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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.
This is a premium question & answer 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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