info on injection and if its infected, yes first cycle

[animal123]

I just started this week takin sust 250. I've taken my second shot, followin precautions I've read on threads (cleanin injection site, replacing pins after drawin from the vial, never resused a needle,cleanin site afterwards ec...) but my ass though is a little red and has a lump, and is a bit sore nothin extreme. Could it be infected and if so what could be the cause? And ya I am paranoid lol

[Far from massive]

Nothing wrong with being paranoid, however most likely you allowed the needle to come out partway and shot some in the subcutaneous tissue and what you are noticing is a BA burn.

What happens over the next days will tell you your course of action, I am at work now and can't go into detail but if a warmness and swelling continue to increase over the next few days you do have an infection. Most likely they will start to subside/lessen around 48 hrs after injection.

I had a word file of a great article and if you search this site for infection yes or no you may be able to find where I have posted it in the past.

Found it,

This was posted in 2008 by Canadream, it is a very well written concise article on diagnosing injection problems and how to deal with them (although when needle aspiration is the proper course of action as opposed to incision is a touchy subject) other than that its all good IMHO.

"INJECTION PAIN: Diagnosing a problem and what to do!

Here is a scenario that I read all too often on the boards:


A user has injected and a day later is having lots of pain and swelling to his injection site.

There are normally 3 reasons why this would occur.

The first reason is that the injectable used contained too much preservative such as benzyl alcohol which will cause tissue damage, and stimulate a local inflammatory response. The pain from this can be moderate and go away in a few days, or it can be severe and take almost a week to subside. It really depends on how much BA was in the solution injected and how much volume was injected. Normally the pain and inflammation can be controlled with Ice and anti-inflammatory such as Advil and after about the 3rd day, the user should notice a gradual subsiding of the symptoms.

The site should be swollen, and slightly red, but that swelling should be inside the muscle, and should begin to dissipate on the third day along with the pain. This is a slow progression though and could take as long as a week to ten days to fully go away, the key is it will slowly get better, not worse or stay the same.

The 2nd scenario is if you hit the lymphatic system with one of your injections .

The lymphatic system is a network of vessels that flow through your body. It is as extensive as your vascular system, and contains nodes at different parts are like storage depots or garrisons where White cells can accumulate for action.
The important thing to note is that the odds of coming into contact with the lymphatic system, as long as you stick to the conventionally recommended sites of IM injection are very small.
(The recommended sites are deltoids, ventogluteal (side of hip/ buttocks) , dorsal gluteus (back of buttocks top outer corner), vastus lateralis ( abductor lateral (outer side) of quadriceps).

But if you start doing ‘site’ injections , such as pectorals, biceps, inner quads etc. then you run much higher risk of hitting lymphatic tissue and disruption of ducts.

Lymphatic disruption is caused when you puncture into the area. Since it is fluid, but not blood, it has no means of initial clotting so the fluid will continue to flow into surrounding areas causing extreme localized swelling and pain. The swelling will then track up wards along the lymphatic system. The edema that is caused will also include surface edema – i.e. if you indent the area with your finger, the finger mark will remain. That is called ‘pitting edema’.

This edema comes on strong and fast, by the following day it is at its worst. There is normally no redness or ‘heat’ at the site, just swelling and pain. Ice and Advil can be helpful, but it usually takes a week for the swelling to dissipate, and for up to 10 days before you can resume training that body part, as the swelling can be so bad, it will limit your range of motion and flexibility in the muscle injected.

The Keys to note are that this usually occurs in an unconventional injection site, and there the swelling comes on quickly, and then doesn’t get worse. There is very little redness, and heat at the site. The site will have pitting edema, where as injection caused by too much BA has no pitting edema.

The third scenario is an injection site infection.

An infection can be caused by a few different factors but key is that you have introduced a bacterium into your muscle that doesn’t belong there, and is now invading your body.

This can be because what you injected was contaminated, because the needle you used was contaminated, or simply you just didn’t swab well enough either on the vial or your injection site.

The first thing that happens when you inject some gear is that the bacterium will cause a localized inflammatory response. That includes swelling, and redness, and heat to the area, very similar to if you had injected gear with a high BA content. What follows is that the infection will progress, and your body’s immune system will put in steps to defend itself.
Ice and Advil may help the pain, and temporarily blunt the swelling, but if you withdraw the therapy, the swelling continues to get worse. By the third day you will notice pitting edema to the area, unlike the lymphatic caused edema that occurs earlier then the third day.
Inside, the body will be attempting to contain the infection by forming a barrier around the infected area which is called a cyst. If the body is successful the infection can remained contained in that pocket and the body will slowly fight it. However the cyst can continue to grow in size taking up more and more of the muscle belly as cyst formation is not a guarantee that the body is able to kill the infection; it is just a way of slowing its spread.
Without cyst formation, the infection will reach the blood stream and that is when systemic symptoms will start occurring such as high fever, and limb swelling – and a gradual progression to systemic septic shock. We won’t get into this here other than to say, if you felt a fever coming on, then the only place you should be worrying about getting to is the closets Emergency department, as your life could literally be in peril. Once septic shock begins, if it is not caught soon enough it becomes impossible to stop the process regardless of how young and healthy you are; you will die.

