It works by fighting bacteria in your body. In most cases, it goes away within 48 hours. dark urine. Applying a cold compress for 5 to 10 minutes after your injection can limit swelling and redness. The black-and-blue color of a bruise is caused by blood from damaged blood vessels pooling under the skin. In Canada - Call your doctor for medical advice about side effects. "The injection itself was painless but there's a slight ache after about 30 minutes, which is entirely tolerable," says Dr Teo. In case, becomes significant or increase in size noted have it examined by your primary care doc, Dr. Susan Rhoads and another doctor agree. If generic versions of this product have been approved by the FDA, there may be generic equivalents available. Drug class: Third generation cephalosporins. Ochsner J. Post-injection pain is a common incident. Hemorrhoids are often caused by straining during bowel movements, chronic constipation or diarrhea, or pregnancy. severe stomach pain, diarrhea that is watery or bloody (even if it occurs months after your last dose); new signs of infection (fever, chills, sweating); nausea, vomiting, pain in your upper stomach that spreads to your back; pale or yellowed skin, dark colored urine; new or worsening breathing problems (wheezing, feeling short of breath); a blood cell disorder - headache, chest pain, dizziness, weakness, severe tingling or numbness; or. Use a needle and syringe only once and then place them in a puncture-proof "sharps" container. Medicines such as ibuprofen (Advil, Motrin IB, others) and acetaminophen (Tylenol, others) may help relieve the pain of sacroiliitis. Last updated on Sep 27, 2022. The information is not intended to cover all possible uses, directions, precautions, drug interactions or adverse effects, nor should it be construed to indicate that use of a particular drug is safe, appropriate or effective for you or anyone else. You also have a bursa called the ischial bursa in your buttocks. [3] While buttock pain can often be treated and managed at home, see your healthcare provider if you have been experiencing buttock pain that lasts longer than one week. [Info] Info (2014). Are you experiencing simultaneous back and leg pain? There are more than 2 million military-connected children of active-duty service members, National Guard or reservists, or Copyright 2023 We Are The Mighty. It works by fighting bacteria in your body. It may also be given into one of the large muscles in your leg or buttocks the medical term for this is intramuscularly (IM). A physical therapist may also perform manual treatments and administer therapy that include heat, ice, or electrical stimulation to help reduce your pain intensity. Muscle aches. :~( Sad The drugs administered to 17 patients included chloroquine, novalgin, paraldehyde, procaine penicillin, and sulfadoxine-pyrimethamine. 4K 4096 2160 pixels MP4. Inflammation of the bowel (colitis). Whether it's a mild rash, a cut, or an eczema flare irritated skin is inflamed and more likely to have a reaction. * Alert Rocephin is used to treat many kinds of bacterial infections, including severe or life-threatening forms such as E. coli, pneumonia, or meningitis. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. (2008). This article will discuss common causes of buttock pain, how it is diagnosed, treatment options, and when to see a healthcare provider. The presence of certain signs and symptoms should also prompt you to schedule a visit to see a healthcare provider. ;-) Wink Surgery is only considered, however, after trying other treatment methods for several weeks or months. Penicillin G benzathine injection comes as a suspension (liquid) in a prefilled syringe to inject into the muscles of the buttocks or thigh by a doctor or nurse in a medical facility. Did you injure or previously injure your hip or back? Patient was unable to swallow pills because of the sore throat so the doctor ordered 4 shots for her.antibiotic (separated into 2 shots), anti-nauseant and a "sinus cocktail". Rocephin is sometimes given for up to 14 days. Penicillin G benzathine injection may be given as a single dose. Small painless bump on my buttock for years. Do not start, stop, or change the dosage of any medicines without your doctor's approval. Consult your pharmacist or local waste disposal company. Copyright 1996-2023 Cerner Multum, Inc. During your physical exam, your healthcare provider will look for signs of: Imaging methods may be used to examine the structures in and around your spine, hip, and sacroiliac joints to check for damage. This medication passes into breast milk in small amounts and is unlikely to harm a nursing infant. You may also receive a local anesthetic in this case. Drug class: third generation cephalosporins. Intramuscular injection (IM) is installing medications into the depth of specifically selected muscles. Rocephin is a cephalosporin (SEF a low spor in) antibiotic. Your healthcare provider will