HomeAnswersInternal Medicineinjection abscessWhy do I get pain in the injection site on touching?

IM injection of Gentamicin causes pain in the injection site while touching. Is it something to be worried?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Vinodhini J.

Published At July 5, 2020
Reviewed AtJuly 5, 2020

Patient's Query

Hello doctor,

I am a 40-year-old male. Post IM injection area is paining both sides of the thighs. I have taken Gentamicin 80 mg injection twice daily for five days for UTI (urinary tract infection). If I touch the area and press on it, it is paining little. Both sides of the injection site became little hard. If I do not touch it and press it, then there is no pain. If I put pressure on the area, then it is paining, if not no pain. No swelling, no redness. Is it normal (pain) or should I worry about anything? Is there any use with a cold compress. Kindly let me know, as I am a little worried. As I was having IBS, I cannot take antibiotics orally, the doctor prescribed me IM injections. Kindly give advice to me.

Answered by Dr. Mohammad Rajja

Hello,

Welcome to icliniq.com.

Gentamicin 80 mg injection IV (intravenous) is better than IM (intramuscular). As Gentamycin is in crystal form it will accumulate in the muscular area. Further, there are chances of infection. However, you can do hot compression on the infected and swelling area. It will become soft after hot compression.

You can also take pain killer tablet Etoricoxib 120 mg one tablet OD 10 days, Lansoprazole 20 mg one tablet OD 10 days. Do hot and cold compression alternatively.

You can use Ornidazole 500 mg one tablet BD for five days. Do not be worried.

The Probable causes

Injection site infection.

Investigations to be done

Doppler to the injection area.

Differential diagnosis

Injection site infection.

Probable diagnosis

Injection site infection.

Preventive measures

Hot and cold compression.

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

Dr. Mohammad Rajja
Dr. Mohammad Rajja

General Practitioner

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