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