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

Answered by
Dr. Veerpal Singh Uppal
and medically reviewed by iCliniq medical review team.
Published on Apr 27, 2017

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?

Dr. Veerpal Singh Uppal

General Medicine Internal Medicine
#

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


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