General Surgery

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Burn wound in leg- diabetic

Got burnt in my leg 10 days ago. When to a doctor and took antibiotics for 7 days and did wound debridement. Is my wound healing or what should i do now.
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Pilonidal sinus

Is pilonidal sinus recovers without surgery (linear oblique sinus tract 2.7cm lenght 5.8mm caliber, along upper natal cleft )
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Cellulitis infection

This is wound after three days of debridement of a diabetic patient 69 years old. will it heal or how many days it takes to heal.What treatment should be given.
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Mitral annular calcification

2D echo test Report of my mother 58 year old says mitral annular calcification, she had difficulty in breathing so doctor told her to get 2D echo test done .attached is the 2D echo test Report...request you to pls check the report and guide me about the treatment options for mitral annular calcification.pls help me.
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Fatty liver with 9.7kPa stigfness

OBSERVATIONS: Liver fat quantification showed the fat fraction of 7.6%, suggesting grade – 1 steatosis. Elastography performed showed widening and slow progression of shear waves. Stiffness maps showed the stiffness to be around 9.7 kPa, suggesting stage – 4 fibrosis. Hepatic iron concentration is 15.5µmols/g suggesting no iron overload. Mild hepatomegaly is noted with diffuse surface nodularity. No focal lesion. Gall bladder is distended. minimal sludge is noted within the lumen. No biliary dilatation. Spleen is enlarged in size and measures 14 cms supero-inferiorly. Pancreas is normal. Impression:  Stage – 4 hepatic fibrosis.  Grade – 1 hepatic steatosis.  No evidence of iron overload.
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Armpit lump

I got an armpit lump 3 weeks back after having a flu which was very painful and with swelling.I used to feel pain when i move my hand also.But after 3 4 days it started to reduce in size and pain is completely gone and no swelling.Its been 3 weeks now and there is no pain or something but i can feel little bit of that lymph node when i touch .Its not completely gone.What should i do to heal it completely?Is it concerning?
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Gynaecomastia and pain

Hi doctor When I was in teen age I used to have severe pain under my nipples and it was left untreated by parents as they were not aware. Then I developed gramdular ring like structure and pain was gone. This raised my chest and its look like a gynaecomastia. Now I have fat but very slight pain also. Reference pic attached Do I need to get it removed or medications are available?. Pls guide .
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Query about creatine supplement

I am doing workout in gym for couple of years now and I have also taken creatine in the past with frequent breaks. And like this I was doing regular gym last year till August 2024. Then i left gym and workout for some reason in ending august and my body weight in august is around 69kg. Then in middle of September, one day I got into severe stomach pain and I'll get to know that i have multiple stones in my gallbladder and some stomach infection too. Then I consult a doctor and start getting treatment. And in October, my gallbladder surgery happens and the operation went well without any complication. And I take rest of 2 months in November and December. And from jan 1, 2025 I start light weight workout again and my body weight at that time is around 56kg and then continuing doing workout till today in june, my weight is 62kg. Now, I know creatine doesn't cause stones in gallbladder. But as I don't know the reason for gallbladder stone, I am confused to start again creatine or not.
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Softovac sf use

Is it okay to take softovac sf daily for constipationas it contains ayurvedic ingredients .does it have side effects.
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Purple skin discoloration,

70 yrs, has osteoarthritis and since 3 years has purple discoloration in both ankles to heels. •Had spider like veins earlier which worsened n turned to purplish skin in ankles. •Wears knee compression stockings that cover knees only since many years for knee pain.  Develops pedal edema if sits for long. Has itching at times. •Echo is normal. Has hypertension, prediabetes, and recent early cirrhosis.    No swollen varicose veins. •Used to take preventive ecosprin AV (no disease) but due to cirrhosis stopped 1. Never done Venous Doppler, but if it is positive what treatment is suggested? 2. Please suggest, if needed, what kind of stockings should be worn.
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