurosurgeons, and internal medicine doctors. Larger hematomas may or may not cause issues. When closer to the surface of the skin, the hematoma appears as a painful lump that is initially red, black, or blue. If the bruised area is swelling, put an elastic bandage around it, but not too tight. As hematomas break down and absorb the firm collection of blood, they eventually change to yellow or brown. Patient noted to have improvement in extension range of motion, dorsal edema and skin tightness. Sudden changes in behavior, such as confusion, lethargy, irritability, or restlessness. 2005-2023 Healthline Media a Red Ventures Company. In other cases, doctors may want to drain a hematoma that is at risk of infection. Some hematomas are medical emergencies. 2022 - 2023 Times Mojo - All Rights Reserved Draining the nail is a simple, relatively painless process that can help you feel better, but it needs to be done soon after your injury to be successful. It is a pooling of blood outside of the blood vessels deeper in the skin than a bruise occurs. Acetaminophen (Tylenol) can be taken for discomfort. A doctor can provide tips on wrapping or bracing the area. Do NOT close wound. An ear hematoma will develop in dogs when the blood vessels within the ear tissue suddenly burst. A hematoma may form in a muscle or in the tissues just under the skin. If youve ever injured your fingernail or toenail, you may have noticed blood pooling under the nail beds surface. Surgical evacuation is usually performed by a general surgeon or an orthopedic or trauma surgeon. Hematomas can become quite large and collect enough blood to cause low blood pressure and shock. Hematomas are classified and named based on their location in the body. What happens if subdural Haematoma is left untreated? Ice therapy. Continue to press the needle further into the hematoma until the syringe begins to fill. The exact cost will depend on a number of factors, such as the driveway size and material . Hematoma pain and swelling may be treated with over-the-counter (OTC) pain medications. Along with the causes of dark, Split nails are often caused by an injury such as a stubbed toe or receiving a severe blow to a finger or thumb. Many people, when they have a collision, fall and head collision, subjectively do not go to check and think it is not dangerous. 7. Even if the hematoma resolves on its own, self-care is important to prevent complications and reduce pain and swelling. It depends on the location of the hematoma and the severity of the symptoms. In general, superficial hematomas of the skin, soft tissue, and muscle tend to resolve over time. In fact, as long as they do not show signs of a hematoma (discussed below) it is fine to let them sleep. Ice: apply an ice pack or compression for 20 minutes at a time for 48 hours following the injury to reduce swelling and inflammation. More severe hematomas that continue to enlargemay require surgery to drain the accumulated blood and/or control any bleeding vessels and reclose the surgical site. The accumulated fluid is then drained. A subungual hematoma usually resolves on its own without any treatment. The amount of time it takes for a hematoma to reabsorb depends on the size of the hematoma. They can be spontaneous or traumatic. #shorts #hematoma, (Video) Incision and Drainage of Hematoma | Dr. Prateek Joshi, (Video) DRAINAGE OF A LARGE HEMATOMA - DR. TANVEER JANJUA - NEW JERSEY. Leave it in place for 20 minutes. If a hematoma is especially painful, it is best to. Urgent surgical hematoma evacuation is required for the patient with large extradural hematoma, i.e., >30 ml or causing a focal or progressive neurological deficit. In other cases, doctors may want to drain a hematoma that is at risk of infection. Contents. Unlike other bruises, it is usually accompanied by significant swelling. pain medication such as acetaminophen (Tylenol). Before that happens, though, you may choose to relieve the pain and pressure by draining the hematoma. Surgery may be more likely if the blood is putting pressure on the spinal cord, brain, or other organs. Apply ice immediately after the injury. Apply heat to bruises that have already formed to clear up the trapped blood. View complete answer on practiceupdate.com. If a clot from a hematoma reenters the bloodstream, it can block an artery, cutting off blood flow to part of the body. When should you worry about a hematoma? If a hematoma is especially painful, it is best to seek medical attention. You can usually see and feel a hematoma because it's often just below the skin, where blood has collected and clotted together. To search for the best healthcare providers worldwide, please use the Mya Care search engine. TimesMojo is a social question-and-answer website where you can get all the answers to your questions. However, depending on the size, location and cause of the hematoma, the area may need to be drained surgically, or take a longer period of time to resolve. 19. Whether the surgical removal of the uterus is done for endometriosis, fibroids, or gynecological cancer, life after hysterectomy permanently changes a few aspects of your life. Complications also vary according to the site. Aspirin should be avoided, as it tends to increase bleeding. The healing time for a hematoma can take weeks to months. EMMY NOMINATIONS 2022: Outstanding Limited Or Anthology Series, EMMY NOMINATIONS 2022: Outstanding Lead Actress In A Comedy Series, EMMY NOMINATIONS 2022: Outstanding Supporting Actor In A Comedy Series, EMMY NOMINATIONS 2022: Outstanding Lead Actress In A Limited Or Anthology Series Or Movie, EMMY NOMINATIONS 2022: Outstanding Lead Actor In A Limited Or Anthology Series Or Movie. Other hematomas on the lower leg are mostly treated conservatively. If it is solid, your surgeon might have to do another surgery to open up the skin and take out the hematoma if you want it removed right . . 