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Wound on the inner side of the finger
Wound in the inner side of the middle finger is not healing. We have tried keeping the wound open and tried powders to keep the wound from worsening. But it's not solving the issue. Any suggestions?
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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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Need a picture to answer. Non healing wound can be due to Diabetes, Leprosy or maybe a retained foreign body.
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Need few more details
Kindly consult
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Avoid fried food and spicy food
Water intake more
Green leafy vegetables and fruits
Do connect and consult
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A non-healing wound on the inner side of the finger in a 98-year-old patient requires careful evaluation and management. Here’s my advice:
Key Recommendations
1. Infection Control:
- Clean the wound gently with **lukewarm water and mild antiseptic (e.g., diluted betadine) twice daily.
- If pus is present, a *pus culture and sensitivity test* is essential to identify the bacteria and guide antibiotic treatment.
2. Diabetes Screening:
- As suggested by Dr. Rachna, **check fasting and post-meal blood sugar levels** to rule out diabetes, which can delay healing.
3. Wound Dressing:
- Avoid powders, as they may trap moisture and worsen infection.
- Apply betadine ointment or antibiotic cream (e.g., Neosporin)** and cover with a sterile gauze dressing**.
- Keep the wound **dry and protected** from dirt and friction.
4. Medical Evaluation:
- Non-healing wounds in elderly patients can indicate poor circulation, nutritional deficiencies (e.g., low protein, vitamin C), or underlying infections.
- A physical examination is necessary to assess wound depth, signs of necrosis, or need for debridement.
Urgent Next Steps:
- If the wound shows **increased redness, swelling, foul smell, or spreading discoloration**, seek **immediate medical attention** to prevent complications like cellulitis or sepsis.
Consultation Needed:
Given the patient’s age and the wound’s persistence, I strongly recommend a **detailed clinical assessment**. You can reach me on WhatsApp at **Eight Zero Zero Nine Eight Two One Three Three Two** for further guidance or to schedule an appointment.
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Get fasting and post meal blood sugar done to exclue diabetes.
If pus is present, you can ask a local pathology to take sample of pus for cultureand drug sensitivity.
Clean wound with lukewarm water and Dettol, cover with betadine ointment.
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Keep wound dry and protect it from dust.
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Please share the picture of the finger . Are you diabetic. Need to see the picture or visit a local doctor for physical examination
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Kindly connect
Will do needful
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Connect
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Do consult
Get your sugars checked done and have a follow up.
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Dr. Anubha Singh
General Physician
4 yrs exp
Jhansi
If you require assistance or have any health concerns, feel free to reach out for a consultation. Your well-being is my priority, and i'm here to support you on your health journey.
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Ashita Kuruvilla
General Practitioner
8 yrs exp
Kolkata
Need few more details for proper evaluation. Kindly consult.
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