User Panel
Posted: 7/16/2021 11:44:07 AM EDT
Updated: Back from urgent care, Doc said likely BR bite.
Wrote a script for Bactrim, said if the toe starts getting black go to ER cause they didn't do any cutting at UC. Not the beetus, my AC1 is around 3. Advise/advice yeah I know the difference, just sometimes my fingers type without my brain fully engaging Edit. There is a wealth of informed information here at ARFCOM. Many educated people and then there are those that posted in this thread. Original post: I got bit yesterday morning by what I believe was a Brown Recluse. The bite was on the tip of my second toe,next to the big toe. I first noticed a little irritation and thought I was developing an ingrown toe nail. As the day progressed the toe continued to swell and by the end of the day the skin was mostly blistered. I took Benedryl (50mg three times), so the histamine response was minimized. Anyway this morning the toe is a little more swollen and a little more blistered. Very sensitive to touch. No throbbing or pain unless touched. My question is at what point do I need medical attention? From my research they really can not treat the reaction to the venom and can only excise the necrotic tissue, correct? So go to the Doc when necrosis starts? Or sooner? |
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Medical questions are best answered by a physician. Call your doctor and ask.
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Probably should go to a professional medical expert.
I only come to General Discussion for financial advice. |
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Quoted: go to UC, are you 12 years old View Quote This. Get on heavy antibiotics as a precaution. Don’t fuck around with spider bites and MRSA. It’s a deep puncture wound and they’ve got nasty bacteria they just injected into your blood stream. That will fuck you up worse than the venom. Personal experience here. My forearm was the size of a football and I got cellulitis (deep skin bacterial infection, can progress to life threatening) Buddy at work spent a month in the hospital on IV antibiotics from a damn spider bite because he didn’t seek medical attention. |
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Seeing a doctor is unnecessary unless it gets infected and you need antibiotics. It wouldn’t be infected this quickly.
If it’s gonna become necrotic, either it will or won’t. There is nothing that will prevent such. I really wonder how our ancestors survived without an urgent care or ER on every corner to run to over every little thing |
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Quoted: This. Get on heavy antibiotics as a precaution. Don’t fuck around with spider bites and MRSA. It’s a deep puncture wound and they’ve got nasty bacteria they just injected into your blood stream. That will fuck you up worse than the venom. Personal experience here. My forearm was the size of a football and I got cellulitis (deep skin bacterial infection, can progress to life threatening) Buddy at work spent a month in the hospital on IV antibiotics from a damn spider bite because he didn’t seek medical attention. View Quote View All Quotes View All Quotes Quoted: Quoted: go to UC, are you 12 years old This. Get on heavy antibiotics as a precaution. Don’t fuck around with spider bites and MRSA. It’s a deep puncture wound and they’ve got nasty bacteria they just injected into your blood stream. That will fuck you up worse than the venom. Personal experience here. My forearm was the size of a football and I got cellulitis (deep skin bacterial infection, can progress to life threatening) Buddy at work spent a month in the hospital on IV antibiotics from a damn spider bite because he didn’t seek medical attention. Username checks out |
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Go to ER. Happened to my father. Tissue under the skin got all necrotic. Literally had a big hole about the size of a ping pong ball packed with gauze under the skin.
Not joking. |
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Probably just cut off your toe.
It’s what I recommend for gout too. |
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I was bitten by one a few years ago between the pinky and ring finger. The itch was terrible. I didn't go to the doctor until i felt nauseous and had a headache.I drained the blister several times. Doc said that was good to drain. Also said the less fatty tissue the better. Skin turned black and eventually healed.
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Quoted: Medical questions are best answered by a physician. Call your doctor and ask. View Quote This is what I don't get about the internet. The person seems to know what a Recluse bite can lead to, but their first impulse is to start a thread and ask what to do. Wouldn't a person, even if not totally sure, error on the side of caution due to the possible side effects ? My heart was racing one day, I didn't start a thread, I went to the ER lol Maybe it's an age thing and people under 30 that have grown up with the internet are this idiotic when it comes to seeking medical attention. |
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Quoted: Quoted: Quoted: go to UC, are you 12 years old This. Get on heavy antibiotics as a precaution. Don’t fuck around with spider bites and MRSA. It’s a deep puncture wound and they’ve got nasty bacteria they just injected into your blood stream. That will fuck you up worse than the venom. Personal experience here. My forearm was the size of a football and I got cellulitis (deep skin bacterial infection, can progress to life threatening) Buddy at work spent a month in the hospital on IV antibiotics from a damn spider bite because he didn’t seek medical attention. Username checks out But I didn’t get no super powers. |
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This should be an "I'm in the ER for a Brown Recluse spider bite getting treatment, AMA" thread.
