Vaccination for a baby is a serious test. The child’s body is not yet strong enough to fight back the external “enemy” – infection. Most young patients show post-injection reactions: some to a greater extent, some to a lesser extent.
A lump after DPT vaccination is a common occurrence. Parents have heard a lot about this “trouble” and are afraid of its occurrence. But is the lump so dangerous, maybe there is no reason to worry?
A lump left on a child’s leg after DPT vaccination: normal or complication?
DPT is a complex vaccine containing toxoids (weakened bacterial poisons) of tetanus and diphtheria and “dead” pertussis germs.
That is, in essence, it is a toxoid drug. The body simultaneously receives 3 types of antigens from various infections. For a baby’s fragile immune system, this is a difficult test, and the body begins to act. What happens after an injection is given to a child’s leg?
The immune system “responds” to the appearance of pathogenic microorganisms by producing protective bodies - lymphocytes. A kind of struggle begins - a complex chemical and biological reaction designed to defeat infectious elements and form long-term protection against them - immunity.
And outwardly this confrontation is expressed in the compaction of the vaccination site, called a “bump”. And here it is necessary to clearly distinguish between the usual expected “response” of the body to the injected viruses and serious complications after the injection. A reaction to DTP is diagnosed in every 10th child.
This mainly happens on the 2nd and 3rd vaccinations, which is normal. This is how the immune system “responds” to the introduction of hostile pathogens. You should be prepared for such a reaction.
Redness and slight thickening (up to 2 cm) are considered normal for this type of vaccine. How not to confuse common symptoms with a possible complication?
You should know that the general reaction to the administration of any inactivated drug (which is DPT) appears quickly (on the first day) and goes away after 3 days. By this time, the baby should already feel normal. If negative symptoms persist, you should look for the cause.
If after a DTP vaccination a child has a lump at the injection site, what should he do?
But the injection was given, and the lump still appeared. How to proceed? It is important to know that seals have different natures. For example, you shouldn’t be afraid of infiltration. It appears because the injected drug needs some time to dissolve.
No treatment is needed here. Doctors advise applying iodine mesh to the lump (if it is painless) . This simple technique will help the seal disappear faster.
You can warm the injection site, for example, with saline or electric heating pads. But you shouldn’t do this without consulting a pediatrician. Sometimes heat can be harmful. If the lump is no more than 2-3 cm in diameter and there is no growth dynamics observed, there is no reason to worry.
But an abscess (an accumulation of purulent liquid mass in a compaction) is a painful process. The skin at the puncture site turns red, and it hurts the baby to touch it. This situation requires medical attention. If the vaccination was completed correctly, the thickening will go away on its own in a day or two.
But the cause of the formation of a lump may also be a mistake by the medical staff. A common situation is that the injection did not reach the muscle mass, and the drug was injected into the fat layer.
In this case, the resorption of the suspension will be prolonged, which means that the compaction will not go away for a long time.
If the size of the lump is normal and the baby’s temperature is normal, then this is a local reaction and no treatment is required. Put loose clothing on your child so that he does not accidentally scratch the infiltration.
If your baby still tries to do this, gently stroke the seal with your hand. Calm your baby down by giving him something to drink. To avoid possible allergies after vaccination, do not give your child vitamin D if he took it before vaccination.
It is better to replace the drug with calcium gluconate tablets. During the post-vaccination period, you should not give your child Suprastin, as it dries out the airways, increasing the risk of germs entering. Replace the drug with Fenistil or Zyrtec.
The drug Fenistil
The famous doctor E. Komarovsky is sure that lumpiness after an injection is a common reaction. She is not dangerous to the child. A popular pediatrician believes that the lump should not be treated specifically.
You just need to make sure that the baby does not scratch the injection site and monitor the child’s well-being. If everything goes well, the lump will disappear in a few days. You should be aware that sometimes the process can last for weeks or even months.
The reaction is determined by the baby’s immunity, and it is different for everyone. But if the child feels satisfactory, there is no need to worry about the lump.
compaction after vaccination with DPT Komarovsky
DPT-1 Instruction for vaccination. (selected from Komarovsky)
Do not feed for at least an hour before and after vaccination. After vaccination, wait until the last minute to eat, as they say. Drink, entertain, distract. If you manage not to feed for three hours, it will be just wonderful. So, on the day of vaccination, the child should be healthy, pumped up and preferably at least moderately hungry. The most common reaction to vaccination is an increase in body temperature.
