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Injection; IV Complications and Information MEGATHREAD and FAQ II - show me the blood

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This has been covered many times in the Injection Complications Megathread so I'm merging it in there. Feel free to read through it but the advice for pretty much every missed shot (not artery hits) is go to a hospital if it gets worse (eg. infection or abscess).
 
Hey All,

Sorry my first post can't be more helpful and informative to the community, but I have an issue of concern that I would like to address.

About 20 minutes ago I shot heroin in a very sterile manner, but I missed the vein. My arm proceed to become itchy and rash like on a large part of my bicep. I also developed 2 distinct red lines going up my arm about 3-4 inches long and very skinny. They were not in the vein that I shot in though. The lines were outlining much smaller veins just in the general area.

I ran hot water over my arm and just about all of the redness has disappeared as well as the red lines. I only have a small red bump at the site of injection now. What scares me is that the red lines formed at all. I have heard that red lines going up your arm is very dangerous and indicative of blood poisoning and other stuff.

However, like I said, all the redness is gone now only 20 minutes later except for the small red bump at the injection site. Do you think I'm ok? I figured better safe than sorry and I know this is a knowledgable community to ask.

Thank you very much!!

The red lines up your arm is just a histamine reaction..
Its happens to me quite often if im IVing morphine.. mostly if i miss a little and leak a tiny bit outside the vein.. red lines will always make their way up my arm..
If you had blood poisioning you'd sure know about it..
 
This is a great thread, everyone must be on top of their harm reduction game! This information could be a real help to some one later in the future, I've already taken note to a couple things( been an IDU for a little while) but still mastering the trade.

Anyways I had a question about the needle exchanges that I've been researching. I am luckily close to one of the only exchanges in the South East US...8o It is too late to call at the moment but does anyone know what the minimum age is to become a part of a needle exchange? I assume it is 18(if so, that means im coo to partake), but if its 21(I could see it being that age in this area), I must wait a min.

I hope no one bashes me on this one lol..... I am not too young to partake in I.V., but I am old enough to pay closer attention to harm reduction and things like that. Thanks to anyone who can help me out on this one.
 
This is a great thread, everyone must be on top of their harm reduction game! This information could be a real help to some one later in the future, I've already taken note to a couple things( been an IDU for a little while) but still mastering the trade.

Anyways I had a question about the needle exchanges that I've been researching. I am luckily close to one of the only exchanges in the South East US...8o It is too late to call at the moment but does anyone know what the minimum age is to become a part of a needle exchange? I assume it is 18(if so, that means im coo to partake), but if its 21(I could see it being that age in this area), I must wait a min.

I hope no one bashes me on this one lol..... I am not too young to partake in I.V., but I am old enough to pay closer attention to harm reduction and things like that. Thanks to anyone who can help me out on this one.

Not sure how things are in your area, but where I live (Northern California) needle exchanges are only focused on harm reduction, and thankfully they don't have any age restriction at all. Maybe they do 'on the books', but they don't ask anyone in real life to show identification of any sort. Not even a name.

Here (mind you I live in a very liberal city) you basically just walk up, give them your used fits, they pack you up a bag of new ones and supplies and send you on your way. Takes 3 minutes or less.
 
Yea thats what I was thinking, it is about harm reduction. I was gonna ask about the showing ID, thanks for clearing that up. I understand you live in a very liberal area haha im somewhat in the bible belt but I think ill be coo.
 
Are you in ATL?

I imagine with the volume of IDU's in a city that large, they will have a reasonable policy. Most of the people running these things are very compassionate and will (in my experience) break a regulation or two to make sure you are provided for.
 
Show me the blood

i am SOOO happy i read this thread regarding IV complications!! I can put a name to my pain: COMPARTMENT SYNDROME. I am in the process of readying a new house for my move-in. I am working hard...spackling, sanding and painting walls, etc. I should also mention that I ain't no Spring Chicken anymore. Soon after beginning this project, I was experiencing EXACTLY those symptoms (and pain). I was sure I had pinched a nerve. Never did I think it could be related to my IV drug use. And that sounds so shallow. Hmm, denial, maybe?! These symptoms only began last week. I was allowed only about two hours of sleep before the pain woke me. It took a couple of days (and nights) before things returned to normal for me. It was F_CKING painful, man.
...So, thank you very much!! I haven't changed my ways, nor have I moved-in yet, but...I am armed (ha, get it?) with this information now. I do not have health insurance. Getting medical ANYTHING is an uphill battle anymore. I plan to get this checked out.
Again, thank you so very much.
 
somebody back in January mentioned "biliverdin", the kind of bruising under the skin that causes spots of greenish-yellow discoloration near and around injection sites. Are these worthy of ER visits? I have a few.
 