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Quoted: I really wonder how our ancestors survived without an urgent care or ER on every corner to run to over every little thing View Quote How did these people survive without the internet and cell phones is a better question. It's almost like without the internet, a whole generation of people would be lying dead in the streets because it seems they can't make any decisions themselves without consulting the internet. |
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Pics of toe?
Caddyshack - Well? We're Waiting |
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It's all fun and games until losing a toe turns into losing a foot.
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Quoted: Seeing a doctor is unnecessary unless it gets infected and you need antibiotics. It wouldn’t be infected this quickly. If it’s gonna become necrotic, either it will or won’t. There is nothing that will prevent such. I really wonder how our ancestors survived without an urgent care or ER on every corner to run to over every little thing View Quote I don't know when people became such pansies. Doctors these days seem to do nothing more than prescribe something that can be obtained over the counter, slap you with a massive bill, then tell you to have a nice day. Why bother? These days "go to the emergency room!" is the default like it's synonymous with getting some gas. Ridiculous. |
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Go to the ER NOW. I had a friend several years ago that was bitten by one in the thigh and he waited until it was too late to see a doctor. He ended up having several surgeries and regrafts. The poison is a fleash eating toxin. He is still on blood thinners and can't drink alcohol. Don't be a fool.
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Quoted: Many didn't and died of things we deem almost trivial. View Quote View All Quotes View All Quotes Quoted: Quoted: I really wonder how our ancestors survived without an urgent care or ER on every corner to run to over every little thing Google says that male life expectancy in 1900 was 46.3 years |
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When I got bit on my trigger finger by one went to base hospital, dr’s there put my hand in ice gave me a bunch of antibiotics drew a line on the bite spot and that was all they could do.
Go get checked I was there in 30 min after getting bit and still had problems. Quick action made it a lot better then it could of been. It ate to the first joint but better then the whole finger or hand. I still have trouble with that finger to this day. Those little bastards are some bad motherfuckers. Go get looked at sooner than later. |
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Quoted: Medical questions are best answered by a physician. Call your doctor and ask. View Quote I understand your advise and agree, although there are Docs here and from what I have read there really isn't anything they can do except watch it progress and excise the necrosis. Yes, antibiotics may be needed and a local Doc will be needed at that point. Although, I have a supply of antibiotics when necessary For those saying go to the Doc, what exactly do you think they can do at this point? Serious question. As far as I know, all they can look at it and say yep, spider bite, come back in a couple days and we will take the toe off. I am hoping they can save enough of the toe so I can still wear flipflops |
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"hi guys I just got shot in the belly twice in a botched robbery. the bleeding wont stop, but it doesn't hurt too bad. should I make a dr appointment"
hyperbole for dramatic emphasis but fucking hell people. |
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Hey, fellas......I just got bit by a black mamba. Should I..........
*THUNK* |
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Quoted: Go to the ER NOW. I had a friend several years ago that was bitten by one in the thigh and he waited until it was too late to see a doctor. He ended up having several surgeries and regrafts. The poison is a fleash eating toxin. He is still on blood thinners and can't drink alcohol. Don't be a fool. View Quote Would have likely had the same outcome even with early care. There is no anti-toxin. Doctors that prescribe antibiotics for an early spider bite are only doing so to make you happy |
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Quoted: my second toe,next to the big toe. View Quote |
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Go to doc or ER now. Got bit three years ago on the back of my thigh. I waited a week to go to the doctor. The infection got into my bloodstream. I had to go on heavy duty antibiotics that almost drove me to blow my brains out.