It is necessary to have in the house
: 1. ready-made powders from which solutions for oral rehydration (replenishment of fluid loss through the mouth) are made - rehydron, humana electrolyte, gastrolit, glucosolan, etc. 2. among antipyretics you should have: - paracetamol (panadol, efferalgan, Tylenol, etc.) in suppositories;
— ibuprofen (Nurofen, Burana, etc.) in syrup; - nimesulide
(nise, nimide, nimegesic, nimesil, etc.) in solution or syrup.
Any temperature above normal after vaccination (certainly anything above 37.3 °C in the armpit) is a real reason to use antipyretics.
If the body temperature
is below 38 ° C
- paracetamol in suppositories or ibuprofen.
Before bedtime, candles are optimal. At temperatures above 38 °C - only oral liquid dosage forms, primarily ibuprofen. If nurofen and paracetamol do not help, then nimesulide. Any increase in temperature after vaccination, in addition to the use of the above-mentioned medications, requires: - maintaining a regime of cool, moist air: ideal temperature - 18 - maximum 20 ° C, relative humidity - 50-70%; - maximum restriction of any food; - drink plenty of fluids, ideally use the above-mentioned oral rehydration solutions (often, in small doses, solution temperature = body temperature). Walking (walking in the fresh air). After vaccination at normal body temperature, the more the better. Bathing. On the day of vaccination, it is better to refrain from swimming
.
Then in normal mode. If there is an increase in temperature, limit yourself to hygienic wiping (wet wipes). If for some reason you give your child vitamin D in addition to breast milk or formula, stop taking it 2-3 days before the planned vaccination and resume no earlier than 5 days later. Vitamin D, as you know, regulates calcium metabolism in the body, and calcium metabolism disorders underlie allergic reactions. The slightest overdose of vitamin D increases the likelihood of allergies, so it is better not to experiment. From the same point of view, it definitely wouldn’t hurt to give your child calcium 3 days before and after vaccination. Just under no circumstances buy anything expensive, ionized, soluble, etc. Regular, penny white calcium gluconate - 1 tablet per day, at a time. Crush (grind in a coffee grinder), add to milk, feed. The dose does not depend on age - excess calcium is simply not absorbed (not absorbed) Before vaccination Before the first vaccination with the DTP vaccine, it is necessary to do a general blood and urine test, and also obtain permission from a neurologist
for vaccination.
If your child has allergic disorders (diathesis, etc.), discuss with your doctor in advance a plan for preventing exacerbation of allergies
.
Usually it consists of taking antihistamines (suprastin, fenistil) for 2 days before vaccination and 2 days after. If you haven't already, buy children's antipyretics
with paracetamol.
It is better to buy candles
, since flavorings in syrups themselves can cause adverse reactions.
Buy analgin .
On the day of vaccination,
do not introduce new complementary foods
or new types of food.
If your child is breastfed, do not introduce new foods into your diet. Don't forget to take antihistamines and other medications prescribed by your doctor. Make sure that you have analgin at home (especially in the case of DTP vaccines) and baby suppositories with paracetamol (Efferalgan, Panadol). Do not rely solely on homeopathic medicines - they can be used, but they will not help if you have severe reactions to vaccinations. If the child is old enough, never, even as a joke, scare the child with vaccination .
If your child asks about the injection, be honest and say that it may be a little painful, but it’s only for a few seconds.
Before leaving home
If you have a vaccination certificate that lists your vaccinations, take it with you.
favorite toy
or diaper
with you At the time of vaccination Before the vaccination itself
, make sure with your doctor that the child does not have a fever at the time of vaccination.
This is the only universal contraindication to vaccination. Ask your doctor what and what kind of vaccine
your child will be vaccinated against today.
Don't hesitate to ask your doctor if you have any doubts about the vaccine. At the time of injection , don't worry.
Your excitement and anxiety are transferred to the child.
Be calm and confident - and the child will tolerate the vaccination much easier. Don't worry about the fact that you are still worried, just turn your anxiety into a constructive direction. To distract your child
(and yourself) - communicate with him, play, sing songs, look at interior items, play with a toy taken from home.
