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Got bitten by something like a horse fly last weekend , which gave rise to a 1/2 golf ball lump knee my . Itchy annoying thing leaked alot of goo and was starting to go by thurs . Self treated with Germolene / sudocreme .
Sat noticed redness and swelling in same area , with itchy and sensitive skin .
Leg now has swelled by about 25% , from foot to knee .
Its very red and hot to touch .
Skin feels tight and stretched over most of leg .
Articulation of ankle restricted due to swelling .
Leg fairly itchy and sensitive , so i keep on covering area with germolene .
Feel fine in myself , no temp , no dizzyness , hungry and normal body functions all ok.
Tried NHS direct , 4 - 5 hour response time .
Steph / strap infection through insect bite requiring a 10 day course of Dicoxcillin ( sp ) ? from my interenet based research ... . .
My choice would be A + E at 0600 tomorrow , get prescription . Go to work .
Trying to get a DR appt where i live is impossible as the oldies bulk book them to give them something to do .
Any ideas????
no cat / bad aids comments ta, or amputate the leg with a jigsaw either .
Why wait to go to A&E?
Is there a walk-in/Minor Injuries Clinic you can get to?
Does it move around like there is larvae growing under the surface?
Go to a and e now if I were you. Anti biotics do not work instantly so its only going to get worse before it gets better. try to get it sorted asap
If your legs swelled by 25% i'd be inclined to go to A&E.
Medical attention NOW! A&E would be my choice. Queues should not be too bad at this time of day. Could be other things apart from infection and it needs treatment.
Get to the hospital, I ended up with cellulitis and they wanted me to be admitted for a course of IV antibiotics.
Best get it checked out, I reckon.
Sounds like you've been sensitised/ made hypersensitive, get something to combat the infection then keep leg raised to let swelling go down.
Sounds like you've been sensitised/ made hypersensitive
No, sounds like cellulitis to me (though obviously I haven't seen it and therefore cannot give a proper clinical assessment etc. etc.). Get thaself to A&E forthwith.
Andy MB ChB
A&E. Really. Or walk in. Today. James (doc)
A&E sooner rather than later. I had a cut that got infected last summer and the redness started moving up my shin. I got ordered to A&E by the wife (it was a Sunday after doing the cut on a Wednesday). Doctor said good job I came in as another 24 hours and it could have necessitated antibiotics through a drip. Your case sounds much worse than mine...
So, if you haven't already left after reading the replies from others above, get to A&E.
I went to the dr last year with something similar to my forearm - sensitive, popeye-style swelling, hot. Diagnosed as a bacterial infection, likely from a tiny, tiny cut got from god knows where. Course of antibiotics.
yup, had a nice week in hospital fro cellulitis a few years ago, small cut, got infected arm like a balloon, went downhill quickly feeling really flu like. A few days on intravenous anti-b's sorted me out though.
Start up gopro, stab it with a sharp knife, squeeze goo out, post on youtube*
*Best course of action for the internets. For you; go to a&e/walk in centre whichever you have near you, asap, before you get systemic symptoms.
Singletrackmind, thats obviously not right...(have you been out windsurfing since being bitten?)
Regardless please go to A&E or see a Doctor now (and stop using the Internet for self diagnosis or NHS direct for useless advice....)
Or try the GoPro and scalpel option 😯
Have you tried the out of hours GP? Seems a reasonable first call given you appear "systemically well". But you certainly sound like you need antibiotics and a review in a few days into make sure it's not getting worse,
Tbh, I don't really think this is the sort of thing that should go to A&E.....
DrP
well I went .
and then came home again .
2 1/2 hr wait according to the sign in the waiting room, 'maybe longer ' said the lady on reception.
So its back to plan A . Go early tomorrow morning and hope my leg doesnt fall off in the night .
Rode Sat am , windsurfed Sat pm . Windsurfed Sun pm . Rode mon . Worked mon /tue am, but its hard as i have to wear wellies and my foot only just goes in.
QA as well DrP .
GP here. I'd want to get that sorted today - out of hours GP, walk in clinic or A+E. Might wait until tomorrow but cellulitis can be nasty. Where do you live?
I had a large swollen leg after cutting my knee on about day 5 of a 10 day diving trip in the Pacific. It was pretty red & sore by the time I got off the boat but I didn't fancy the local tin shack medical centre so thought I'd leave it until I got back, by which time it was swelling nicely & tender to the touch.
I went straight to the GP but was told it'd be an age before I could get an appointment with a doctor, but that the nurse could see me that afternoon. Hobbled in to see the nurse, exposed my knee and she said "stay there, I'll get a doctor" 😀 . He just gave me a course of antibiotics & told me to rest it, with a short term follow up appointment... and the cheery news that if it wasn't improving on my return they'd need to inject into it.
who sais there isn't going to be a 2 1/2 hour queue tomorrow morning FFS! Take a book and get it done if it's a week old you shouldn't just be sitting back and waiting and if you are now at home you can ring NHS Direct and wait for their 4-5 hours call back!
Good Lord!
Don LundyWaiting is good. It means you’re not going to die. The person you need to feel sorry for is the one who gets rushed into the ER and treated first.
2 1/2hrs isn't even too bad for an A&E; plus it was probably just a made up 'triage by patience' that receptionists across the country excel in...
This happened to my mate who's a farrier. Left the bite and refused to go to docs. It got a bit worse and his arm had swelled right up and had blue/black lines now. Found it difficult to nail shoes on so he showed it to the vet. The Vet sent him to hospital and he spent a week on a drip.
So if it goes back, see a vet
Or don't leave it longer and longer
Make an "emergency" appointment with your GP tomorrow morning, you'll be seen the same day and get sorted.