Unknown vessels, risk that these are painless artery shots?

Long time lurker, made acc just for this, though itll get plenty of use-I've got a pressing question involving veins/arteries. Sorry for length, I know detail is important in getting a fitting answer though
Would it be extremely abnormal to feel a pulse in the larger veins in the upper arm on the outside?
And would these exert barely noticeable pressure when a needle seems registered? It feels noticeably weaker than the pulse above the major arteries (ulnar, radial, brachial)
If there is air contact (bubbles don't always come out, but user attempts to avoid injecting) with incoming blood from a vein, won't it oxygenate itself? taking the same color as an arterial flow?

Background: User has been speedballing recently with a combination of approx. .15g meth w. .3g black tar, has had 1-1.5 yrs IV heroin dependence, recently introduced meth. Once started to inject into an artery before, around top of arm between elbow& crook, saw flash, didn't think of pressure,didn't associate the obvious effort to keep blood flowing in til pain(idiot) luckily user pushed SLOOOW got 2 units/70(U-100) before pain hit- immediately stopped, pulled out,, light but apparent swelling w. pain/tingling/numbness~2 hours. After this incident user has been ridiculously paranoid, Has since poked arteries, could tell from bleeding after exit/pressure/RARELY COLOR.
-But many times assumed it was a vein despite having felt a slight pressure (needle seems to be getting pushed out, this is barely noticeable), dark blood,cautiously injected, slight localized pain in vessel (normal in user's veins w. this dosage.) And experiences very slight swelling/red patches in arm/hand after injection that hasn't happened before accidental artery push. Has happened in both arms, sites have visible blue veins, and light pulse, never bleed much after pulling out, about a drop.(Thanks to heeded advice doesn't inject into ANY pressure unless desperate& careful, and then only in slight pressure in "veins" described. User reports he feels effects of dose withing 1-2 minutes, although very slow injecting doesn't achieve much of a rush.
.
-User has anxiety disorder, previous panic attck disorder, and little confidence, not to mention he doesn't want to lose his fucking hand. Would it be wrong to assume that these are from either histamine reactions? or some psychosomatic reaction? due to the extreme nervousness/ excitement when he's afraid he's in an artery? (All in his head, body reacts?) also just thought he could be pressing against pressure in an artery under the vein while staying in the vein? Definitely would justify advised caution.
-Happened with brand new 28G 1/2"s, so discounted dull/old rigs(f*ck AZ) as cause:| Doesn't tie, just loses his register after releasing so he can inject.
-Anyways, in half in hour all symptoms leave, arms/hands sometimes seem swollen a little longer. Also assuming heart rate is elevated from stress, same with BP, which is also raised from possible earlier doses.

Sorry again for length. tried summarizing Qs and highlighting most important details. Also apologize for any errors, including location.
 
Long time lurker, made acc just for this, though itll get plenty of use-I've got a pressing question involving veins/arteries. Sorry for length, I know detail is important in getting a fitting answer though
Would it be extremely abnormal to feel a pulse in the larger veins in the upper arm on the outside?
And would these exert barely noticeable pressure when a needle seems registered? It feels noticeably weaker than the pulse above the major arteries (ulnar, radial, brachial)
If there is air contact (bubbles don't always come out, but user attempts to avoid injecting) with incoming blood from a vein, won't it oxygenate itself? taking the same color as an arterial flow?

Background: User has been speedballing recently with a combination of approx. .15g meth w. .3g black tar, has had 1-1.5 yrs IV heroin dependence, recently introduced meth. Once started to inject into an artery before, around top of arm between elbow& crook, saw flash, didn't think of pressure,didn't associate the obvious effort to keep blood flowing in til pain(idiot) luckily user pushed SLOOOW got 2 units/70(U-100) before pain hit- immediately stopped, pulled out,, light but apparent swelling w. pain/tingling/numbness~2 hours. After this incident user has been ridiculously paranoid, Has since poked arteries, could tell from bleeding after exit/pressure/RARELY COLOR.
-But many times assumed it was a vein despite having felt a slight pressure (needle seems to be getting pushed out, this is barely noticeable), dark blood,cautiously injected, slight localized pain in vessel (normal in user's veins w. this dosage.) And experiences very slight swelling/red patches in arm/hand after injection that hasn't happened before accidental artery push. Has happened in both arms, sites have visible blue veins, and light pulse, never bleed much after pulling out, about a drop.(Thanks to heeded advice doesn't inject into ANY pressure unless desperate& careful, and then only in slight pressure in "veins" described. User reports he feels effects of dose withing 1-2 minutes, although very slow injecting doesn't achieve much of a rush.
.
-User has anxiety disorder, previous panic attck disorder, and little confidence, not to mention he doesn't want to lose his fucking hand. Would it be wrong to assume that these are from either histamine reactions? or some psychosomatic reaction? due to the extreme nervousness/ excitement when he's afraid he's in an artery? (All in his head, body reacts?) also just thought he could be pressing against pressure in an artery under the vein while staying in the vein? Definitely would justify advised caution.
-Happened with brand new 28G 1/2"s, so discounted dull/old rigs(f*ck AZ) as cause:| Doesn't tie, just loses his register after releasing so he can inject.
-Anyways, in half in hour all symptoms leave, arms/hands sometimes seem swollen a little longer. Also assuming heart rate is elevated from stress, same with BP, which is also raised from possible earlier doses.

