What should be avoided after a tetanus shot?

Written by Zhang Da Wei
General Surgery
Updated on March 16, 2025
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Tetanus injections are a common preventive measure in daily life and are generally effective against tetanus bacillus infections. After receiving a tetanus injection, it is necessary to follow a specific diet. Typically, within a week of the injection, it is recommended to avoid spicy and irritating foods, as well as acidic foods. Beverages such as strong tea, coffee, and alcohol should also be avoided as much as possible. Additionally, foods that commonly cause allergic reactions, especially if one is usually allergic to certain foods, should be avoided under these circumstances. This is because if the immune system is weakened, the effectiveness against tetanus bacillus may diminish. Furthermore, it is crucial to get plenty of rest, drink more warm water, consume more fruits and vegetables, avoid strenuous activities, and avoid meat stimulants such as dog and lamb meat, among other considerations.

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Written by Li Xiao Lin
Emergency Department
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Will tetanus cause muscle soreness?

Tetanus can cause muscle pain. The main symptoms of a tetanus attack include sudden onset, impaired consciousness, frothing at the mouth, limb convulsions, body stiffness, presenting in an opisthotonos posture, and concurrent incontinence of urine and feces, with the duration varying according to the condition. Because convulsions cause the muscles to be in a state of rigidity, this leads to muscle ischemia and hypoxia, thereby increasing lactic acid and causing this state of muscle pain. Therefore, during a tetanus attack, measures should be taken to control these convulsions. At the same time, use chopsticks to prop against the teeth to prevent biting the tongue and other such incidents. If the condition is severe, immediately call emergency services (120) to get to a hospital for urgent treatment.

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Written by Liu Huan Huan
General Surgery
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Will a scrape lead to tetanus?

When a tetanus infection occurs, the wound is generally quite deep, for instance, reaching the subcutaneous fat or even the muscle layer in severe cases. Such deep wounds can create an anaerobic environment, which is conducive for the growth and reproduction of Clostridium tetani, an anaerobic bacterium. This bacterium produces exotoxins, primarily the tetanospasmin, which causes the associated clinical symptoms in patients. If it's merely a scrape or a superficial wound, tetanus infection is unlikely. Clinically, what is needed for such abrasions is to disinfect the area with iodine and then bandage it appropriately.

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Written by Ai Bing Quan
General Surgery
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How to determine if a wound has tetanus

Tetanus wounds are mainly characterized by deep wound redness, accompanied by a certain degree of pain, and sometimes there is pus discharge. The incubation period is usually around seven days. After infection with Clostridium tetani, symptoms such as lockjaw and excessive arching of the back occur, which are caused by excessive muscle spasms. During the acute phase of clinical treatment, it is crucial to actively use antitoxins and antibiotics to treat the infection. Otherwise, muscle spasms may lead to paralysis of the respiratory muscles, ultimately resulting in death by suffocation. Prevention of tetanus is more important than treatment, and care should be taken to avoid injuries from rusty nails.

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Written by Ai Bing Quan
General Surgery
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Tetanus onset in several days

Tetanus is a type of infection specifically related to the surgical context, caused by Clostridium tetani. It can invade the human body through skin or mucosal wounds, and flourishes in an anaerobic environment. The toxin produced by the tetanus bacterium primarily invades the neurons of the human nervous system, causing muscle spasms such as lockjaw, episodic spasms, and compulsive spasms, with muscles like the lumbar, back, and abdominal muscles being mainly affected. The incubation period of tetanus is usually seven to eight days, with the shortest being within 24 hours and the longest can extend to several months or even years.

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Written by Xu Jun Hui
General Surgery
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Can I get a tetanus shot in the emergency room?

The injection of tetanus shots is performed in the emergency department of regular hospitals. Tetanus shots are divided into tetanus toxoid, which requires a skin test, and tetanus immunoglobulin, which does not require a skin test. If the skin test for tetanus toxoid is positive, indicating an allergy, it cannot be injected, and must be replaced with the slightly more expensive tetanus immunoglobulin. It is generally recommended to administer the injection within 24 hours after injury to prevent infection by Clostridium tetani. Clostridium tetani is an anaerobic bacterium. It is necessary to administer tetanus treatment for injuries that are deep, in anaerobic conditions, contaminated, heavily contaminated with soil, rust, open fractures, etc., since these conditions can be conducive to tetanus infection.