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  • BDD Moderators: Keif’ Richards | negrogesic

Missed a shot of cocaine, pretty sure an abscess is forming... what do I do



To be honest this doesn’t look too bad and for that be thankful. If your body’s immune system eventually starts to lose the battle, it will become red, hot, inflamed and painful in your immune system’s attempt to kill the bacteria. At that point, literally do not even question anything, just go get IV antibiotics at the hospital. The next step is the bacteria being able to enter your bloodstream, and it’s first stop on that journey will be the tricuspid valve resulting in endocarditis or even worse for infection of the mitral valve on the left side of your heart if it gets past the pulmonary system. You absolutely never want to reach this point (trust me I know). I know sometimes the shame or fear of being judged can be a lot going to the ER for things like this. F that noise. Most medical professionals in the ER see this frequently at this point. Your life is valuable my friend. Take care of it.
 
Well for the past 24 hours I've been shooting cocaine and for those who have done such a thing, it becomes incredibly difficult to not cause scar tissue or miss.

I tried my bicep vein and missed most of the shot (27g needles all I have)

It's only been like 12 hours but it is red, a circle with lines around it. Some of my veins have a blackish tint as well.

What can I do and when should I seek treatment?

Hospital. I got an abscess in my leg. Intramuscular. It ended up so painful I couldn't walk (they gave me a wheelchair when I met the specialist and he said it would be less painful if I'd just broken the leg). It was very large and infected and I had to have an operation to remove it and now I have a 5 inch long scar on my thigh.

Red lines indicate infection. SPREADING infection, potentially getting into the blood. This can cause sepsis and is absolutely classed as a medical emergency (AKA a 911 situation). The black could be necrosis. Also a medical emergency. The fact that all this has happened means you could have something like Necrotizing Fasciitis.

Go to the emergency room right away if you notice any of these symptoms:

Swelling or oedema in at the wound area
You have a fever
Weakness or dizziness, especially if accompanied by racing heart [indicative of falling or low blood pressure]
Severe pain that feels out of proportion to how the wound looks
If you have a rash, use a biro and trace around the outside of it in pen. If the rash has spread notably beyond the line you drew around the border (spread of more then 2 inches in two hours)
ANY blackness (note: necrotic tissue - particularly on the surface of the skin where the infection is actually deeper CAN often appear a deep purple, similar to bruising, or even ashy grey)
Flu-like symptoms
The skin appears "bubbly" or makes a crackling noise if you press down on it
Vomiting/diarrhoea
You start feeling confused

[these, especially if you have more than one, along with how you describe your wound could suggest a severe soft-tissue infection or other dangerous problems like Necrotizing Fasciitis, Gas Gangrene, Sepsis etc]

NOTE: While I have done extensive studying in general as I would like to be a nurse one day, I am NOT a medical professional.

If that was all too long and boring, the short answer is: YES. Please at the very least see a doctor. TODAY. Preferably right now. It's not worth the risk. It's better to get help and be told you're fine than to not get help and....you know.
 
Why didn't I read past OPs first post and see the picture. It doesn't look too bad and now I feel like my reply way way over dramatic, but (no idea if anyone here remembers but I've talked about it on here a couple times) about a year ago (or maybe 18 months) I had a friend who had a leg infection from injecting. I'll just give the cliff notes version: she didn't want to go to the hospital as she was very dependant on oxy and didn't wanna go without. I called an ambulance against her will because I thought she had N.F. Ended up she DID and she had to have a below-knee amputation and debridement further up.
Did NOT wanna see that happen to you.

It looks more like you may have burst a small blood vessel and it looks inflamed. Is it hot to the touch? Or at least noticeably warmer than the rest of your arm?
 
Why didn't I read past OPs first post and see the picture. It doesn't look too bad and now I feel like my reply way way over dramatic, but (no idea if anyone here remembers but I've talked about it on here a couple times) about a year ago (or maybe 18 months) I had a friend who had a leg infection from injecting. I'll just give the cliff notes version: she didn't want to go to the hospital as she was very dependant on oxy and didn't wanna go without. I called an ambulance against her will because I thought she had N.F. Ended up she DID and she had to have a below-knee amputation and debridement further up.
Did NOT wanna see that happen to you.

It looks more like you may have burst a small blood vessel and it looks inflamed. Is it hot to the touch? Or at least noticeably warmer than the rest of your arm?
Was she injecting oxycodone? Pills are really rough to inject because of the fillers in them if they’re not able to be successfully filtered out of the solution using micron filters. This is probably difficult to hear but she’s lucky it got stuck in the lower extremity vessel versus the capillaries in her lungs where it’s too large to pass through causing pulmonary emboli (I’m fairly sure her doctors probably told her the same thing.). One that size to block a deep vein in the leg could have easily taken out a lung or worse. Bacteria is no joke. Stay safe everyone.
 
Was she injecting oxycodone? Pills are really rough to inject because of the fillers in them if they’re not able to be successfully filtered out of the solution using micron filters. This is probably difficult to hear but she’s lucky it got stuck in the lower extremity vessel versus the capillaries in her lungs where it’s too large to pass through causing pulmonary emboli (I’m fairly sure her doctors probably told her the same thing.). One that size to block a deep vein in the leg could have easily taken out a lung or worse. Bacteria is no joke. Stay safe everyone.

OxyContin, yes. We still have the "OC" OxyContin in the UK (or did, at the time...I assume we still do but she's been clean since then and I haven't used oxy in years so can't say for sure) and she was crushing and injecting the 40's. She did have all the proper "works". You can get it all free here, so as well as needles they give you little "cookers" spoon things, alcohol swipes, micro-filters etc.
 
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