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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?

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 byiCliniq medical review team

Published At April 28, 2017
Reviewed AtSeptember 3, 2021

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