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Suggest treatment for pain and swelling in hand caused by insect bite

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Posted on Mon, 23 Nov 2015
Question: Hello Dr., i think I got bitten by an insect yesterday and as a result my hand got swollen (picture attached ). due ti pain i couldn't slept due to pain. please suggest some medicine.
doctor
Answered by Dr. Nishad BN (22 minutes later)
Brief Answer:
Antihistamine and local corticosteroid creams will be helpful.

Detailed Answer:
Hi

Thank you for asking HCM.

I have gone through your query and pictures. Taking antihistamines like benadryl or cetirizine will be helpful for insect bite reaction. You can also apply hydrocortisone cream locally. If you are not immunized for Tetanus then tetanus toxoid injection should be taken. If there is no improvement with this then a short course of corticosteroid like methyl prednisolone orally will be needed. For that you can approach your GP.

Check your Blood pressure. If there is more decrease in Blood pressure or feeling of dizziness or respiratory discomfort then approach ER for corticosteroid shot.

Hope this may help you. Let me know if anything not clear.
Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Nishad BN (4 minutes later)
thanks dr. if you could be more specific with medicine prescription that would help. like which pill with what concentration and which ointments. hope you understand. thanks
doctor
Answered by Dr. Nishad BN (23 minutes later)
Brief Answer:
Explained below.

Detailed Answer:
Welcome again.

Thank you for your follow up query.

Benadryl you can get over the counter. Usual dosage is 25 mg twice daily.

Hydrocortisone cream also you can get over the counter in brands like Cortisone 10. This you can apply twice daily for 3 to 5 days.

Hope this may help you. Let me know if anything not clear.
Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Nishad BN

General & Family Physician

Practicing since :2009

Answered : 5366 Questions

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Suggest treatment for pain and swelling in hand caused by insect bite

Brief Answer: Antihistamine and local corticosteroid creams will be helpful. Detailed Answer: Hi Thank you for asking HCM. I have gone through your query and pictures. Taking antihistamines like benadryl or cetirizine will be helpful for insect bite reaction. You can also apply hydrocortisone cream locally. If you are not immunized for Tetanus then tetanus toxoid injection should be taken. If there is no improvement with this then a short course of corticosteroid like methyl prednisolone orally will be needed. For that you can approach your GP. Check your Blood pressure. If there is more decrease in Blood pressure or feeling of dizziness or respiratory discomfort then approach ER for corticosteroid shot. Hope this may help you. Let me know if anything not clear. Thanks.