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How to Treat Cellulitis

Cellulitis is a bacterial skin infection that needs quick treatment. Without proper care, it can spread and become serious. The good news is that most cases clear up well with the right antibiotics and home care.

Antibiotic Treatment

Antibiotics are the main treatment for cellulitis. Your doctor will prescribe oral antibiotics for mild cases. Common choices include cephalexin, cefadroxil, or dicloxacillin. Take the full course of antibiotics as directed, usually 5 to 10 days, even if you start feeling better.

Most people see improvement within a few days of starting treatment. If your infection doesn't improve after 2-3 days of oral antibiotics, contact your doctor. You may need a different antibiotic or IV treatment.

Home Care Tips

While antibiotics work to fight the infection, these steps can help ease your symptoms:

• Elevate the affected area to reduce swelling

• Apply a cool, damp cloth to the area for comfort

• Take over-the-counter pain relievers like ibuprofen or acetaminophen

• Keep the area clean and dry

• Rest to help your body heal

When to Seek Emergency Care

Go to the emergency room right away if you have:

• Fever above 100.4°F (38°C) with chills

• Rapidly spreading redness or swelling

• Black or darkening skin

• Numbness or tingling in the affected limb

• Confusion, dizziness, or feeling very unwell

Hospital Treatment

Some people need hospital treatment with IV antibiotics. This includes those with severe symptoms, high fever, weakened immune systems, or infections that don't respond to oral antibiotics. IV antibiotics work faster and can handle more serious infections.

Preventing Future Infections

Cellulitis often comes back. To lower your risk: keep skin clean and moisturized, treat cuts and scrapes right away, manage conditions like athlete's foot that can create entry points for bacteria, and protect your skin from injuries. If you have repeated episodes, your doctor may prescribe preventive antibiotics.

Frequently Asked Questions

How long does it take for cellulitis to heal?accordion item active state indicator

Most people start feeling better within a few days of starting antibiotics. Complete healing usually takes 5 to 10 days with proper treatment. However, redness may take longer to fade completely.

Can cellulitis be treated at home without antibiotics?accordion item active state indicator

No. Cellulitis requires prescription antibiotics to clear the bacterial infection. Home care like elevation and cool compresses can help with symptoms, but they cannot treat the underlying infection. Always see a doctor for cellulitis.

What happens if cellulitis is left untreated?accordion item active state indicator

Untreated cellulitis can spread rapidly and lead to serious complications. The infection can enter the bloodstream, spread to lymph nodes, or cause tissue death. In severe cases, it can be life-threatening. Seek treatment promptly.

Why does my cellulitis keep coming back?accordion item active state indicator

Recurrent cellulitis is common and often linked to underlying conditions like lymphedema, obesity, or skin conditions such as athlete's foot that create entry points for bacteria. Managing these conditions and keeping skin healthy can help prevent repeat infections.

References

  1. Clinical Guidance for Group A Streptococcal Cellulitis. Available from: https://www.cdc.gov/group-a-strep/hcp/clinical-guidance/cellulitis.html
  2. Cellulitis - Diagnosis & Treatment. Available from: https://www.mayoclinic.org/diseases-conditions/cellulitis/diagnosis-treatment/drc-20370766
  3. Cellulitis: Symptoms, Causes, Treatment & Recovery. Available from: https://my.clevelandclinic.org/health/diseases/15071-cellulitis
  4. Clinical Practice Guidelines for the Diagnosis and Management of Skin and Soft Tissue Infections: 2014 Update by IDSA. Available from: https://www.idsociety.org/practice-guideline/skin-and-soft-tissue-infections/
  5. Cellulitis - StatPearls. Available from: https://www.ncbi.nlm.nih.gov/books/NBK549770/

Medical Disclaimer: This article is for informational purposes only and does not constitute medical advice. Always consult with a qualified healthcare provider before starting any new skincare treatment, especially if you have underlying health conditions, are pregnant, or are taking medications.

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