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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.

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Painful, non-healing skin lesions on the elbow and back in someone with 15-year diabetes are most commonly: Likely causes Fungal infection (ringworm / tinea) – very common in diabetics, looks red, itchy, circular, doesn’t heal easily. Bacterial infection / boils – painful, red, warm lumps. Psoriasis – thick, scaly patches on elbows, long-lasting. Diabetic skin infection – heals very slowly. What to do immediately For itchy red patches: Terbinafine 1% cream or Ketoconazole 2% cream twice daily × 4 weeks. For painful, raised boil-type lesions: Mupirocin ointment twice daily + warm compress. Very important: Because you are diabetic, poor sugar control makes skin infections persistent. Check Fasting sugar + PP sugar + HbA1c — infections won’t heal unless sugars are controlled.

This is due to uncontrolled Dm

You can consult me directly on Practo, or reach out via WhatsApp: Eight Seven Six Two Seven Four Nine Nine Seven Four I’ll guide you step-by-step with easy-to-follow treatment plans. Early consultation helps avoid complications — feel free to connect. Only whatsapp message no calls

How are your blood sugars? Wats ur BP reading. Dnt stress at all madam. Kindly consult with me on 94 two six 86 seven eight 96 for proper guidance and treatment.

Hello, I am Dr Romain Rajan, General Physician. Your case has been allotted to me. I understand your concern. The lesions on your elbow look inflamed, crusted and not healing properly. Since they are also appearing on your back and are painful, this is not a simple rash. In a diabetic patient, skin infections tend to be more severe and slower to heal, especially when sugars are not fully controlled. Advices 1 Keep the affected area clean and dry. Avoid scratching as it can worsen the infection. 2 Use mild soap and avoid applying any strong creams without proper guidance. 3 Maintain good blood sugar control because uncontrolled sugar delays healing. What to Monitor 1 Increasing redness or swelling around the wound. 2 Yellow discharge or foul smell. 3 Fever or chills. These may indicate spreading infection. Management Based on the picture and your medical history, this can be • A bacterial skin infection like impetigo or folliculitis • Or a fungal infection complicated by scratching • Or diabetic skin infection with delayed healing The crusting and pain suggest you may need • A proper antibiotic cream • Possibly an oral antibiotic • An anti fungal cream if needed • A soothing anti inflammatory cream to reduce pain Gut issues and long standing diabetes also weaken immunity, making these skin infections stubborn. Before choosing the exact medicine, I need to know your sugar levels, HbA1c and current diabetes medications. With the right treatment, these lesions usually improve within seven to ten days. When to Consult a Doctor Immediately 1 Rapid spread of the lesions 2 Severe pain or fever 3 If the wound becomes watery, smelly or starts enlarging Every patient’s situation is unique. For accurate diagnosis and lasting relief, it is important to discuss your sugar control, medications and symptoms in detail. You can reach out to me directly for this case and also connect with me in future for any medical consultation. I am available on Practo or on WhatsApp at 85271646 seven seven for a one on one consultation where you will receive 1 A personalised treatment plan 2 Safe medicine adjustments if required 3 Quick follow ups to track your recovery Take care, wishing you good health. Dr Romain Rajan General Physician

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