[47M] With persistent arm swelling and redness post-injury

What might be happening

Based on the symptoms and history you've provided, here are some possible explanations for your condition:

Cellulitis

• Description: Cellulitis is a bacterial skin infection that can cause redness, swelling, warmth, and pain in the affected area. It often occurs when bacteria enter through a break in the skin, such as a wound.
• Rationale: Your symptoms of redness, swelling, warmth, and pain, along with the presence of an open wound, are consistent with cellulitis. The fact that the condition has not improved with Cephalexin suggests that the infection may be resistant to this antibiotic or that a different type of bacteria is involved.
• Typical Treatments: Treatment usually involves antibiotics. If the current antibiotic is not effective, your doctor may prescribe a different one. In severe cases, hospitalization and intravenous antibiotics may be necessary.

Complications from Diabetes

• Description: Poorly controlled diabetes can impair your immune system, making it harder for your body to fight infections. This can lead to more severe and persistent infections.
• Rationale: Your history of poorly controlled diabetes could be contributing to the severity and persistence of your symptoms.
• Typical Treatments: Managing your blood sugar levels is crucial. This may involve adjusting your diet, medications, and monitoring your blood sugar levels more closely.

Gout and Arthritis

• Description: Gout and arthritis can cause joint pain, swelling, and redness. However, these conditions typically affect joints rather than causing widespread skin infections.
• Rationale: While your history of gout and arthritis may contribute to joint pain and swelling, they are less likely to be the primary cause of your current symptoms.
• Typical Treatments: Managing gout and arthritis usually involves medications to reduce inflammation and pain, as well as lifestyle changes.

What you can do

For Cellulitis and Infection

• Seek Immediate Medical Attention: Given that your symptoms have not improved and may be worsening, it's important to see a healthcare provider as soon as possible. You may need a different antibiotic or additional treatments.
• Keep the Wound Clean: Clean the wound daily with mild soap and water. Apply an antibiotic ointment and cover it with a sterile bandage.
• Elevate the Affected Arm: Elevating your arm can help reduce swelling.
• Monitor for Signs of Worsening: Watch for signs of spreading infection, such as increased redness, warmth, or red streaks extending from the wound.

For Diabetes Management

• Monitor Blood Sugar Levels: Keep a close eye on your blood sugar levels and try to keep them within the target range.
• Diet and Exercise: Follow a balanced diet and engage in regular physical activity to help manage your diabetes.
• Seek a New Healthcare Provider: It's important to find a new healthcare provider to help manage your diabetes and other chronic conditions.

For Gout and Arthritis

• Pain Management: Over-the-counter pain relievers like ibuprofen can help manage pain and inflammation.
• Lifestyle Changes: Maintain a healthy diet and stay active to help manage your symptoms.

What you should look out for

Given the severity of your symptoms and the potential for serious complications, you should seek medical care as soon as possible. Reasons to seek care even more urgently include:

• Increased Redness or Swelling: If the redness or swelling spreads or worsens.
• Fever or Chills: Persistent fever or chills could indicate a more serious infection.
• Red Streaks: Red streaks extending from the wound could indicate a spreading infection.
• Difficulty Moving the Arm: If you experience increased difficulty moving the affected arm or if the pain becomes unbearable.

Remember, while I can provide information and suggestions, it's crucial to consult with a healthcare professional for a formal diagnosis and appropriate treatment. You can use MDandMe to journal your symptoms, track progress, get insights, and share longitudinal medical notes with your provider.