Should I use hot compress or cold compress for a swollen hand after intravenous infusion?
Disease description:
After receiving intravenous therapy at the hospital this morning and returning home, the back of my hand has remained swollen with tight skin. I would like to apply a compress, so I'm wondering whether I should use a hot compress or a cold compress for the swelling caused by the IV?
Doctor's answer (1)
Dr. Yang Ziqi
It is a reasonable approach to apply cold compresses within 24 hours after intravenous infusion causes hand swelling, and then switch to warm compresses after 24 hours. Additionally, keeping the swollen area clean to prevent infection is also very important.
1. Within 24 hours: During the first 24 hours after the swelling occurs, cold compresses are recommended. This is because cold compresses can cause blood vessels to constrict, reducing fluid leakage into the surrounding tissues and preventing further swelling. When applying a cold compress, use an ice pack wrapped in a towel on the affected area for 15–20 minutes at a time, repeating every 2–3 hours.
2. After 24 hours: When more than 24 hours have passed since the swelling occurred, warm compresses may be appropriately applied. Warm compresses help dilate blood vessels and improve circulation, which aids in the rapid absorption of edematous tissue and relieves swelling. A warm towel or hot water bag may be used for this purpose, but care should be taken to maintain an appropriate temperature to avoid burning the skin.