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Quoted: Google says that male life expectancy in 1900 was 46.3 years View Quote if memory serves that number is deceptive, most people didn't die at 46.3 years, the averages were dragged down by high rates of infant mortality. doesn't negate the point, but everyone seems to have this perception that a hundred+ years ago a dude in his 40s was considered an old man. |
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Quoted: I understand your advise and agree, although there are Docs here and from what I have read there really isn't anything they can do except watch it progress and excise the necrosis. Yes, antibiotics may be needed and a local Doc will be needed at that point. Although, I have a supply of antibiotics when necessary For those saying go to the Doc, what exactly do you think they can do at this point? Serious question. As far as I know, all they can look at it and say yep, spider bite, come back in a couple days and we will take the toe off. I am hoping they can save enough of the toe so I can still wear flipflops View Quote View All Quotes View All Quotes Quoted: Quoted: Medical questions are best answered by a physician. Call your doctor and ask. I understand your advise and agree, although there are Docs here and from what I have read there really isn't anything they can do except watch it progress and excise the necrosis. Yes, antibiotics may be needed and a local Doc will be needed at that point. Although, I have a supply of antibiotics when necessary For those saying go to the Doc, what exactly do you think they can do at this point? Serious question. As far as I know, all they can look at it and say yep, spider bite, come back in a couple days and we will take the toe off. I am hoping they can save enough of the toe so I can still wear flipflops Doc can prescribe serious antibiotics that will prevent a serious infection before it gets bad. It’s a deep puncture wound, not something to fuck around with. Their fangs have nasty bacteria on them they just put in your body. They defeated your body’s best defense…your skin. |
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Quoted: I understand your advise and agree, although there are Docs here and from what I have read there really isn't anything they can do except watch it progress and excise the necrosis. Yes, antibiotics may be needed and a local Doc will be needed at that point. Although, I have a supply of antibiotics when necessary For those saying go to the Doc, what exactly do you think they can do at this point? Serious question. As far as I know, all they can look at it and say yep, spider bite, come back in a couple days and we will take the toe off. I am hoping they can save enough of the toe so I can still wear flipflops View Quote |
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90% chance it’s MRSA (most reported “spider bites” are).
If the infection spreads to your lymph system there is a good chance you could die. Sit here and ponder this while you ask a bunch of goofballs for medical advice over the net. |
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I had a bite and went to the doc as soon as I recognized it. He prescribed a round of heavy antibiotics and I didn't get the necrosis. If I touch that spot it is still tender but not mushy anymore. I got bit in 2001.
Don't dick around, get medical attention now. |
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Black widow bite for me hit me three times while I was sleeping at my grandmothers. I ended up rolling on it as we found the spider in the bed. I woke up drenched in sweat and my sheets drenched in sweat, back was in level 9.5 pain, muscles in my back felt like they were being stretched and wrenched apart like the worst Charlie horse ever, and the only way I could describe the pain was 10 people standing around me hitting me with sledgehammers all over my body. Went to the hospital and they gave me morphine which kind of took the edge off but the muscles just hurt so bad for days afterwards.
Call your doctor and ask what you should do at the very least. |
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just kind of wondering, how do you know it was a brown recluse spider that bit you? and did you save it for positive identification?
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In the absence of antivenom (not available in the United States), we suggest that patients with dermal necrosis receive only symptomatic and supportive wound care; the use of dapsone should be avoided. Dapsone has been advocated by some, but there is no clear benefit from existing evidence and substantial risk of adverse effects including aplastic anemia, methemoglobinemia, and dapsone hypersensitivity [39,40]. In addition, adverse side effects may confound the monitoring of patients with possible systemic loxoscelism.
As discussed further below, early surgical excision and/or curettage of a necrotic lesion as the lesion is still evolving should be avoided. However, once the lesion is demarcated and clinically stable, debridement and wound care may permit better healing. In one series of eight patients, vacuum-assisted wound closure was used to promote healing of necrotic lesions [41] and, in one animal trial, this method was associated with more rapid wound healing [42]. A small minority of necrotic lesions later require surgical revision of scars, including skin grafting. Several other therapies have been proposed or performed but are not recommended: ?Tetracycline – Application of topical tetracycline has been shown to reduce the progression of dermonecrotic lesions in rabbits exposed to Loxosceles intermedia venom but awaits further study in humans [43]. ?Insufficiently studied treatments – Therapies which have not been adequately studied in humans include antihistamines, glucocorticoids, empiric administration of topical or systemic antibiotics, vasodilators, heparin, nitroglycerin, hyperbaric oxygen, dextran, and local electric shock [40,43-45]. ?Early surgical interventions – Early surgical excision and/or curettage of a necrotic lesion is potentially harmful [44,46-48]. One retrospective study of 31 patients with bites affecting the upper extremity or hand concluded that painful and recurrent wound breakdown occurred more often with early surgical excision [47]. |
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antibiotic and steroid is what I have seen in time past. The latter seems to be the most important.
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Quoted: I don't know when people became such pansies. Doctors these days seem to do nothing more than prescribe something that can be obtained over the counter, slap you with a massive bill, then tell you to have a nice day. Why bother? These days "go to the emergency room!" is the default like it's synonymous with getting some gas. Ridiculous. View Quote Seriously, if some of these guys were girls, they'd be in the ER a week every month cause they were bleeding to death........ |
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