<s>[INST] I fell off my horse a week ago I have been to my Dr and got an xray of my hip and pelvis and everything checked out ok, I am still having alot of pain and my Dr cleared me for work, they said I had some internal bleeding but never checked anything but the xray, I fell again tonight on the same area should I go to the er and get checked the pain is the same as I have been having. [/INST] Hello, The symptoms seem to be related to the contusion from the fall. I suggest using anti-inflammatory medication such as Ibuprofen 400 mg three times a day. I also suggest using cold compresses at the area of the injury. Furthermore, I recommend resting and elevate the area. If the pain continue you should go at the emergency room for further evaluation. Hope I have answered your query. Let me know if I can assist you further. </s>