11 Aug 2022 Overview A hematoma refers to a pooling of blood in the surrounding tissues after an injury to the blood vessels. It occurs due to irritated or compressed sciatic nerve. Without advertising income, we can't keep making this site awesome for you. Elevation: Elevation of the injured area above the level of the heart is recommended. 20. Retroperitoneal hematoma: Hematoma formed in the retroperitoneal structures, posterior to the peritoneum. Seek immediate medical care (call 911) if you suspect a hematoma due to head injury, especially if you, or the person you are with, is vomiting or experiencing confusion or loss of consciousness for even a brief moment. it is the size of a soft ball. Yes: Very common for a hematoma over the shin bone (tibia) not to be absorbed and form a permanent cyst. Hematomas will usually reabsorb into the body, like a bruise.However, depending on the size, location and cause of the hematoma, the area may need to be drained surgically, or take a longer period of time to resolve. If you suspect your child has a newborn hematoma, seek immediate medical attention. Heat. If the blood is very viscous then this is a strong predictor of cardiovascular events such as heart attacks and blood clots. Ice helps reduce swelling. Evacuating the nefarious subungual hematomas. In some cases, a subdural haematoma can cause damage to the brain that requires further care and recovery time. Meet ARYA's new portable oxygen concentrator, - | - . Ice (Apply the ice or cold pack for 20 minutes at a time, 4 to 8 times a day. The following steps can be carried out to care for hematoma at home. If youve also fractured your finger, doctors recommend drainage if the hematoma makes up 25% or more of your nail. Prop up the bruised area on a pillow when you ice it or anytime you sit or lie down during the next 3 days. What kind of doctor removes hematoma? On the day you get a bruise, apply an ice pack to reduce swelling as well as constrict broken blood vessels. This method is best for small hematomas only. The cost can run anywhere from $250-$500 or more depending on the size of the hematoma and the extent of follow-up care by your vet. Subdural hematoma: It is the collection of blood between the dura mater and the arachnoid mater (lining of the brain that lies deeper than the dura mater). However, do not consume other pain medications like aspirin or ibuprofen on your own, as they can slow the clotting process and increase the risk of bleeding. You may also want to notify your doctor if you tend to bruise easily or often as this could be linked to an underlying medical condition or medication. the bleeding in and around your nail doesnt stop on its own, the injury involves a fracture or open wound that. Extradural hematoma: report of 167 cases. Of the 9 in which a catheter was not placed, 0 had a positive culture. Small hematomas may resorb after a few days. The haematoma should be drained under aseptic conditions. The bruise gets bigger or becomes more painful. A seroma is a sterile collection of fluid under the skin, usually at the site of a surgical incision. Lower limb hematoma: A hematoma on the shin is usually treated by surgical drainage. at all worried about the hematoma then please get it checked out by your health care provider so they can assess if it does need to be drained. Compress the injury if possible. It is important to ensure that universal precautions for blood and body fluid are adhered to, as the blood is under pressure and may spurt out (Buttaravoli and Stair, 2004). Doctors recommend draining subungual hematomas when they cause pain or make up 50% or more of the nail. Ice: A bag of frozen peas in a damp tea towel for 10-15 minutes. Apply ice immediately after the injury to reduce blood flow around the area. Usually, this only takes a couple of weeks but can last months. DOI: https://doi.org/10.1016/j.jvir.2013.01.133, This paper is only available as a PDF. (2019). Auricular hematomas are caused by direct blunt trauma to the anterior auricle, occurring most commonly in wrestlers, boxers, and rugby players. It occurs when the small veins and capillaries under the skin break. Rest: Avoid using the body part in question and just generally try to get rest. More severe hematomas that continue to enlarge may require surgery to drain the accumulated blood and/or control any bleeding vessels and reclose the surgical site. They can cause serious harm and if they get large enough, they may cause blood pressure to drop. What if your nail falls off? Subperiosteal hematoma of the ankle. 4. How do you drain a hematoma from under your nail? Sometimes, a hematoma may require surgical drainage. TimesMojo is a social question-and-answer website where you can get all the answers to your questions. Sometimes, hematomas can go away on their own. If the hematoma is causing symptoms and is slow to being re-absorbed by the body, then it can make sense to drain the hematoma. However, bruises themselves do not cause blood clots. cold compress or ice pack application for 20 to 30 minutes for the 48 hours following injury to reduce swelling. Sometimes, hematomas can go away on their own. Fluid builds up under the skin where tissue was removed.