Yes - now.: A fall from a horse is considered "blunt trauma". The most common serious abdominal injury from blunt trauma is a ruptured spleen which might cause exactly these symptoms. Without seeing you, there is no question that the symptoms you are describing merit a real examination and, at the discretion of the examiner, an abdominal ct scan. Please go now. You may be bleeding internally.
Answered 3/14/2013
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