Sorry again for length. tried summarizing Qs and highlighting most important details. Also apologize for any errors, including location.

Dude get some education that "big vein with a pulse" is a bloody artery. Why and how in the hell are you even getting your needle in an artery man? I mean they have a bloody pulse its not like they are hiding from you.

Open up a human anatomy book and learn where the arteries are and dont bloody put needles into these areas pretty simple shit dude.

------------
Different subject here, i'm curious to hear from people who have accidently struck a nerve while attempting an intravenous shot.

Could you guys describe to me what happends and how it feels like, like quite obviously it's going to feel bad that is common sense. But i'm curious exactly how it feels, how it feels over the next 24 hours, then over days ect.

Thanks, this is just pure curiosity. I'm not wanting to put needles into my nerves nor do i have trouble with intravenous injection, just curious.
 
about once a week i am experiencing cotton fever. i used a fresh cotton to filter. checked the barrel for any floaters and injected. about an hour later my hands went numb followed a few minutes later by shivering. i used the search engine and had trouble finding my answer. what can i be doing wrong and how can i reduce symtoms ?
 
Numbness is interesting - what are you injecting? Could just be decreased blood flow to extremities if injecting meth or coke...

If it IS a dirty hit of some sort (and it may not be), contamination could be entering your mix at many other points. Are you washing your hands before you start mixing up? Swabbing your spoon as well as your injection site?
 
about once a week i am experiencing cotton fever. i used a fresh cotton to filter. checked the barrel for any floaters and injected. about an hour later my hands went numb followed a few minutes later by shivering. i used the search engine and had trouble finding my answer. what can i be doing wrong and how can i reduce symtoms ?
Yeah fever spiking to fight off toxins from on the cotton or somewhere else. Perhaps try micron filtering instead and as ayjay said keep sterile.
 
Yea thats what I was thinking, it is about harm reduction. I was gonna ask about the showing ID, thanks for clearing that up. I understand you live in a very liberal area haha im somewhat in the bible belt but I think ill be coo.


You definitely don't need to show ID. They ask you for your address and social security number. The only reason they keep this data is for state/national statistics only, they never share it. And you can always give a fake address and social, they don't run them. I've been a long time member of the needle exchange in atlanta. It's an incredible group of people that truly care for the community. The exchange happens Wednesday 2-3:30 and Saturday 11-1 at James P Brawley and Jett St. They operate from a van, and you can get:

Cookers
Cotton Balls
Alcohol Swabs
Citric/Ascorbic Acids
Bleach
Tourniquet/Tie
Straws
Pipe Holders
Wound Care Kits
Condoms

As well as pizza, pastries/donuts and soda!

They also have free HIV testing and other programs

They usually have BD 27g 1/2" syringes. Not the best but they do if you are in need. Also if you have more than 50 syringes to exchange, they will give you 10 extra as well. Like if you give them 100 used ones you get 110 back. Tread carefully though because it's in the bluff, which is probably the most dangerous area in the city. I actually know some of the workers there, and since I usually exchange 500+ syringes at a time, they let me come inside the building at any time. They like me and usually give me 300+ alcohol pads, tons of cookers and cottons, as well as condoms. If you get on their good side, great things will come of it. Become a regular user and then you can get in the building and get the supplies you need.

