Talk to General Practitioner on DFI Deep Foot Infection
Asking For Father, Male 63, Islamabad
hi there, my father is an diabetic patient. he had an infection on his foot a year ago. which is still not Cured. we've tried a lot of medication, daily cleaning, sugar control and less walking. but still it's not completely curing. please advise.
kindly, keep his glucose level record and have an examination by the podiatrist.Also, share the image of his foot so that condition can be assessed.
thank you.
Since diabetic patients are more prone to having infections because of low immunity and more limb problems because of lack of blood supply, from the limited history you have given it could be a case of diabetic foot, diabetic ulcer or gangrene ( wet or dry,)... Kindly share the picture of the wound because the patient might need surgical intervention in addition to medical treatment as well
Diabetic foot management should be managed by a Gen. surgeon or sometimes with opinion of a Plastic Surgeon too. It has too be examined before making any comments. Better book an online consultation with the concerned surgeon.
can you please post the picture of foot
do you have x ray of the foot ? what is random sugar level of patient
hello.
diabetic foot ulcer or non healing ulcers needs special care.
US doppler of that infected leg , pus and blood Culture test is required for further therapy.
meanwhile wash his infected legs with KMNO4 pinky wash twice a day and apply fusidin cream and do daily bandage.
hi first of all the blood Glucose level should be control.start
tab.amclav 1gm twice daily for 7 Days.
tab.flagyl 400mg thrice daily for 7 days.
tab.chymrol fort twice daily for 7 Days
tab.voltral 50mg for pain
daily aseptic dressing.
IA it will be improve if not improved then consult an orthopedic surgeon which will do x.rays .
Dr. Sara Ali Khan - General Practitioner
MBBS, FCPS (Training Complete) | Peshawar
5 Positive Reviews
without having a look at the wound cant comment on further treatment.. kindly send pic of the foor plz ..
Assalamualaikum please send pictures and medicines and doctor prescriptions and other medical papers.
please share the pic of affecteted area for better guidance.Thanks
Hello.. First of all, the wound has to be assessed physically. How deep it is, whether infected or not currently.. whether the bone is involved or not.. need to address if the skin tissue is still viable or dead.. I think before any suggestion or treatment, the wound has to be examined thoroughly.
meanwhile continue regular dressing and sugar should be controlled well..
Dr. Mehak Batool - General Practitioner
MBBS, Postgraduate resident Haematology | Lahore
2 Positive Reviews
Aoa
Plz share pictures of foot along with medication you used fr it
Thnks
do sugar monitoring daily
one Doppler u/s
and continue dressing
and consult with a general surgeon
Kindly post a picture,
X-Ray maybe needed to evaluate degree of Diabetic foot.
Member
Anonymous User
here is the picture of infected area
Appears to be dry gangrene. If on pressing the wound there is any secretion, you need to get culture and sensitivity done. Get a cbc and esr meanwhile amd an xray of foot to rule out bone involvment
For treatment there needs to be debridment of dead tissue followed by serial dressings. If there is an indication if concurrent infection only then we need to start oral antibiotic. Keep foot warm and dry. Avoid pressure on the site of ulcer. Optimise blood sugar levels
1 year ago
my advice is; Kindly visit a hospital for D/D and workup.
1 year ago
Dr. Samreen Faisal - General Practitioner
MBBS | Jeddah
Check his blood sugar levels daily and keep it's record.Is he on Insulin or tablets for control of diabetes?
Do post a picture of the affected area and get his X-ray done.
Management includes daily dressing,control of diabetes and control of infection.
Member
he is on insulin along with tablets. average sugar levels is now a days from 160 to 270
1 year ago
His sugar levels need to be controlled to below 150 mg/dl.For this , I ask you to tell the dose and timing of insulin and tablets.Also tell which insulin and tablet(name) is he using.Do record blood sugar levels before breakfast and 2 hrs after lunch and dinner after dose adjustment.
1 year ago
clean the wound daily
change dressing n apply fuciderm on the wound
control the sugar level must not exceed from normal
Take good wound care
consult with some general surgeon n take opinion from an orthopedic surgeon as well
continue the medication precribed by diabetologist
share the pic to evaluate the degree n diagnose as well as further treatment..
You need proper consultation involving diabetic foot clinic, endocrinologist, orthopedic and vascular surgeon. To assess the degree and depth of wound.
Get US Doppler of foot.
Dr. Anum Sarwat - General Practitioner
MBBS, D.F.M (Diploma Family Medicine) | Karachi
11 Positive Reviews
you need proper consultation
Aa
Please book an online appointment with me for further consultation.
Many thanks.
Ws
Dr. Naveed Aslam
Dr. Samiha Zubair - General Practitioner
MBBS, FCPS (Training Complete) | Karachi
28 Positive Reviews
Salaam,
Its something not to be taken easily and not because it's for a long time but also because of the consequences as it can lead to
-septic shock- as fever , low blood pressure
amputation without septic shock -(secondary to infection or gangrene)
please strict control of sugar
good foot care n hygiene (using foot mirror, comfortable but closed shoes, )
follow up with the doctor physically before it leads to more serious consequences.
Get Appointment with General Practitioner
- Best General Practitioner in Lahore
- Best General Practitioner in Karachi
- Best General Practitioner in Islamabad
- Best General Practitioner in Rawalpindi
- Best General Practitioner in Faisalabad
- Best General Practitioner in Peshawar
- Best General Practitioner in Multan
- Best General Practitioner in Quetta
- Best General Practitioner in Gujranwala
- Best General Practitioner in Sargodha
- View All
Services releated to General Practitioner
Find the Questions asked in Other Categories
- Questions asked from Gynecologist
- Questions asked from Dermatologist
- Questions asked from General Physician
- Questions asked from Gastroenterologist
- Questions asked from Urologist
- Questions asked from Psychiatry
- Questions asked from Pediatrician
- Questions asked from Orthopedic Surgeon
- Questions asked from Ent Specialist
- Questions asked from Dentist
Member
please see the attached picture above
1 year ago