Suggest treatment for swelling and pain after dog bite
Patient: my husband 240 lbs 6'2' 64 years old was trying to break up a fight between our two dogs and was accidently bitten on the hand. The wounds were puncture wounds and bled slightly. He wash the wounds and put bactine on the wounds. This was a week ago, the wounds have healed and look okay however his hand is swollen. We are now treating with heat and cold in half hour intervals Is this correct. I am having him call the doctor in the AM but was just wondering if we should do something immediately? He is a VET and on vet disability so our ER options are limited. Doctor: Thanks for posting you query to health care magic.first I would like to suggest you weather dog were vaccinated or not if not thhope you are satisfied with my answer .  feel free to communicate if any query .en first step is to take rabies vacination .If your dogs were vaccinated then no need for it.now coming to current problem as dog bite causes penetration in crude form so damage of tissue and blood vessels  laceration takes place which require long time to heal.  but no need to worry as you should take precaution to avoid secondary bacterial  infection by maintaing proper cleaning and dressing of wound with antibacterial ointment .For pain take :Tablet of Diclophenac potessium 50mg with Serratiopeptidase 5 mg two times a day .it will help in releiving pain and decresing swelling .Tablet Pentoprazole 40 mg once in morning to prevent drug induced gastritis .dont do hot and cold compression instead do either hot or cold compression. .there are increased chances of infection so take any antibiotic orally for 5 days like Amoxycillne 500mg  3times a day .regards,Dr.Manish PurohitInfectious disease specialist