What should I do if my face is swollen from being hit?

Mar 18, 2025 Source: Cainiu Health
Dr. Wang Lei
Introduction
The face is swollen due to a blow. Generally, it is recommended to apply cold compresses appropriately within 48 hours to constrict blood vessels and reduce swelling. At the same time, protect the injured area to avoid further trauma and infection. After 48 hours, apply heat compresses to promote blood circulation and accelerate the reduction of swelling. When the swelling is severe, topical medications may be used for treatment. If symptoms are serious, oral medications may be required.

Generally, if the face is swollen due to being hit, the condition can be relieved through cold compress, protecting the wound, hot compress, topical medications, oral medications, etc. If symptoms are severe, medical attention is required. Detailed explanation is as follows:

1. Cold compress

If the injury occurred recently, within 48 hours, apply a cold compress immediately using ice packs or a towel. Each session can last 10-15 minutes, and it can be repeated 3-4 times daily. Cold compress helps constrict blood vessels, reduce local bleeding and exudation, and alleviate swelling.

2. Protect the wound

The wound should be protected in the short term to avoid re-injury. If there is significant swelling, avoid forcefully pressing or rubbing it with your hands to prevent damaging capillaries, which could lead to capillary rupture and increased bleeding risk. Additionally, keep the area dry and clean to avoid infection.

3. Hot compress

If more than 48 hours have passed since the injury, you can apply a hot compress using a warm towel or hot water bag for 10-15 minutes per session. This will help improve blood circulation and accelerate the absorption of bruising and exudate, thus aiding in reducing swelling.

4. Topical medications

If the swelling is severe and accompanied by pain or broken skin, topical medications may be used under a doctor's guidance, such as erythromycin ointment, compound lidocaine cream, or Yunnan Baiyao spray.

5. Oral medications

If topical medications are not effective, oral medications may be combined under a doctor's advice, such as ibuprofen sustained-release tablets, diclofenac sodium sustained-release capsules, or cefixime dispersible tablets, to achieve anti-inflammatory and pain-relieving effects.

Please note that after facial swelling due to being hit, appropriate management should be selected according to individual conditions. Additionally, ensure adequate rest and avoid excessive fatigue before full recovery.

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