Suggest treatment for swelling due to insect bite
Patient: Yes. A large branch fell on a small box wood plant last Saturday ( two days ago). After removing large branch, took off my gloves to remove the broken box wood branches and reach into the bush and received a sharp hot sting on end of my little finger. Could not see or find the insect, there was no marks or stinger in the skin. Treated with ice and desoximetasone .05%, which reduced the stinging. Went back to work. Use the desoximetasone every 3-6 hours and stinging reduced. Finger did not swell much until now. End of finger is swollen about 50% in size, hard, hot, and pink. Swelling is spreading down finger. Doctor: Hello, Thnx to contact us. If I am your treating doctor I would like to advice you that insect sting has foreign protein that has injected in the screen. The reaction in terms of swelling is because of reaction of body to that foreign protein. I think you discuss with your treating doctor with antihistaminic (chlorpheniramine maleate), oral steroid (prednisolone), analgesic (aceclofenac) & antibiotic (Amoxycillin). Also take good local care in terms of cleaning, dressing with betadine etc. If you have anything else to ask please contact me. Thanx. Dr. Arun Tank