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Suggest Treatment For Swelling And Warm Sensation In The Fingers

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Posted on Mon, 8 May 2017
Question: I got pricked by a palm tree in my finger, right by the joint. It's been 3 days and finger is swollen (no reduction) and 'warm' . I have doctor appointment but earliest was Monday , so it's another 3 day wait. Should I be concerned to wait?
doctor
Answered by Dr. Grzegorz Stanko (17 minutes later)
Brief Answer:
Please attach a picture of it.

Detailed Answer:
Hello!

Thank you for the query.

Can you please attach a picture of your palm? Do you have fever? What is your heart rate and blood pressure?

I`m looking forward to hearing from you.
Regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Grzegorz Stanko (48 minutes later)
It's a pineapple palm tree. I pulled the thorn out of the finger but hard to tell if any residue is left in finger. Finger is not discolored , just sore and swollen and warm around the puncture wound (pulsating a bit). the pain traveled down teh middle of the palm (inside of hand) initially but less so now. Finger tip has a numbing sensation (but it's the pulsating/blood circulation) giving that sensation I think. Don't have a way to measure blood pressure. Heart rate, about 67 beats/min. No fever. Just need the signs what to look for in case it's believed to be more serious, or if it develops over weekend (emergency room need vs GP visit on Monday).

I also have some Doxicycline/ anti-biotic on hand, but it's 5 + years old and thinking it's way past shelf life to do anything?
doctor
Answered by Dr. Grzegorz Stanko (26 minutes later)
Brief Answer:
You may wait till monday.

Detailed Answer:
Generally you have some symptoms of nerve compression and impeded blood flow due to swelling. Lack of fever and correct blood pressure rules out an infection. So in my opinion you may wait and see. I suggest you to start some antiallergic medicine like Loratadine or Levocetrizine (this one is better). Put some lukewarm compress on it and keep your hand a little bit higher (on the pillow) while sleeping.
In case of fever, sweating, worsening of the swelling, accelerated heart rate (over 100) ER is a good address. Otherwise you may wait till Monday.

Regards.
Note: For further inquiries on surgery procedure and its risks or complications book an appointment now

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Grzegorz Stanko

General Surgeon

Practicing since :2008

Answered : 5798 Questions

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Suggest Treatment For Swelling And Warm Sensation In The Fingers

Brief Answer: Please attach a picture of it. Detailed Answer: Hello! Thank you for the query. Can you please attach a picture of your palm? Do you have fever? What is your heart rate and blood pressure? I`m looking forward to hearing from you. Regards.