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Suggest Treatment For Pain And Swelling In Buttocks After An Injection

Posted on Sat, 11 Oct 2014

Question: I am female, 53 yrs, dx diabetic 2, multiple calcified fibroid and questionable renal cell carcinoma, my blood volume was 31% and eldervit 12 IM was given once 2 weeks ago and I have since developed extreme pain, burning sensation, bitting and milking painful feeling and swellon from right buttocks the site of injection down to my right knee for about week and in the past one week it has gone down to my toes. I also feel simmillar painfull milking episode inside my two shoulders milking. It feels like abccess inside the bone, muscles and even pains exit on the surface of my skin. No pain medication relieves the excru ciating pain and I cant sleep or concentrate on anything. I need a help. YYYY@YYYY

Answered by Dr. Dr. Muhammad Sareer Khalil (2 hours later)

Brief Answer:
explained

Detailed Answer:
Hello and Welcome

I appreciate your concern.

Depending on your anemia, it would take a minimum of 2-3 weeks for response and improvement symptomatically
Additionally to eldervit , eggs and dairy products can also be used to improve B12 levels.
Check with reticulocyte count after 15 days of treatment to identify improvement.

I would advise the following investigations in consult with your doctor to rule out any other systemic cause in addition to the anemia.
CBC with ESR LFTS, RFTS, ELECTROLYTES, HBA1C , FBS, Stool R/E and stool for occult blood, Urine R/E

Injection neuropathy at site of injection is also a cause and if swelling is evident on physical exam , steroids can be started in consult with your doctor.

I saw the pain meds that you are using which are not alleviating your symptoms.
I would advise Gabapentin 600 mg tds and Diclofenac sodium 100 mg sr bd with PPI cover ( esomeprazole ) for two weeks to see for improvement.

Let me know if you have any query

wishing you best of health

Thanks

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

Above answer was peer-reviewed by : Dr. Raju A.T