Expert: Ronald Levy, M.D. - 10/9/2010

Question
Hello, I had surgery on 6 oct 2010 to correct a left vaicocele, in which they tied off 3 veins. 2 days after the surgery, I noticed that my hand was swollen on top where they had inserted the IV line. There is no pain, no redness or streaks or bruising. Its just slightly swollen on top of hand and a little on my wrist. The doctor said it looked like infiltration, but gave me keflex just in case it gets red or more swollen. My question is, when elelvating, should I use ice or heat? Should I start antibiotics just in case, and lastly how long does it take for the swelling to subside? Thanks for your time!

Answer
You should not start antibiotics. Heat is better because it increases blood flow to the area. Cold is better when you have an injury and you want to reduce swelling from that. The selling should go away in a few days.

Ronald Levy, MD
Professor of Anesthesiology
UTMB-Galveston