Can help you with the next course of action and treatment plan. Kindly consult via whatsapp at nine zero two nine six zero zero four seven zero.

Consult nearby surgeon

Vac therapy excellent results Can contact me for uses and benifits

Consultba general surgeon asap for wound care and healing. Dont wait or ignore it.

Keep cha

Dr. Harshal Bagde’s Clinical Opinion Based on the information provided: * Male, 67 years * Diabetes for 25 years * Chronic Kidney Disease (Creatinine 2.5 mg/dL) * Hip surgery on 28 May with plates and screws * Bedridden after surgery * Developing pressure sores (bedsores) over both buttocks, larger on the operated side This patient is high-risk for progression of pressure ulcers because of: 1. Long-standing diabetes (poor wound healing) 2. CKD (impaired tissue repair) 3. Recent major surgery 4. Prolonged immobilization 5. Advanced age First Priority: Determine the Stage of Bedsore A physical examination is necessary to determine whether the ulcer is: * Stage 1: Red, non-blanching skin * Stage 2: Superficial skin loss/blister * Stage 3: Deep ulcer with fat visible * Stage 4: Muscle, tendon, or bone exposed If there is black tissue, foul smell, pus, fever, or increasing pain, the wound may be infected and requires urgent assessment. ⸻ Which Specialist Should You Consult? The best specialist would be: 1. Plastic Surgeon (Wound Care Specialist) – Preferred 2. General Surgeon experienced in wound care 3. Diabetologist for glucose optimization 4. Nephrologist for CKD management 5. Orthopedic surgeon follow-up for hip surgery A plastic surgeon can assess whether debridement, advanced dressings, VAC therapy, or flap surgery is required. ⸻ Immediate Home Care Measures 1. Pressure Relief (Most Important) Turn the patient every 2 hours: * Back → Left side → Back → Right side * Avoid prolonged sitting Use: * Air mattress (alternating pressure mattress) * Soft foam cushions * Pillows under thighs and calves Avoid direct pressure on the ulcer. ⸻ 2. Wound Cleaning Daily dressing with: * Normal saline wash * Avoid strong antiseptics like concentrated Dettol or hydrogen peroxide repeatedly, as they may delay healing The dressing type depends on the wound appearance: * Hydrocolloid dressing * Foam dressing * Silver dressing (if infection suspected) A wound-care specialist should decide the most appropriate dressing. ⸻ 3. Nutrition Wound healing requires adequate protein. Discuss with the nephrologist because of CKD, but generally: * High-quality protein within kidney-safe limits * Eggs (if permitted) * Paneer * Protein supplements formulated for CKD patients Check: * Hemoglobin * Serum albumin * HbA1c Poor nutrition is a common reason for non-healing bedsores. ⸻ 4. Diabetes Control Target blood sugars should be optimized. Poor glucose control can significantly delay healing and increase infection risk. ⸻ Advanced Treatments for Faster Healing Depending on wound stage: Vacuum Assisted Closure (VAC Therapy) * Accelerates granulation tissue formation * Removes wound exudate * Often useful in Stage 3 and Stage 4 ulcers Surgical Debridement * Removal of dead tissue * Required if necrotic tissue is present Silver-based Dressings * Useful when bacterial burden is high Flap Reconstruction * Reserved for large, deep chronic ulcers ⸻ Warning Signs Requiring Urgent Medical Review Seek immediate medical attention if: * Fever * Pus discharge * Foul odor * Black tissue * Rapid increase in ulcer size * Increasing redness around the wound * Confusion or weakness * Blood sugar becoming uncontrolled ⸻ My Recommendation Given the patient’s diabetes, CKD, and the description of a “big patch” on the right buttock, I would advise evaluation by a Plastic Surgeon/Wound Care Specialist within the next 24–48 hours, rather than relying solely on home dressings. Early intervention can prevent progression to deep ulcers, infection, osteomyelitis, and prolonged hospitalization. If possible, please upload a clear photograph of both bedsores. I can help estimate the stage of the pressure ulcer and suggest the most appropriate dressing strategy.

Bed sores after hip surgery in an elderly patient need immediate attention. The most critical step is pressure relief — get an alternating pressure air mattress or good quality anti-decubitus foam mattress as soon as possible, as no cream or dressing will work without this. He should be repositioned every 2 hours in bed, and the affected area must be kept clean and dry at all times. A barrier cream (zinc oxide-based) and appropriate wound dressings should be applied over the sores. The physiotherapy and mobilization you are already doing is excellent and should continue as tolerated.

Please consult a general surgeon or if you have access consult a plastic surgeon . Other than above mentioned consultation please consider 1. Using alpha bed or air bed 2. Change body position to either of the sides frequently. 3. Wound dressing regularly 4. If he is diabetic, control his sugars

Water mattress,  ring with central  hole so air will be  there. Dressing Clean with betadine swab apply Mega heal ointment  two times a day after proper cleaning. Oral Augmentine duo625 three times a day after food for 10 days.  Zerodol sp three times a day after food for 7 days T bact ointment locally first to apply than mega heal

Use air mattress and do proper dressing and antibiotics Consult for further evaluation

You need to consult your prescribed doctor like gen.surgeon. immediately.

Yes Kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app

DIABETIC HISTORY? You will drink alcohol and smoking ? I need a mode of detailed history ? What surgery can it do? You will clean the wound with hygiene dressing Send me the photo clearly and fix the appointment in Practo

This is pressure sore or bed sore which your uncle has developed due to prolonged immobilisation following hip surgery. Change his posture make him turn to other side every alternate 2 hours. It's better to make him sleep on air or water bed. The wounds need foam dressing apply bed sore bandange on the wound keep it clean

Reposition the person at least every 2 hours Clean the sore gently with saline (saltwater) or as directed by a healthcare provider. Keep the surrounding skin clean and dry. Eat adequate protein (eggs, fish, meat, beans, dairy). Ensure enough calories, fluids, vitamins C and A, and zinc. Stay hydrated

Need few more details for proper understanding of your issue. You can consult with me online on Practo or whatsapp on eight three one eight four six nine eight eight six for proper diagnosis, conclusion and management

Hi, Proper evaluation and personalised advice needed, a detailed consultation would be best. Feel free to consult me for further guidance.

The ulcers seem prominent you need to directly consult a doctor l, do not delay

Need a few more details please consult for further evaluation and treatment

Consult General Surgeon / Plastic Surgeon / Wound-care specialist soon. Care: 2-hourly position change Use air mattress / alternating pressure mattress Avoid direct pressure on buttock sores Dressing should be decided after wound check: foam / hydrocolloid / alginate / silver dressing depending on depth/discharge Do not apply Dettol, spirit, hydrogen peroxide inside wound Give high-protein diet: egg, dal, paneer, milk/curd, fish/chicken if allowed Continue physio, but avoid long sitting Urgent visit if pus, bad smell, fever, black skin, increasing redness/swelling, severe pain, or wound getting deep.

Needs evaluation Pls have physical examination with nearby surgeon

Can help you, kindly consult and provide detailed history for proper diagnosis and further management

Need some more details kindly consult

Since I can see the photo of bedsore on buttock look healthy and grade 2 stage. So I suggest keep it dry and every 3 hour position change to be done. 3 hourly positions change chart is available on Google you can google it. you follow that and most important air mattress to be placed

Avoid fried and spicy food Water intake more Green leafy vegetables more Fiber meal Do connect and consult Will help you

General surgeon immediately