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DPT vaccination, swelling in thigh - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Vaccinations
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2560 Questions
User :   Hi Doctor, My son 18 months old. today he has been given DPT with booster vaccination. His leg swollen and he complains pain and refuses to walk. What's the best solution to ease pain ?
Doctor :   Hi
User :   Hello
Doctor :   How big is the swelling and where exactly is the swelling located?
User :   on thigh
User :   I can feel the stiffness. and he complains of pain whenever he moves leg
Doctor :   Is the affected leg warm compared to the other limb?
User :   Yes
Doctor :   Since when is he having the current symptoms?
User :   Vaccination given at 11 AM. After that he slept for couple of hours and then when he woke up started crying
User :   little bit feverish . so gave maftal-p for that.
Doctor :   Ok
User :   He's ok now except for leg pain
Doctor :   Let me explain to you.
Doctor :   DPT vaccines can produce inflammatory changes that are responsible for these current symptoms, the pain and fever.
User :   ok
Doctor :   They can last for 2-3 days.
Doctor :   However it is difficult to predict if any other concerns
Doctor :   such as infection is also contributing to the problem.
Doctor :   This can only be differentiated by a physical examination.
User :   ok
Doctor :   Presence of warmth diffusely on the leg, diffuse swelling(not located alone on the injection site) and high grade fever are symptoms that need physical examination.
Doctor :   I suggest you to continue the current medications.
User :   ok
Doctor :   Watch of these symptoms and keep the temperature monitored.
Doctor :   Ideally fever, mild pain can be there for a day or 2.
Doctor :   If the symptoms are persisting, or if you find the symptoms that i mentioned earlier occur
Doctor :   then you will need to report back to your pediatrician for physical examination.
Doctor :   Do you follow?
User :   yes.
User :   ok. right now I feel warmth only in the site of vaccination
Doctor :   That can be normal.
Doctor :   I would want you to watch the injection site.
User :   ok
Doctor :   If you feel that there is a large swelling happening, skin stretch, warmth spreading to other areas or any new symptoms occurring
Doctor :   report back to your doctor.
Doctor :   Have you followed?
User :   Sure.
Doctor :   Do you have any other query?
User :   I remember paediatrician telling me to give hot water pack to the area of sswelling
User :   is it hot or cold water ?
Doctor :   Hot water bags help in increasing the blood circulation to the areas and this helps in reducing the pain.
Doctor :   You may use hot water bags on the thigh muscles, this will help in reducing the pain.
User :   is it bag or can I dip cloth in hotwater and apply.
Doctor :   I shall suggest you three methods by which you can do it.
Doctor :   1. If you have a hot water bag used for fomentation techniques, you can apply the same on the affected thigh.
Doctor :   2. Soak a cloth in hot water, squeeze out the excess water and apply them on the affected region
Doctor :   3. After squeezing the cloth, you can put the same in a microwave, heat it for 30 to 60 minutes and apply the same over the affected site.
Doctor :   But make sure that you test the heat on your skin before you apply to your kids leg.
User :   sure. got it.
Doctor :   Make sure it isn't hot to avoid burn/scalds
Doctor :   Do you have any other query?
User :   that's all. Thanks a lot doctor.
Doctor :   Thanks for consulting me.
Doctor :   Have a nice week end.
Doctor :   Bye for now.
User :   I feel much informed. Thanks you too
Doctor :   My pleasure.
Doctor :   Bye.
User :   bye
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