inspect and touch your buttock and thigh muscles and move your hips and legs to see if your motion is restricted and/or painful. Should I avoid certain foods while taking Rocephin Vial? It is usually given once a day by injection or infusion (drip) into a vein. It seems to be helping. Intramuscular epinephrine is . Problems with your blood cells. Can i take the antibiotic Flagyl for an absesed tooth with a bump on the gum. Rocephin is usually given into a vein (intravenously or IV) either as a slow infusion using an IV bag over at least 30 minutes or by a slow injection using an IV syringe over 2 to 4 minutes. It may force you to stop walking, after which the pain goes away. Red itchy bum crack. To fight this infection, your doctor might prescribe oral, topical, or . Are you having any problems passing bowel movements? Keep all medical and lab appointments. Holding the syringe like a dart, position the needle at a 90-degree angle to the injection site. Extra-spinal sciatica and sciatica mimics: a scoping review. I had an antibiotic injection on buttock early december last year, i had a lump inside and little after the injection. You can learn more about how we ensure our content is accurate and current by reading our. 2023 Dotdash Media, Inc. All rights reserved, Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Swelling, redness, or pain at the injection site may occur. We comply with the HONcode standard for trustworthy health information. :-D Joy Looks like red ring or red oval lines w distinct borders. Sacroiliitis can be hard to diagnose. B-) Shades Physical therapy can help improve strength and maintain flexibility in the joint. Hemorrhoids result from swollen and inflamed blood vessels around the rectum, causing pain, burning, itchiness, and sometimes bleeding during bowel movements. To make sure the bacteria causing an infection are susceptible to ceftriaxone your doctor may take a swab from the infected area, or a urine, sputum or blood sample. It works by interfering with the formation of bacterial cell walls. This avoidable complication has been known about since the 1920s and highlighted in the nursing research literature ( 1-3 ). difficulty with breathing. If the affected disk is in your lower back (lumbar spine), youll likely feel the pain in your buttocks. The psoas muscle resides in the body's pelvic region, connecting the lower back to the upper thigh. An IV injection must be given slowly, and the infusion can take at least 30 minutes to complete. 2017 Sep;29(9):1689-1694. doi: 10.1589/jpts.29.1689, Nasser AM, Vicenzino B, Grimaldi A, Anderson J, Semciw AI. Here's everything you need to know about ceftriaxone, including side effects and who shouldn't be given the antibiotic. Since bicillin kills off a variety of bacteria strands in one shot, it's given to nearly every recruit. The color will tell you. help). Make sure lab personnel and all your doctors know you use this drug. Before using this medication, tell your doctor or pharmacist your medical history, especially of: gallbladder disease, kidney disease, liver disease, stomach/intestinal diseases (such as colitis). Some products that may interact with this drug include: calcium-containing IV fluids. (2016). Ceftriaxone injection is also used to treat STIs such as syphilis, gonorrhoea and pelvic inflammatory disease. (2012). Follow all directions on your prescription label and read all medication guides or instruction sheets. There are about 100 different types of arthritis, which together affect more than 54 million Americans. It happens when inflammation flares up at the site of the shot. Kristen Gasnick, PT, DPT, is a medical writer and a physical therapist at Holy Name Medical Center in New Jersey. 2021 Apr 2;16(2):288-305. doi: 10.26603/001c.21250. Medication and physical therapy can help with pain management. If you are using the frozen pre-mixed solution, thaw the bag at room temperature or in the refrigerator. A doctor may prescribe antibiotic treatment for large boils. Tell your doctor about all your other medicines, especially: This list is not complete. Intramuscular penicillin is the recommended treatment for group A beta-hemolytic streptococcal pharyngitis when the oral route cannot be used. Cookies collect information about your preferences and your devices and are used to make the site work as you expect it to, to understand how you interact with the site, and to show advertisements that are targeted to your interests. Follow state or local laws about how to dispose of this container. - pain, tenderness, hardness, or . The pain can also radiate down your leg. Adults are more likely to get an infection if they have diarrhea, constipation, or another problem with bowel movements. Prepare an injection only when you are ready to give it. Edited 2 times. Ceftriaxone passes into breast milk in small amounts that are unlikely to be harmful to a nursing baby. Cysts often contain fluid, but a pilonidal cyst contains