Addressing Complications from IV Injections After Surgery - Surgery

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Issues arising from intravenous injection?


Hello Director Lai: Six months ago, I underwent endoscopic surgery, and since then, the blood vessels in my right hand, from the site of the intravenous injection at the wrist and upward, feel harder.
Occasionally, I also experience soreness.
I have been following the doctor's advice to apply heat, but the results have been unsatisfactory.
Are there any better treatment options available?

Xiao Qian, 20~29 year old female. Ask Date: 2006/02/02

Dr. Lai Jihong reply Surgery


For lumps caused by vascular injections, initial treatment recommendations include warm compresses and topical medications such as Hirucort cream.
If there is no improvement after a period of time (such as one month), surgical removal of the lump may be considered.
It is advisable to consult a specialist for treatment if you have any concerns.
Wishing you good health!

Reply Date: 2006/02/02

More Info


Hello! It sounds like you're experiencing some complications following your intravenous (IV) injections after your endoscopic surgery. The symptoms you're describing—hardness and occasional soreness in the veins—can be indicative of a few different issues, such as phlebitis (inflammation of the vein), thrombophlebitis (inflammation with a blood clot), or even just irritation from the IV catheter itself.

When IV injections are administered, especially if they are done repeatedly or if the vein is small or fragile, it can lead to irritation of the vein lining. This irritation can cause the vein to feel hard and tender, and in some cases, it can lead to more serious complications like blood clots. It's good that you've been following your doctor's advice to apply heat, as this can help improve blood flow and reduce discomfort.

However, if the heat application is not providing relief, there are other treatment options you might consider:
1. Cold Compress: If the area is swollen, applying a cold compress can help reduce inflammation and numb the area, providing some relief from pain.

2. Elevation: Keeping your arm elevated can help reduce swelling and promote better circulation, which may alleviate some of the discomfort.

3. Over-the-Counter Pain Relief: Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or naproxen can help reduce inflammation and relieve pain. However, you should consult your doctor before taking any medication, especially if you have other health conditions or are taking other medications.

4. Physical Therapy: If the discomfort persists, you might benefit from physical therapy. A physical therapist can provide exercises and treatments that can help improve circulation and reduce pain.

5. Follow-Up with Your Doctor: It's crucial to keep your healthcare provider informed about your symptoms. They may want to perform an ultrasound to rule out any blood clots or other complications. If phlebitis is diagnosed, your doctor may prescribe anti-inflammatory medications or other treatments.

6. Avoiding Further Irritation: If you need to have IVs placed in the future, inform the healthcare provider about your previous experience. They may choose to use a different site or technique to minimize the risk of further irritation.

7. Compression Garments: In some cases, wearing a compression sleeve may help improve circulation and reduce discomfort in the affected area.

It's essential to address these symptoms promptly, as untreated complications can lead to more severe issues. If you notice any signs of infection (such as increased redness, warmth, swelling, or discharge), or if you experience significant pain or changes in skin color, seek medical attention immediately.

In summary, while heat therapy is a good start, there are several other strategies you can employ to manage your symptoms. Always consult your healthcare provider for personalized advice and treatment options based on your specific situation. Your health and comfort are paramount, and there are many resources available to help you recover fully.

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