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Suggest Treatment For Red Swollen Spot Behind Thigh

Posted on Mon, 20 Jul 2015

Question: My son having red XXXXXXX on one his thigh back side, we applied T-Bact on it but there is no major relief as its having more redness around it with swelling and increased in size.
Could you please let me know the following:
1)What is the reason for that?
2)Shall i continue with the T-Bact cream?
3)What other medicines does he need to get relief?
4)Generally how long does it take to recover?

Thanks

Answered by Dr. Arun (32 minutes later)

Brief Answer:
bacterial infection send photo

Detailed Answer:
Hi
Thanks for writing to us.
Could you send a picture of the XXXXXXX
1. From your description it looks like a bacterial infection.
Impetigo or boils are caused by staphylococcus bacteria which spreads through skin contact. The redness and swelling could indicate pus formatio.
2. You can continue cream.
3. You may need to give him oral antibiotics like amoxicillin for atleast 5 days.
4. It may take even a week more. Sometimes the pus might come out which you need to squeeze and drain if opens spontaneously.
If swelling and pain increase despite these measures you need to consult your doctor for removal of pus.
Wishing your child good health and speedy recovery.
Regards
Dr Arun

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Arun (9 minutes later)

Thanks for the response, could you please help with the following :

1)What potency/Exact name of Amoxicillin medicine that i can give with frequency for the day.
2)Also advice pain killer as there is some pain
3)Could it be due to lots of sweating & cycling
4)How many time does he need to apply T-Bact.
5)Any precautions/Food that need to avoid

Regards.

Answered by Dr. Arun (16 minutes later)

Brief Answer:
375 mg

Detailed Answer:
1. 375 mg. Augmentin twice daily
2. Ibuprofen 200 mg only if pain. Not regularly.
3. Could be. Sweating increases chances of bacterial infection.
4. Two times daily
5. Routine diet.
Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Arun (6 minutes later)

Can we stop Augmentein-375mg in case of relief with in 2-3 days or need to complete 5 day course. I wrongly mention 10yrs he is 11yrs.

@waiting response,

Regards

Answered by Dr. Arun (27 minutes later)

Brief Answer:
5 days

Detailed Answer:
You need to complete 5 days.
Dose is fine for 10 year.
Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Arun (48 hours later)

The boil is healing now but since morning the child is having watery loose motions and has loss of appetite, kindly advice.

I have started giving ORS along wth LANZOL 30mg junior. Shall i stop giving him Augmentine 375mg, as he is taking Lanzol 30mg junior only once.

Please also advice food that he can take.

Regards.

Answered by Dr. Arun (5 hours later)

Brief Answer:
add probiotic like bifilac

Detailed Answer:
Amoxicillin can cause loose stools.
I usually prescribe probiotic like bifilac XXXXXXX one in the morning and one in the evening for 3 days.
Don't stop augmentin. It is essential for skin infection.
Continue lanzol and Ors.
Give him bland food. Avoid spicy oily diet.
Regards
Dr Arun

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Arun (14 hours later)

Thanks very much for the reply,actually he skipped yesterday evening dose of Augmentein 375 mg as he was having lots of weakness and stools. So in the morning today he had no watery stool but he is having the high fever of 101 and we gave him paracetamol only.

Could you please advice the line of treatment along with steps.

May i also request for the reason of fever & headache today. Is it something related to skipping antibiotic dose or related to season change. His boil is quite stable now.

Regards.

Forgot to mention he did not had Augmentein 375mg this morning as well.

Answered by Dr. Arun (10 minutes later)

Brief Answer:
may not be related to skipping antibiotics

Detailed Answer:
1. Fever may not be related to boil especially because you have given 2 days of antibiotics and boil is stable now.
2. Continue paracetamol for fever.
3. Ensure he drinks plenty of liquids to keep him hydrated.
4. If fever persists consult your pediatrician for examination.
5. Continue tbact and complete amoxicillin course
Regards
Dr Arun

Above answer was peer-reviewed by : Dr. Shanthi.E

Follow up: Dr. Arun (24 minutes later)

Please let me know in case of wrong understanding for the treatment:

1)Bifilac sache first then after 5min Augmentein 370mg with Lanzol Jr 30mg
2)Repeat Paracetamol every 8hours in case of fever
3)Hot Milk/Curd with Idli can be given

He is also complaining about stomach ache after passing stools is it due to fever.
Is the above medication cover that as well or do i need to give pudin XXXXXXX liquid to him.

Regards.

Answered by Dr. Arun (2 hours later)

Brief Answer:
avoid milk

Detailed Answer:
You are correct except that milk be restricted. Curd is better and can be given if freshly prepared.
Stomach ache could be due to gastritis or infection or antibiotic associated loose stools.
Bifilac and lanzol should be enough.
We don't recommend Pudin XXXXXXX

Regards
Dr Arun

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Above answer was peer-reviewed by : Dr. Prasad