tiny pieces of hair and skin. Injections: Injections (phenol, an acidic chemical compound) can treat and prevent mild and moderate pilonidal cysts. A disk can become herniated if its outer layer tears, letting some of the inner material slip out. You'll need to take the antibiotic for the full course, usually 5 to 10 days, even if you start to feel better. Siddiq MAB, Clegg D, Hasan SA, Rasker JJ. Treatment involves physical therapy, nonsteroidal anti-inflammatory drugs, and muscle relaxants. Many people using this medication do not have serious side effects. Your doctor may recommend surgery to remove the fistula. Symptoms that get worse instead of better. A herniated disk can press on nearby nerves, causing pain, numbness, and weakness. This will depend on the diluent and how you store the mixture (at room temperature, in a refrigerator, or frozen). Sciatica is a general term that refers to compression of the sciatic nerve, the largest nerve in the body that runs from the lumbar spine of the low back down the back of the leg. Ceftriaxone is only available as an injection either into the veins or into . Preparing for your appointment The dosage is based on your medical condition and response to treatment. An MRI may also be used to examine your spine to check for irregularities, such as spinal stenosis, bulging or herniated disks, and nerve root compression. The Rocephin brand name has been discontinued in the U.S. If you think a strain may be the source of your pain, here are a few things you can do to find relief. Do not use if the medicine has changed colors or has particles in it. A perirectal abscess (also called a perianal abscess) is a pus-filled cavity that forms in a gland near the anus, the opening through which stool leaves your body. Pilonidal cyst: treatments and drugs. Jerry!" These stretches may help you find relief. Your pain significantly impacts your ability to walk, stand, or sit for extended periods of time. Most causes of buttock pain are due to physical issues resulting from overuse, muscle imbalances, or joint problems that develop over time. Drug interactions may change how your medications work or increase your risk for serious side effects. This survey is being conducted by the WebMD marketing sciences department. Are you experiencing any other symptoms besides pain, such as tingling, numbness, swelling, burning, or muscle weakness? Rest. . Symptoms of overdose may include: seizures. Mixed medicine must be used within a certain number of hours or days. What are the exercise rules during lockdown 3.0? You can get a bruise if youre injured in the buttocks for example, if you fall while rollerblading or get hit while playing a contact sport like football. To help you remember, use this medication at the same time(s) every day. If someone has overdosed and has serious symptoms such as passing out or trouble breathing, call 911. Disabled Veterans Sign up for a Career Change. Herniated disk: symptoms and causes. Whenever starting a new exercise program or an increase in physical activity, start off slowly to allow your body to adjust to the increase in physical demands and check with your doctor to make sure that you are healthy enough to exercise. You have pain and/or difficulty passing bowel movements. PMID: 24688338; PMCID: PMC3963058. Stopping the medication too early may result in a return of the infection. Swelling of the lips, tongue, or throat. Through Ashley Gutermuth's many military moves, she has learned to flip circumstances around to find the humor, and the At the end of the day, "Minecraft Legends" has some compelling elements that unfortunately don't feel fleshed out. Lirette LS, Chaiban G, Tolba R, Eissa H. Coccydynia: an overview of the anatomy, etiology, and treatment of coccyx pain. Question You literally can't sit right for a few days. If the pain doesnt go away over time, gets worse, or is accompanied by other symptoms, its best to talk to a doctor. You can apply ice over the area for 10-15 mins 3-4 times a day which will help reduce the inflammation, also apply a hot water bag over the area after 30 mins for 10-15 mins which should help reveal the pain and hardness. For potential or actual medical emergencies, immediately call 911 or your local emergency service. But you will notice if they start to hurt. Mayo Clinic Staff. It is usually given once a day by injection or infusion (drip) into a vein (intravenously or IV). While it is suitable for adults, children and pregnant women, ceftriaxone is not suitable for: People who have ever had an allergic reaction to penicillin or cephalosporin-type antibiotics. (!) Enter your medication into the WebMD interaction checker, Smart Grocery Shopping When You Have Diabetes, Surprising Things You Didn't Know About Dogs and Cats, Simple Test Could Assess Risk of Dementia, Long COVID Treatment Isn't One-Size-Fits-All, Stuck Stem Cells May Be to Blame for Gray Hair, New Book: Take Control of Your Heart Disease Risk, MINOCA: