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Developed painful swelling in the upper arm, vaccinated site. What is the treatment?

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Patient's Query

Hi doctor,

I am a 53 year old lady with controlled DM for four years and mild hypertensive for two years, I have received Influenza vaccine and Meningococcal vaccine on the same day in both upper arm sides before one week. Today, I developed painful swelling with redness in my left upper arm at the injection site. What is the home treatment for my case?

Answered by Dr. Uppal Veerpal Singh

Education:

MSc Internal Medicine

Professional Bio:

Dr. Uppal Veerpal Singh is an experienced General Practitioner and Family Physician with extensive years of clinical practice. He provides comprehensive healthcare for individuals and families, managing acute and chronic conditions with a holistic approach. Rather than focusing on a single patient group, he emphasizes continuity of care across all ages. Dr. Singh is dedicated to preventive medicine, patient education, and delivering compassionate, personalized care to improve long-term health outcomes.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com.

  • A painful swelling after vaccine at the injection site in a diabetic patient is common. In diabetic patients, if glucose control is inadequate, then any injection of injury causes prolonged healing due to the high sugar level in blood.
  • You just have to check and keep your sugar and HbA1C level to normal. Consider, dose adjustment of your Glucophage (Metformin) with your physician if required.
  • However, you can clean the injection site with an antiseptic (Chlorhexidine) to avoid contamination.

The Probable causes

High blood sugar or poor control.

Investigations to be done

Blood sugar profile and HbA1C.

Differential diagnosis

Cellulitis.

Probable diagnosis

Injection site infection in people with diabetes.

Treatment plan

Antiseptic cleaning, reduce blood sugar and dose adjustment of Glucophage.

Regarding follow up

For further information consult an internal medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician
Medically reviewed by iCliniq medical review team
Published At April 28, 2017
Reviewed At September 3, 2021

Education:

MSc Internal Medicine

Professional Bio:

Dr. Uppal Veerpal Singh is an experienced General Practitioner and Family Physician with extensive years of clinical practice. He provides comprehensive healthcare for individuals and families, managing acute and chronic conditions with a holistic approach. Rather than focusing on a single patient group, he emphasizes continuity of care across all ages. Dr. Singh is dedicated to preventive medicine, patient education, and delivering compassionate, personalized care to improve long-term health outcomes.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MSc Internal Medicine

Professional Bio:

Dr. Uppal Veerpal Singh is an experienced General Practitioner and Family Physician with extensive years of clinical practice. He provides comprehensive healthcare for individuals and families, managing acute and chronic conditions with a holistic approach. Rather than focusing on a single patient group, he emphasizes continuity of care across all ages. Dr. Singh is dedicated to preventive medicine, patient education, and delivering compassionate, personalized care to improve long-term health outcomes.

This doctor is not available for online consultations on the platform anymore.

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