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id recommend ibuprofen instead of tylenol as its more focused on swelling and inflammations. works like a charm for me. agreed with heartwood though, may need to get it shortened. best advice would be to actually just contact your piercer and ask them for advice + a check up post piercing. thats alway neccesary with a piercing, better than internet advice! 

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is the pain caused from it shifting a lot post-swelling? might be time to get it shortened. but drinking cold water should help a bit with numbing the pain, and i think i took tylenol when i got my snake bites and they were hurting. cant remember how successful it was though