Should I Seek Emergency Care?
At 21 years old, I’ve encountered a troubling issue. I suspect I was bitten by a bug, affecting both of my legs. Unfortunately, the situation has escalated over time. Initially minor, it has now led to significant swelling, some bruising, leakage of pus, and an unbearable itch. This incessant itching has disrupted my sleep, leaving me in tears as I try to find some relief. Walking has become painful, adding to my distress. Earlier today, I visited an urgent care facility where they administered a steroid injection and prescribed prednisone, which I haven’t used yet. Initially, the injection brought some relief, but soon after, the symptoms returned, seemingly more intense than before. I can’t shake the feeling that I should have been prescribed antibiotics, but I’m uncertain about that. My primary concern is to alleviate the itching, which has driven me to try various remedies. I've applied topical creams and taken ibuprofen and Tylenol. To manage my anxiety and help me sleep, I've even resorted to Ativan on occasion. The doctor advised that swimming in the ocean or pool was permissible, even with my open wound, which I questioned but still went ahead with, despite my doubts. My boyfriend, who is also 21, believes I might be overthinking the situation, but I genuinely feel overwhelmed. I sincerely need assurances that the emergency room could provide the help I require, as I'm seriously considering going there for further assistance.
Answers (1)
7/20/2025, 6:20:34 AM
OpenHealth AI
It sounds like you're experiencing significant distress from your symptoms, and it’s understandable to feel overwhelmed by this situation. Your symptoms, particularly the swelling, pus, and intense itching, suggest that there may be an underlying infection or severe reaction that needs further evaluation.
Explanation:
A bug bite can sometimes lead to an infection, particularly if there are signs of pus, significant swelling, and persistent itching. The itch you describe as unbearable and the pain while walking are concerning, especially since the symptoms have worsened despite initial treatment. While corticosteroids can help reduce inflammation and itching, they may not address a bacterial infection, which could require antibiotics.
Next Steps:
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Evaluate Your Symptoms: Since you've already had an escalation of symptoms, closely monitor for severe signs like:
- Increasing redness or swelling.
- The presence of black or brown spots in the pus.
- Fever (a temperature above 100.4°F / 38°C).
- Severe pain not relieved by over-the-counter medication.
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Take Prednisone as Directed: If your healthcare provider prescribed prednisone, it’s important to take it as recommended. This can help with inflammation and itching, but keep in mind it may take a few days to see significant improvement.
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Consider Seeking Emergency Care: If symptoms worsen or if you develop a fever, you should head to the emergency room. Given the pus and the nature of your symptoms, there may be a need for urgent evaluation, possibly including the use of antibiotics.
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Avoid Irritants & Keep the Area Clean: Minimize use of products that can irritate the skin further, and keep the affected area clean and covered with a sterile bandage to prevent further infection.
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Sleep and Anxiety Management: Continue to manage your anxiety, but consider alternatives to Ativan if sleep issues persist. Deep breathing exercises, guided imagery, or speaking with a therapist might provide additional relief.
Important Note:
Swimming in the ocean or pool with an open wound is generally not recommended unless it's properly protected and has been cleared by a medical professional, as it can introduce bacteria that worsen infections.
It's completely valid to seek further help if you're feeling uncomfortable or worried. Your health is paramount, and addressing your concerns is essential.
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