At least you don't stink of Langstone mud and get laughed at.
Or out hours GP........!!!!!!!!
You need 500mg flucloxacillin four times a day for 7-10 days.....
Print this out - it might act as a prescription?!!!!
DrP
Out of hours gp service. Don't wait.
[img] http://www.shadygamer.com/attachments/not-sure-if-troll-or-just-very-stupid-28n1299498207760-29-jpg.430/ [/img]singletrackmind - Member
well I went .
and then came home again .
2 1/2 hr wait according to the sign in the waiting room, 'maybe longer ' said the lady on reception.
So its back to plan A . Go early tomorrow morning and hope my leg doesnt fall off in the night .
2 and a half hour wait, you will be assed first and if thought serious will be seen sooner.
Spent 2 hours in nhs drop in centre on saturday,very intresting watching the other patients, and wondering what the hell they where for, some seemingly made a total recovery and walked out before being seen, or walked in saw the queue, swore and walked out.
If its serious enough you will be seen faster, you just need to wait, the Nhs is not Asda, where they open another checkout when busy.
Actually, I'm surprised they didn't direct you to the ooh GP "check in" at qa reception...?
DrP
I like STW on days like this
OP: Any doctors here?
TJ: I'm not a doctor but here's my advice anyway
DR: Yes, go see GP not A&E (opposite to TJ advice)
OP: Thanks for that Doc, I'll do what TJ says
Tiger. He said GP unavailable. My guess its potentially serious with tht amount of swelling.
I have a history on here of telling people not to waste A&E time when its not needed but in this case I felt it was from the meagre info I had
another GP agreed with me. its a judgement call
Op doesn't make it clear exactly where it is on the leg, if its on or near a joint could also be a septic arthritis which is doubly bad. 2.5 hour wait or no I'd get it seen soon. Ben (dr)
Agree with Dr P that the OOH GP, or your own GP first thing tomorrow morning is the way forward.
If, however, you start to feel unwell (sweaty/clammy/muscle aches/anything at all) then I strongly recommend going back to [s]A&E[/s] the Emergency Dept.
Dr Andy.
I like STW on days like thisOP: Any doctors here?
TJ: I'm not a doctor but here's my advice anyway
DR: Yes, go see GP not A&E (opposite to TJ advice)
OP: Thanks for that Doc, I'll do what TJ says
Or alternatively read the whole thread and see that 3 medics, none of whom have seen the patient, have commented: one who said no to A+E and has already diagnosed and prescribed treatment; one who said possibly A+E if you exhaust other options; and another who said [i]' No, sounds like cellulitis to me (though obviously I haven't seen it and therefore cannot give a proper clinical assessment etc. etc.). Get thaself to A&E forthwith.'[/i]
Oh.
Change of heart from one doc whilst I was typing and another medic saying to give consideration to A and E.
Hospital, take a book and some patience. I've read some very nasty stories of spongers getting cuts and nearly dying from infection as they failed to get it treated promptly enough. At least you won't get hit with a £15K medical bill using the NHS.
ummm . Mostly the whole leg.
Well . Not exactly, Red itchy area starts above knee and extends to arch of foot .
Swelling is from 2" below knee cap to below ankle ball joint / instep of foot.
left leg only .Looks like those old ladies legs who have swollen ankles .
Hospitals and I dont get on . Dad died in Royal Surrey with post op complications. QA delivered me to the wrong op theatre .
I feel fine. Just itchy and sensitive leg. Might go back later as most of the queue seemed to be child based . I did ring the walk in center . Same wait 2 1/2 to 3 hrs .
TJ: I'm not a doctor but here's my advice anyway
What a stupid comment. He clearly didn't say that.
He gave his opinion, just like over 20 other people also did.
TJ bashing, is all.
I've had another think about this, consulted the the text books, and revise my diagnosis.
It's cat AIDS.....
DrP
😉
2 hours ago the OP posted it would be 2.5 hr wait. Odds are he would have been looked at by now and found out exactly what the issue and subsequent treatment is. Yet he's still on here being impotent. FFS it's just a short wait in a hospital.
DrP - and I thought it was either galloping dandruff or glandulous withers. are you sure?
Having spent a fortnight in Macc hospital on IV antibiotics with cellulitus then surgery to chop out the infected bits and a month of having the wound packes i would get to A@E, cellulitus spreads fast.
Nick
Stagnation o' t'lungs?
Change of heart from one doc whilst I was typing and another medic saying to give consideration to A and E.
Not quite a change of heart - let me put some context on it. I think he needs to see someone who can a) assess properly, and b) prescribe antibiotics if it [b]is[/b] cellulitis. This would preclude going to the walk in, which would likely send him on to the ED anyway.
As with Stainypants, I have seen the consequences of cellulitis going bad, though I concede the milder cases don't come anywhere near me as they are not sick enough to wind up in ITU or to require me to gas them for surgical debridement.
I would still suggest to the OP that if he feels unwell, going to the ED is the best option. If he is otherwise well, then being seen by a GP would seem reasonable. Doesn't mean he won't end up in hospital though.
Andy
I had something similar after an insect bite, leg below the knee down to around the ankle swelled up but this happened a day or two after the bite so not sure if you're experiencing the same. With mine you could press your fingers into the swelling and see the indentations for a good few minutes afterwards and the swollen leg looked huge next to my other leg.
I saw the doctor as was starting to get a bit worried when it didn't seem to go down after a day or so, they just advised taking an over the counter anti histamine to help with the itching. Seems it was just a reaction to the bite but took around a week for the swelling to go down completly.
I'm not a doctor and don't know if you've got the same as I had so still think it'd be worth getting it checked out.