Do connect and consult

Hello sir . This need surgical management and regular dressing and if there is deep extension of ulcerated tissue then amputation of limb . Consult a local vascular surgeon and general surgeon asap

Hi, You have an advanced stage of diabetic foot. Clearly your sugars are not in good control and now that you have an ulcer, you need to manage this aggressively. I would suggest that you physically consult a physician and get admitted. You will need evaluation to determine the need for a small surgery to clean the ulcer/if it involves the bone Consult if you are living in chennai and I can suggest good places to go to

The ulcer appears deep, necrotic, and possibly infected. The surrounding area shows yellowish discoloration, suggestive of slough and poor perfusion. This condition is serious and requires urgent multidisciplinary intervention to prevent complications like osteomyelitis or limb loss. --- Recommended Management Plan: 1. Immediate Steps: Hospital admission may be necessary if systemic signs (fever, elevated WBC, CRP) are present. Start empirical broad-spectrum antibiotics (e.g., Piperacillin-Tazobactam or Cefoperazone-Sulbactam + Metronidazole) pending culture. Wound swab for culture and sensitivity (C/S) to tailor antibiotics. X-ray foot or MRI if osteomyelitis is suspected. 2. Local Wound Care: Daily sterile dressing with debridement (surgical or enzymatic) if slough is present. Use normal saline irrigation, then apply topical antimicrobial dressings (e.g., silver sulfadiazine, iodine-based, or hydrogel). Consider negative pressure wound therapy (NPWT) if available. 3. Glycemic Control: Maintain strict blood glucose control with insulin (preferably basal-bolus regimen). Monitor HbA1c, FBS/PPBS and adjust medications as needed. 4. Vascular Evaluation: Perform Doppler ultrasound to assess peripheral circulation. Refer to vascular surgery if there’s significant ischemia. 5. Offloading: The patient must avoid pressure on the ulcerated area. Use custom footwear, total contact cast, or crutches to promote healing. 6. Nutrition & Comorbidity: Ensure adequate protein intake and micronutrients (zinc, vitamin C). Treat co-existing conditions like anemia, renal dysfunction, etc. --- Urgent Advice: Please consult a diabetic foot specialist, surgeon, or wound care team immediately. Delay can lead to gangrene or amputation.

The ulcer looks bad, infected. Kindly consult with a gener surgeon immediately and also please consult with a physician for sugar control.

Please visit surgeon first , control of sugar needed

Go to a general surgeon who specialises in diabetic foot ulcer don’t leave it as it is

Ulcer debridement by general Surgeon Visit near by hospital

U have to visit general surgeon for its debridement . Its deep and has pus arround it .

Consultation needed with physician and surgeon

Pl visit surgeon for control of Diabetic foot, urgently.

Consult as soon as possible Need proper management Need to strict control of sugar

Pls have physical examination with nearby surgeon and have a follow up.

You are having ulcer over the callus. You need to get it debridement done but also you have to control your diabetes under control. Your ulcer will heal only when your blood glucose are under control. You also need proper foot care.

Visit a nearby general Surgeon immediately.