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Diabetic foot ulcer
Can any one please suggest ??? What to fo for this Diabetic foot ulcer... I have enclosed the image of foot ulcer
Answers (15)
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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
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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
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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.
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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.
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Urgent Advice:
Please consult a diabetic foot specialist, surgeon, or wound care team immediately. Delay can lead to gangrene or amputation.
Next Steps
mentioned above
Health Tips
mentioned above
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The ulcer looks bad, infected. Kindly consult with a gener surgeon immediately and also please consult with a physician for sugar control.
Next Steps
Health Tips
strict sugar control ( consider insulin if suggested by the physician), dressing.
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Please visit surgeon first , control of sugar needed
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Go to a general surgeon who specialises in diabetic foot ulcer don’t leave it as it is
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Ulcer debridement by general Surgeon
Visit near by hospital
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U have to visit general surgeon for its debridement .
Its deep and has pus arround it .
Next Steps
Start antibiotics- Tab augmentin 625 mg 3times a day for 5 days and
pain killers ( Tab Signoflam) to reduce inflammation and in case you feel pain .
Health Tips
Check FBS/ PPBS/HBA1c .
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Dr. Sachin Mane
Diabetologist
12 yrs exp
Beed
Consultation needed with physician and surgeon
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Dr. Gaurav Jaiswal
General Physician
6 yrs exp
Jhansi
Do connect and consult
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Dr. A Raja Prasanna Kumar
Pulmonologist
46 yrs exp
Hyderabad
Pl visit surgeon for control of Diabetic foot, urgently.
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Dr. Amol Gajanan Andhale
Diabetologist
3 yrs exp
Wardha
Consult as soon as possible
Need proper management
Need to strict control of sugar
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Dr. Chaithra H
General Physician
4 yrs exp
Bangalore
Pls have physical examination with nearby surgeon and have a follow up.
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Dr. Umesh Kumar Sah
Endocrinologist
9 yrs exp
Lucknow
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.
Next Steps
Please visit an endocrinologist for glycemic control and surgeon for debridement.
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Dr. Nimmi Mulwani
Diabetologist
10 yrs exp
Ahmedabad
Visit a nearby general Surgeon immediately.
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