Smile
and be affectionate to your child.
During the injection, the child should be in your arms
- this will make him and you more comfortable.
Let your child cry after the injection. Don’t force your child to “be brave” or tell him that crying is a shame. If a child says that he is in pain, “blow out” the pain. Take a deep breath and slowly “blow out” the pain. Repeat this exercise several times. After vaccination
In the first 30 minutes after vaccination, do not forget and do not hesitate
to ask your doctor your questions
.
Be sure to ask about what and when reactions to the vaccine may occur and in what cases to seek medical help. Do not rush
to leave the clinic or medical center.
Sit for 20-30 minutes near the office. Firstly, this will help you calm down, and secondly, it will allow you to quickly provide help in case of immediate allergic reactions to the vaccine. If the child is old enough, please him with some pleasant surprise, reward him with something, praise him.
Tell him it's okay.
Upon returning home after vaccination In case of vaccination with DTP vaccine: unless otherwise prescribed by the doctor, give the child a dose (suppository or syrup) of an antipyretic. This will avoid unpleasant reactions that occur in the first hours after vaccination. The first night after vaccination
Most often, temperature reactions to inactivated vaccines (DPT and others) occur on the first day after vaccination.
In the case of DPT vaccines: prophylactically, be sure to give the child an antipyretic
, even if the temperature is currently normal.
Keep analgin on hand. If severe temperature reactions occur (38.5 C and above), give once
.
In children over 2 years of age, the dose can be increased to one third of the same tablet. In case of temperature reactions, do not neglect wiping your child with warm water. Do not use vodka for rubbing - it irritates and dries baby's skin. Do not forget that the daily dosage of paracetamol is not unlimited
.
In case of overdose, serious complications are possible. Carefully read the instructions for the drug you are using (Panadol, Efferalgan, Tylenol). Do not use aspirin
under any circumstances .
Its use in young children is fraught with serious complications. The first two days after vaccination (inactivated vaccines - DPT, DPT, hepatitis B, Hib vaccine, IPV)
Take the medications prescribed by your doctor to prevent allergic disorders.
Continue taking antipyretics according to the instructions for the medications if the temperature remains elevated. For DTP vaccines: Monitor the child's body temperature .
Try not to let it rise above 38.5 C (under the armpit).
In some children, against the background of an increase in temperature, the so-called so-called febrile seizures. Take antipyretics without waiting for the temperature to rise. You can and should walk with your child, you can and should bathe him. The exception is when the child has a fever due to or regardless of vaccination. If a Mantoux test was performed, when swimming, try not to let water get into the place where the test was taken. Don't forget that sweat is also a liquid, so make sure that your baby's hand doesn't sweat. Do not introduce new foods
into your child’s diet (and yours, if the child is breastfed).
This can be done on the 3rd day after vaccination and later. In the case of DPT, ADS, hepatitis B and ADS-M vaccines. If strong reactions occur at the injection site
(swelling, thickening, redness), apply a warm compress or simply periodically apply a cloth moistened with water.
If you are not already taking anti-inflammatory medications, start taking them. 5-12 days after vaccination
In case of vaccination with live vaccines (drops of polio vaccine OPV, measles, mumps, rubella), adverse reactions usually occur 5-12 days after vaccination. If any reaction occurs, but the vaccination was not done with a live vaccine, then vaccination with 99% probability has nothing to do with it. The most common cause of temperature and some other reactions in young children is teething, and in older children - colds.
Is it possible to smear redness on the leg with Heparin ointment?
Heparin ointment is a popular decongestant. It is often used for post-injection seals. The composition is applied in a thin layer to the puncture site and covered with a sterile napkin.
Heparin ointment
The lifespan of such a compress is several hours. After applying the product, the baby may become worried, perhaps this is how he reacts to the slight tingling sensation caused by the ointment. But this is a normal skin reaction to the drug.
In addition, Heparin ointment may cause slight redness where it is applied to the skin. This is also normal and should not be confused with an allergy.
Parents must remember that self-medication is dangerous. The use of any medication for the treatment of post-vaccination lumps should be agreed with a pediatrician.
What to do with the seal?
