Does Swelling In The Right Wrist Require An ER Consultation Despite Taking Clindamycin?

Posted on Tue, 3 Oct 2017

Question: I went to urgent care late Friday with pain and swelling in in my left wrist. Yesterday my right wrist started with the same systems and now both wrists are extremely painful. The diagnosis on Friday was cellulitis of the wrist; Diabetes mellitus. Prescribed clindamycin which I am taking along with other medications.
Should I head for the emergency room because of the second wrist or see how it goes the rest of the day?

Answered by Dr. Dr. Muhammad Sareer Khalil (1 hour later)

Brief Answer:
Diabetes with cellulitis

Detailed Answer:
Hello and Welcome

I appreciate your concern

Diabetes with cellulitis is a dangerous combination. In my view IV (Intra Venous) broad spectrum antibiotics should be initiated especially if there is progression. Insulin can be administered on sliding scale as an alternate to metformin during the cellulitis to have a sustained and tightly controlled blood sugar level during this stress. Plain x rays should also be advised to look for any bone involvement.

Wishing you best of health

Thanks

Let me know if you have any query

Please consult your doctor before deciding on any further course of action.

For future follow up / correspondence you may ask me directly at the link given below

http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=68107

Dr. M.S. Khalil

Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

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