Great service, I would totally volunteer but being a white guy in that area isn't the best idea
http://www.atlantaharmreduction.org/
 
Missed IV shot

Was shooting meth, and I think I missed the vein, or I didn't crush the crystal good enough and then shot it. Anyways, it has been 5 days and still there is a lump on the part of the arm where I IVED. The pain has somewhat subsideded, but the area is still red and black and there is a lump. I tried massaging it with hot water and also cold water, but nothing. I went to the doc and they give me some anti-biotics, and took an ultra sound on that area. Not really sure what they will do next. I am not even sure what the ultra sound will reveal( I told them some nurse missed my vain and there was some fluid drip, I am guessing after the ultra sound results they will see that as a lie). Do these things resolve themselves? If so, how long? Is there anything else I should be doing?
 
Hi quest23,

This sounds like an abscess. It is basically your body protecting itself from foreign material and bacteria by surrounding the insoluble bad cut in your arm. Similar to a really bad pimple. There isn't really any home treatment and the doctors will let it heal on its own; lance, drain, and pack it; or excise it completely. The ultrasound was probably performed to get any idea of big it is and what the sac if filled with.

As for what to do just keep going to the doctor and following their advice. I'm going to merge this into the injection megathread over in OD and would urge you to read through the first few post and if you plan on administering intravenous drugs again to invest in some micron filters and sanitary supplies if you haven't already.

>>> merged
 
so damn, I messed up

I have been shooting in my feet recently, mostly a big vein near my ankle, but 2 nights ago I went for one of the smaller rolling veins on the top of my foot that I have been able to hit before. Anyway I missed a small bit (I felt the burning and took it out), and like any missed shot it burned a little.

So yesterday it was kind of swollen and red, so I ran the foot under hot water for a while and kept it compressed with a sock covered in hot water. I woke up this morning, and the swelling and pain had gone down, but the red spot got bigger. I don't think it's an abscess, as those get bigger and more painful, but I'm not sure if I should be worried about this rash type spot on my foot.

I have missed tons of shots in my arms, but from all the danger I've heard about shooting in the feet, I'm trying to be very cautious. Any ideas?

By the way the shot was suboxone (filtered)
 
so damn, I messed up

I have been shooting in my feet recently, mostly a big vein near my ankle, but 2 nights ago I went for one of the smaller rolling veins on the top of my foot that I have been able to hit before. Anyway I missed a small bit (I felt the burning and took it out), and like any missed shot it burned a little.

So yesterday it was kind of swollen and red, so I ran the foot under hot water for a while and kept it compressed with a sock covered in hot water. I woke up this morning, and the swelling and pain had gone down, but the red spot got bigger. I don't think it's an abscess, as those get bigger and more painful, but I'm not sure if I should be worried about this rash type spot on my foot.

I have missed tons of shots in my arms, but from all the danger I've heard about shooting in the feet, I'm trying to be very cautious. Any ideas?

By the way the shot was suboxone (filtered)
I think the red spot is likely just from bleeding. I don't use my feet or leg veins though.

I am sorry to hear about the missed shot! A heat compress was a good call.
 
so damn, I messed up

I have been shooting in my feet recently, mostly a big vein near my ankle, but 2 nights ago I went for one of the smaller rolling veins on the top of my foot that I have been able to hit before. Anyway I missed a small bit (I felt the burning and took it out), and like any missed shot it burned a little.

So yesterday it was kind of swollen and red, so I ran the foot under hot water for a while and kept it compressed with a sock covered in hot water. I woke up this morning, and the swelling and pain had gone down, but the red spot got bigger. I don't think it's an abscess, as those get bigger and more painful, but I'm not sure if I should be worried about this rash type spot on my foot.

I have missed tons of shots in my arms, but from all the danger I've heard about shooting in the feet, I'm trying to be very cautious. Any ideas?

By the way the shot was suboxone (filtered)



As you already know, shooting in your feet is one of the most dangerous things you can do. They are covered in dirt, bacteria, and sometimes even fungal infections you don't even know about. Because of this, missing a shot in your foot automatically makes things much worse. Now to top that off, you were shooting suboxone, which is super bad to shoot, as far as the pain and consequences of missing. I used to inject suboxone too for a period when I was getting off of H, and once I missed so bad that half my arm turned a dark red/purple. It was a series of dots, thousands of them all close together. It hurt like hell and didn't go away for about a week.


For your current miss, my advice is to put a hot compress on it. It will heat the left over liquid that is trapped under your skin forming a nasty lump and disburse it. For the future, I would avoid injecting the suboxone in your foot at least. A friend of mine literally almost had to get his right foot amputated from a simple missed shot.


Be super careful with injecting suboxone period. It is not friendly when it ain't in a vein. The second you feel a burning sensation or feel resistance on the plunger, pull that fucker out, and find the vein again.


Good luck, brother
 
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