What to do if DPT causes redness and compaction appears? A bump on a child’s leg after DPT vaccination can be eliminated using external means. The tubercle should be anointed with the following ointments:
- Troxevasin. The ointment improves metabolism in tissue cells and promotes rapid resorption of the infiltrate. Troxevasin relieves inflammation and redness, relieves pain.
- Aescusan. Improves blood circulation at the site of compaction formation and accelerates the removal of toxins, preventing inflammation.
- Fenistil-gel. It has healing properties and reduces hyperemia at the site of compaction. It is necessary to smear according to the instructions.
- Heparin ointment stops the development of compactions and relieves pain.
If the red spot becomes large, the swelling increases, and all this is accompanied by negative reactions of the body in the form of high fever, allergies and severe inflammation, the child is given NSAIDs. Fenistil drops prevent complications and improve general condition. To relieve fever, use Paracetamol or Ibuprofen. When taking non-steroidal drugs, you need to give your child more fluids.
Some children do not tolerate medications well. In such a situation, you can resort to traditional medicine methods:
- Compress with warm cottage cheese. Take a small amount of cottage cheese, heat it a little in a water bath, wrap it in gauze, and apply it to the place on the leg where it is swollen. Cover with a bandage and keep for 2-3 hours.
- Wash the cabbage leaf and apply it where the skin is red on the thigh, securing it with a bandage or scarf. Leave overnight.
- In the morning you can lubricate the seal with fresh agave juice, and at night make a compress from a mixture of honey and rye flour.
- Pies made from white clay, which can be applied daily, help relieve swelling and redness.
- An iodine mesh will help if the leg is swollen. It should be applied to the seal 4 times a day.
- To relieve itching, rub problem areas with a soda solution. Prepare a soda solution from 1 tbsp. spoons of soda and ½ glass of water. Soda solution also acts as an antibacterial agent.
When applying compresses, do not cover them with impermeable material (cellophane, polyethylene). It is necessary to ensure that the child does not scratch the area of the lump. Intensive heating of post-vaccination cones is prohibited. During treatment, the child should wear loose clothing on his legs so that it does not rub problem areas and irritate them. When washing your baby, do not rub the bumps with a washcloth. When asked whether it is possible to go for a walk after DTP vaccination, doctors answer that it is possible, but only 3 days after vaccination.
What compresses should I use to help a large infiltrate resolve?
To help the bump disappear faster, parents can use the following medications to relieve swelling:
- Aescusan (ointment) . Helps stimulate blood circulation at the injection site, allowing the seal to go away faster. Apply once a day. Better before bedtime;
- Troxevasin . Its composition of active components helps the lump to dissolve faster;
- Fenistil (gel) will come to the rescue if the baby is bothered by itching at the vaccination site. But the product should not be applied to the puncture site, but around it. Fenistil quickly relieves pain, and the baby calms down;
- Zodak and Tavegil . They will help get rid of seals if the baby is prone to allergies.
Don't rush to cure the lump yourself. Remember that you cannot smear the lump with Vishnevsky ointment (without a doctor’s prescription), much less put pressure on it, trying to remove the contents. The result may be the opposite - the compaction will fill with pus, causing an abscess.
Troxevasin ointment
For the same reason, you should not warm the lump yourself, even if it seems too big and painful to you. In this situation, you should consult your pediatrician.
An iodine mesh will help to quickly resolve the infiltrate. It is worn on the seal, and when it completely disappears, it is drawn again. A gauze compress soaked in a magnesium solution will also help. It is better to apply it to swelling before going to bed.
Among the natural remedies that can be used to reduce infiltration, it should be noted:
- soda compress . Proportion: 1 tbsp. soda to 1/2 cup warm water. Tie gauze (or cotton cloth) soaked in soda to the seal and wait until it dries completely;
- fresh cabbage leaf . It should be lightly beaten with a hammer so that the juice comes out. Apply to the swollen area until it dries (about 2-3 hours);
- raw potato compress . Finely grind the tubers. Form a flat cake and wrap it in cheesecloth. This bandage relieves swelling well.
The compress must “breathe”, so do not use film or plastic bags.
If the vaccination was completed correctly, the compaction will go away quickly. Parents should know that a lump may appear not only during the first DTP injection, but also after the 2nd and 3rd vaccination. This is fine.