The Heart Attack You Didnt See Coming, Health News and Information, Delivered to Your Inbox. This medication is given by injection into a muscle or vein as directed by your doctor, usually once or twice daily. What Are the Symptoms of Mantle Cell Lymphoma? Mohamad Hassan, PT, DPT, is a physical therapist at Premier Physical Therapy in Chicago. How and where is the Rocephin injection given? Giving Multiple Shots. Do not use Rocephin in a child without a doctor's advice. . The human body absorbs the thick, peanut-butter looking medication at a slow rate because of the liquid's density and creates a painful, red lump on the recruit's ass. I tried to pop it using a needle but nothing but blood came out and its still there. diarrhea, watery and severe, which may also be bloody. Medicines and their possible side effects can affect people in different ways. Antibiotics: Antibiotics can treat skin inflammation. These exercises may help ease your symptoms. Hamstring tendonitis can occur from overuse of the hamstrings muscles in the back of the thigh that commonly occurs with long distance running, repetitive weight lifting, and field-based sports. Connect with a U.S. board-certified doctor by text or video anytime, anywhere. Call your pharmacist for new medicine. Diagnosis and management of piriformis syndrome: an osteopathic approach. However, Gonorrhea shots with Ceftriaxone may cause some side effects. Other risks include obesity and working in a job where you lift or pull heavy objects. Ceftriaxone is one of the most commonly used antibiotics due to its low cost, low risk for side effects, and its ability to treat several bacterial infections. HealthTap uses cookies to enhance your site experience and for analytics and advertising purposes. Boyajian-ONeill LA, et al. I work at an Urgent Care Clinic. Do not share this medication with others. I have been using antibiotic ointment and tea tree oil. If your medicine was provided in a frozen form, thaw it in a refrigerator or at room temperature. Before using, check this product visually for particles or discoloration. Sciatica: symptoms. Hold the hot or cold pack to the affected area for about 15 minutes at a time. The following are some of the side effects that may be associated with ceftriaxone. HD 2046 1080 pixels . (2015). How to Identify and Treat a Pinched Nerve in Your Buttocks. This Mix of Non-Opioid Medications Can Help Soothe Lower Back Pain, Study Finds, Former President Jimmy Carter Entered Hospice: Here's What That Means, trouble controlling your bowels or bladder, pain that only happens when youre walking and limits your movement, stiffness and trouble moving the affected muscle, pain that radiates down the back of your thigh, corticosteroid injections to bring down inflammation, physical therapy to help strengthen the muscles around the injury and improve range of motion in the affected area, surgery to repair a damaged disk or replace a worn-down joint. First few days had very little pain but gradually the pain has started increasing. Heres how to relieve your symptoms and speed along the healing process. Tell any doctor who treats you that you are using Rocephin. ? After reviewing your symptoms and medical history, your healthcare provider will perform a physical exam to look at your buttocks and surrounding areas, including your hips and spine. WebMD does not provide medical advice, diagnosis or treatment. Avoid irritated skin and blood vessels. Piriformis syndrome: a cause of nondiscogenic sciatica. Pilonidal cyst: symptoms. Depending on the nature of your condition, your healthcare provider may recommend imaging tests to determine the underlying cause of your buttock pain. Wondering how much longer the bruise will last? On Day 6 after, I noticed lots of smegma, on Day 7 one large white bump on inside of foreskin. These were the terrifying dangers of being a 'Tunnel Rat' in Vietnam, 5 ways to skate in Marine Corps boot camp5 warrior playlists to get you pumped before a live fire range. Never disregard or delay professional medical advice in person because of anything on HealthTap. Extra-spinal sciatica and sciatica mimics: a scoping review. Take an over-the-counter medication, such as ibuprofen (Advil, Motrin IB, others) or naproxen sodium (Aleve, others), to relieve pain and reduce inflammation. While very little movement occurs in the sacroiliac joints compared to other joints of the body, the sacroiliac joints can become stressed or shifted out of normal alignment from pregnancy and childbirth, injury to the spine or pelvis, muscle imbalances, or uneven leg lengths. Recently, we had a patient present with a bad sore throat, nausea and nasal congestion. Its not painful. Does the pain occur or worsen with different positions, such as sitting, standing, or bending? If you think you have experienced a side effect, did you know you can report it using the yellow card website? Your buttocks are made up of three muscles: the gluteus