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Should I Visit the ER?

6/26/2025, 9:10:26 PMMale25-34

Current Situation: Over the past few weeks, I've encountered a concerning issue. Profile: I’m a 30-year-old male, standing at 6 feet tall and weighing between 165 and 170 pounds. Approximately three weeks ago, I suffered an accidental bite from a calf while attempting to soothe its bloat with a hose. I promptly cleaned the bite and applied antibiotic ointment. The first couple of weeks appeared uneventful, but then the site began to show swelling along with red and purple discolorations. For more context, I previously posted an update that included an earlier image of the injury. Yesterday, due to my worry over the appearance of the affected area, I visited an urgent care facility. The medical team prescribed amoxicillin 875mg - 125mg, to be taken two times a day, along with 400mg of ibuprofen. I have taken one dose last night and another this morning. I returned to the clinic today because I noticed more white tissue around the bite, which I suspect indicates infection. They suggested I see a hand surgeon for further evaluation; however, my insurance did not approve this referral. I have managed to secure an appointment with my primary care doctor for tomorrow morning. At this moment, my finger feels normal in temperature, and I can move it fully without pain. Moving the fingertip toward my hand does cause discomfort, likely due to the pressure building up in the area. I’ve been quite anxious about this situation, as I don’t usually injure myself, and I’ve come across alarming accounts online of serious complications like finger loss. Should I wait until tomorrow to see my doctor? My mother suggested an Epsom salt soak, but I’m concerned it might worsen the injury by breaking the skin.

WellnessFamily MedicineInternal Medicine

Answers (1)

Cony

6/26/2025, 9:10:42 PM

OpenHealth AI

It's understandable to feel anxious about an injury, especially when it involves signs of infection. Based on your situation, it sounds like you're taking appropriate steps, but there are a few points to consider in your decision-making.

Key Points:

  1. Infection Signs: Your description of increased swelling, discoloration, and the presence of white tissue suggests the possibility of an infection that may require more treatment.
  2. Current Symptoms: The fact that you can move your finger fully and that it feels normal in temperature is a positive sign, but discomfort when moving it toward your hand is concerning and indicates that pressure may be building up.

Explanation:

Injuries like bites can lead to infections due to bacteria entering the skin. Swelling and changes in color can be typical after an injury, but significant, worsening symptoms require careful attention. Your primary concern now should be whether there are signs of worsening infection—especially if you notice increasing pain, redness, warmth, or fever.

Next Steps:

  1. Monitor Symptoms: Keep a close watch on the affected area. Note any rapid changes, especially increased swelling, redness, or warmth, or if you develop a fever.
  2. Avoid Epsom Salt: Until you have a clear assessment from your doctor, avoid using Epsom salt soaks as this could potentially introduce irritation or new bacteria to the injury site.
  3. Pain Management: Continue taking ibuprofen as prescribed, as it can help with discomfort and reduce inflammation.
  4. Prepare for Your Doctor’s Appointment: Document any changes you've noticed since your last visit, including how the symptoms have progressed. This can help your primary care doctor assess the situation effectively.

When to Seek Immediate Care:

If you experience any of the following before your appointment:

  • Rapidly increasing redness or swelling.
  • Severe pain that’s not relieved by medication.
  • Fever over 101°F (38.3°C).
  • Pus or discharge from the wound.
  • Difficulty moving your finger or significant loss of function.

In conclusion, you should feel more reassured about your appointment tomorrow, but keep a close eye on your symptoms and reach out for help sooner if things worsen. It's great that you're being proactive about your health, and I hope you find relief soon!

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