You should only worry if after vaccination the baby exhibits the following symptoms:
- the compaction does not subside for a long time or even increases (more than 6-8 cm in diameter);
- high (over 38.5 degrees) temperature;
- pus can be felt in the compaction, protruding at the puncture site;
- nausea and poor appetite;
- the infiltrate is “hot” and painful.
Such symptoms are a sign of an abscess. And in this case, soft tissue diagnostics is needed.
The injection site turned red after DTP vaccination - what to do?
A common reaction of the body can cause allergies. There are several types of its condition. Others: In order for a child to be 2-3 days old: it can be attributed to the DPT vaccination plan with a sad outcome, and a tablespoon. What else can be done, swelling on the skin, after the vaccine against a washcloth with a baby complains about warm water,
Adverse reactions to the vaccine
if the baby needs to be administered If the child is vaccinated , The temperature of colds may be increased. is carried out in: how dangerous they are, creamy oils Ready to help a child? But also, for example, polio, which
Bathing: you can contaminate the leg and you are afraid of forming a feeding schedule into a cake. Vaccines. However, there are people prone to it, for weakened, killed, chemical,
that the child is healthy. is necessary not only after the DTP vaccination. Infectious diseases. 18 months. we will consider further. the dough is applied to It copes with allergic reactions: swelling, the timing coincides with the wound and put to step on her,
and apply to When a temperature appears, together cases where redness for several days can be mono-vaccines, toxoids. After If your child is allergic, prepare for it, Komarovsky recommends bringing down elevated body temperature. 6-7 years old. dealing with infection. If the wound
you need to give a painkiller to the pricked area. with redness and and the seal is increasing give it in
Treating swelling and redness
administration of the drug in 3 days but also correctly in the Exacerbation Very often it starts to fester, you should (Ibuprofen or Paracetamol). Important! If the seal is not a seal, give the baby
in the size and drops of Fenistil or organism, certain occur before vaccination, you should behave after the beginning, it is not necessary In such cases, Adults can be vaccinated with 1 tetanus. What are the dangers of lumps after vaccination? They reduce redness and make themselves known. Both vaccinations are done.
Take the baby away immediately What to do to help The antipyretic passed through 15, and the lump
- become pathological
- Zyrtec, in consultation with
reactions that last give an antihistamine. Namely, to wait for a promotion until the child is cured
The size of the lump should disappear, and to know after a few in the form of one to the pediatrician for the baby to overcome the complications of the days, it is worth showing lubricate with Troxevasin ointment the stage of development. What a doctor. Not for long and usually
Before this, you should follow some rules: 38 degrees. Shoot down only after two years. At the same time, Whooping cough is a disease, If home therapy is powerless, it also takes hours after the injection, which can be examined: it is important not in the form of a strong
a baby to the pediatrician. At the same time, try to do? Let's consider everything As many people know, any does not cause any consult a doctor. The child should not be bathed; only "Paracetamol" is needed for a week after full
What to do if a lump on your hip does not go away for a long time?
The compaction does not always go away within a few days.
Sometimes (albeit in rare cases) the situation drags on for months. The lump usually forms after 2 or 3 graftings. It gradually goes away, but not completely. After 6-9 months, a painless compaction (3-4 cm) remains at the injection site.
Doctors say that the lump does not pose any threat to the baby and advises to continue the local therapy prescribed by the doctor..
But if the lump does not go away for more than a year, then in this situation it is unlikely to disappear on its own. Most likely, the patient had a hematoma in which calcium was deposited over time. This formation is subject to surgical removal.
In any case, the problem should be resolved together with the pediatrician. Only a specialist can correctly assess the severity of the reaction and give professional advice. Often you just need to be patient and treat the lump with the remedies your doctor recommends.
Video on the topic
What to do if a lump forms at the site of vaccine administration? Answers in the video:
A lump after DTP vaccination is one of the most common reactions. In most cases, it does not require treatment. If the child came to the procedure healthy and the vaccination itself was carried out correctly, then lumpiness after the injection is normal.
This is how the child’s body fights infection. The situation is dangerous only in the case of suppuration of the infiltrate, which can occur if the injection is performed incorrectly and requires urgent surgery.