So, back to the beginning, if it is the 3rd day, and you are beginning to develop the symptoms I discussed – the pitting edema, and the swelling and pain along with HEAT at the site of injection that is not subsiding, then you pretty much can surmise that you have yourself an abscess.

By finding the original spot that you injected and pressing down with a finger tip, it should be soft and boggy, there should be a finger indentation left in the skin, and there may also be a slight discolouration to the area.

So what is needed to fix this, and reverse this as soon as possible so that the least amount of damage is done to your muscle?

You need to get the infection out as soon as possible. Treating this with straight antibiotics may not quickly kill off the infection as the area will have been sealed off by the body so that the bacteria cannot utilize the vascular system to spread. In that same token, the antibiotics may not be effectively delivered in a fast enough time period to quickly kill off the infection, putting a halt to the infection’s progression.

Aspiration is a necessity and should be done as soon as you have confirmed that it is indeed an infection.

By inserting an needle syringe combo directly into the site in the exact path that your original injection took, and using a large gauge needle – 18 or even larger 16 gauge needle, (make sure to swab really well before hand, and have sterile gauze to cover the site following) insert the needle with the syringe empty, and once you have inserted it an 1/8 inch or so begin to aspirate as you slowly sink the needle in depth. You will know when you hit the abscess, as you will quickly suck up a small quantity of fluid that will resemble bloody, but purulent (yellow tinge to it) puss and some remnants of the injection fluid, whether it was suspension or oil. Expect to aspirate at least as much as you injected and possible ½ mL more, however sometimes you won’t find anything, and it usually is because you either aspirated too early – i.e. you didn’t wait until the third or 4th day, or it isn’t an infection, or you just plain missed the site which really is hard to do.

If you don’t aspirate , you could end up with an ugly hole in your muscle.
Physicians are reluctant to aspirate thinking that they will give the antibiotics a chance to do the trick rather than spending the extra time to pull out the infection. Many times they leave it up to the patient to decide this matter, and will order a course or oral antibiotics.
The problem is, a lot of times the oral antibiotics will not work, and the patient will have to come back for IV therapy, and at this time aspiration may not be an option –but rather surgical debridement– because the abscess has formed a large hole.

What will work, and works best with minimal harm is rapid diagnosis of the problem by the user at home, and rapid treatment. That means drawing out the infection, and going to the emergency department. You can bring the syringe with you to show the contents to the Nurse, and physician. It will certainly get you seen quicker. The doctor at that point will likely prescribe an oral antibiotic called Keflex (cephalaxen) This is a relatively side effect free medication that will work well and quickly if you have drawn out the infection. It will work poorly If you do not get the abscess drained."

[animal123]

Thanks that's pretty helpful especially the part with the benzyl,so I'm hopin for the first scenario of course tomorrow will be the third day so will see if the swellin and redness ass slowly gone away I will keep you updated if that's ok? Another thing is if everythin seems to be fine should I choose a new site for injection when time comes for the next shot

[gixxerboy1]

sounds normal so far

[JimInAK]

I keep a stash of Keflex on hand just in case... you never know. It's good insurance, in my opinion.

[1000_DaysAsTheLion]

keep us updated op, I'm curious to see what happens.

also, if you guys get an infection in one area, do you just keep pinning in a new site? or is bad gear immediately a suspicion?

[Far from massive]

Never had an infection but yes if I was using someones gear and new needles and such then yes I would chuck the gear as I always bath and clean the injection site with an alcohol pad so between the new needle and alcohol pad and the UGL gear I would have to assume the UGL gear was the source of the infection.

As far as the injection site goes yes absolutely stay away from that site for a couple of weeks. Even though it probably will not turn out to be an infection it suffered some trauma and there is no reason to reinjur it with another injection before its had a chance to heal completly, this is how scar tissue is formed. I would also suggest you learn to pin at least your thighs glutes and shoulders as all of these are very safe locations for IM injections and by using all of them from the start and rotating you will save a lot of wear and tear on your body.

[animal123]

I still have a lump, some redness, and warm. No soreness \pain at all. No symptoms of feeling sick or fever. When I wake up it seems to be a bit better hasn't spread. When would this lump go away