maximus, gluteus medius, and gluteus minimus. Osteoarthritis, also called degenerative joint disease, is a condition that causes pain, stiffness, and inflammation of joints from the breakdown of cartilage. Degenerative Disc Disease: Can Injections Help Relieve Back Pain? This is called a fistula. Because the piriformis muscle most commonly overlays the sciatic nerve, tightness of the piriformis can cause compression of the sciatic nerve, resulting in buttock pain that radiates down the leg. Use of this medication for prolonged or repeated periods may result in oral thrush or a new yeast infection. You may be shown how to use the injection at home to treat an infection. Osteoarthritis of the hip can cause a dull, aching pain in the groin, side of the hip, or back of the buttocks that can make walking difficult. While these peanut butter shots are awesome, the ones we get in boot camp are far from exciting. Blistering at the injection site. please advise? Your buttocks are mainly composed of fat and gluteal muscle, but they can be prone to injury and disease. Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use Rocephin only for the indication prescribed. Discard solution if the bag leaks. Normal? Last year had unprotected oral. It works by stopping the growth of. Each of the bones in your spine is separated and cushioned by small pads filled with a jelly-like material. Things to remember when you fill your prescription. Rocephin injection can be dangerous when given to a newborn baby with any intravenous medicines that contain calcium, including total parental nutrition (TPN). Some key points are: If you need to take a painkiller while you're having ceftriaxone injections it's fine to take paracetamol. You cannot move your hip without causing pain. Skipping doses can increase your risk of infection that is resistant to medication. A systematic evaluation of prevalence and diagnostic accuracy of sacroiliac joint interventions. However, the most neurotoxic agents tested in a previous study. Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available. Doctors typically provide answers within 24 hours. Nurse makes injection syringe antibiotic patients the shot in the buttocks. [2] It is one of the most common medical procedures to be performed annually. All rights reserved. Make sure your doctor knows if you are pregnant or breastfeeding. Injection site reactions are usually caused by an immune response to the needle, vaccine, or other medicine. Pain in the buttocks can be caused by many conditions, which range in terms of severity. This document does not contain all possible drug interactions. . Rocephin is also used to prevent infection in people having certain types of surgery. >:-( Angry Purple redish colour. Call for an appointment if the pain doesnt go away, it gets worse, or you also have symptoms like these: Here are some of the conditions that can cause pain in your buttocks, as well as tips to help you figure out which one you might have. Mayo Clinic Staff. Are Antibiotics Effective for a Cold, Flu or COVID? Medication and physical therapy can help with pain management. The effectiveness of physiotherapy interventions for sacroiliac joint dysfunction: a systematic review. I received a tordol shot in my right buttocks about two weeks ago. Drink plenty of fluids while using this medication unless your doctor directs you otherwise. Pain medication can be taken by mouth, such as over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs) or stronger prescription-strength opioids, or delivered through a steroid injection into your hip or spine. Since some boot camps require their recruits to be highly active, the idea of adding intense physical movement to the shot's excruciating pain just adds to the "peanut butter" shot's awfulness. HSV or yeast likely? Rocephin is injected into a muscle or as an infusion into a vein (IV). difficulty with swallowing. Physical therapy can help improve strength and maintain flexibility in the joint. You may report side effects to FDA at 1-800-FDA-1088. WATM is made in Hollywood by veterans. I would like to know how I can get rid of it. Arthritis in the hip joint can cause pain that radiates to the buttocks. Similarly, always check with your doctor or pharmacist before taking any new medicines while you're having treatment with ceftriaxone. *! If ceftriaxone is mixed with a numbing medication (such as lidocaine) before injection into a muscle, it may rarely cause a serious blood problem (methemoglobinemia). Show your support by donating any amount. To learn more, please visit our, is likely that can persist for a while. 2020 Oct 1;33(4):305-317. doi: 10.3344/kjp.2020.33.4.305, Cass SP. You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch. US residents can call their local poison control center at 1-800-222-1222. If you're taking warfarin your doctor may want to check your blood clotting time (INR) after you start and finish treatment with ceftriaxone. you can report it using the yellow card website. Rocephin is a cephalosporin (SEF a low spor in) antibiotic. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. But it doesn't work well against infections caused by resistant bacteria, which are very hard to fight off. Why the Most Dreaded Injection is Called the 'Peanut Butter' Shot, By You can get one of these cysts if a hair grows into your skin (ingrown hair). Activities like walking, running, or climbing stairs can aggravate the pain, but there are options for relief. And a stiff neck? Also tell your doctor if you have ever had kidney stones or gallstones. You can also have numbness or tingling in the affected leg. Some severe or ongoing causes of buttock pain resulting from spinal problems like spinal stenosis or herniated discs may require surgery if symptoms fail to improve with conservative treatment options. It works by stopping the growth of bacteria.This drug is not recommended for use in newborns with high blood bilirubin levels and premature infants due to increased risk of side effects. Areas like the shoulder, hip, elbow, and knee are most often affected. This medication may rarely cause a severe intestinal condition due to a bacteria called C. difficile. You should not use this medicine if you have ever had a severe allergic reaction to ceftriaxone or to certain antibiotics, such as: cefaclor, cefdinir, cefixime, cefpodoxime, cefprozil, cephalexin, Keflex, Omnicef, and others; avibactam, relebactam, sulbactam, tazobactam, vaborbactam, and others; or. A physical therapist will create an individualized exercise program for you to help stretch overly tight muscles and improve your strength to help correct muscle imbalances. Your sacroiliac joint connects the sacrum the triangular bone at the base of your spine to your pelvic bone. I have a small lump on left backside of neck. This copyrighted material has been downloaded from a licensed data provider and is not for distribution, except as may be authorized by the applicable terms of use. There can also be weakness and hair loss in the lower legs. Do not double the dose to catch up. Cushion your knees if you sleep on your side by placing a small pillow between your legs. Sciatica is often caused by a herniated disk or narrowing of parts of the spine that then presses on the sciatic nerve. A healthcare provider will give you this injection when Rocephin is used to prevent infection from surgery. About 10 to 25 percent of people with low back pain have a problem with their sacroiliac joint. Next Steps Not sure what it is? Does Rocephin Vial interact with other drugs you are taking? We Are The Mighty (WATM) celebrates service with stories that inspire. Call your doctor for instructions if you miss a dose. Use this medicine for the full prescribed length of time, even if your symptoms quickly improve. [ Post a Reply to This Message ], Expression (Optional mood/title along with your name) Examples: (happy, sad, The Joyful, etc.) The hamstring tendons attach to the ischial tuberosities of the pelvis, the hard bony prominences that you can feel at the bottom of your buttocks when you sit. Consult the product instructions and your pharmacist for storage details. Boils are painful, swollen, tender sores that develop under the skin due to a bacterial infection. However, if you experience vomiting or diarrhoea while having treatment with this antibiotic, this can potentially make your pill less effective at preventing pregnancy. Now i am having unbearable pain in the area even if some one is touching the finger very slightly. If you have these symptoms, do not use anti-diarrhea or opioid products because they may make symptoms worse. Ceftriaxone is used to treat a wide variety of bacterial infections. This detailed article will give you all the information youre looking for about a variety of, A pinched nerve in your butt can feel like pain, weakness, tingling or other sensations. Do not refreeze. You might also have numbness and tingling in your legs. Ceftriaxone injection: an antibiotic to treat bacterial infections, NetDoctor, part of the Hearst UK wellbeing network. fast, irregular, pounding, or racing heartbeat or pulse. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. New research suggests, Injections of spinal disc tissue into the spine may relieve pain associated with degenerative disc disease, according to preliminary results of a. Available for Android and iOS devices. Curr Sports Med Rep. 2015;14(1):41-4. doi:10.1249/JSR.0000000000000110, Al-Subahi M, Alayat M, Alshehri MA, Helal O, Alhasan H, Alalawi A, Takrouni A, Alfaqeh A. We avoid using tertiary references. If you have diarrhea that is watery or bloody, call your doctor. Received one (quite painful) shot at 1pm for exposure to syphillis, a few hours later was running a fever and feeling flu-like symptoms and told a friend to check on me before going to bed at 5:30pm.
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