dm, plantar abscess .
here is the plantar abscess in a diabetic foot with anaesthetic sole due to sensory loss and thorn prick induces the infection.
discuss the case.
lady ,49 years,rural woman ,on insulin therapy .
daily dressing is being done at opd care.
consider following
a. x ray of the foot, to rule out osteomyelitis, if present needs to be dealt 
b. radical debridement
c. npwt 
d. strict glycemic control and sugar charting daily.
d. routine blood investigation
e. doppler study of both lower limb.
f. considering her morbidities, skin grafting can be done to cover the wound. 
g. modified pmr footwear to be advised.
h. regular follow and educationon of the patient to avoid any trivial trauma in future.
i to do amputation at this stage, is very early. but yeah if there is recurrent ulceration, patient is not keeping glycemic control and if other morbidities present(cardiac and or renal), patient is not regular on follow up, amputation can be considered later. 
j. most important thing remember your patient is diabetic, dnt forget to evaluate cardiac system, renal, and ophthalmology to stage and manage other systemic issues in diabetes.
Hello. Diabetes comes with multiple issues but all are controllable and treatable. Pain is mostly caused by diabetic neuropathy. Feet are to be taken care as much as a face. Stict diabetes control and life style modification are the key to control diabetes related problems. Feel free to consult to get in details. foot pain could be as a result of many different things. a thorough history and physical exam and possibly some laboratory and radiology exams are needed to determine the exact cause. causes of pain may include: trauma (fracture, sprain, arthritis), infection, metabolic conditions (gout), musculoskeletal or biomechanical abnormality and neurologic conditions (neuropathy). see more... Hi Nur,



  

Thank you for asking HealthReplies.com.











Maybe you mean TB lymphadenitis (tuberculosis).



  

Mycobacterium tuberculosis can indeed infect a variety of organ systems, including the lymph nodes. These bacteria usually enter through the respiratory tract, especially in people who come in close contact with other TB sufferers, children, the elderly, and people with poor immune system. Under normal conditions, this lymph node functions as a haven and proliferation of white blood cells in warding off infections, including TB infection. However, along with its development, this lymph node itself can actually become infected, so that arises lymphadenitis. Clinically, TB lymphadenitis sufferers will experience lumps (often in the neck, armpits, or groin) that are round, smooth, springy, and often feel painful, especially when pressed. Not only that, TB lymphadenitis can also make sufferers experience fever, excessive sweating, weight gain is difficult to rise, weakness, fatigue, and various other complaints.



  

Handling TB lymphadenitis is done by giving OAT (anti-TB drugs) that must be consumed by sufferers for at least 6 consecutive months. Every month, the patient will be re-evaluated by a doctor to assess his responsiveness to the treatment given. After more than 2 months of treatment, complaints will generally improve slowly.



  

However, you need to know, that the treatment of TB lymphadenitis must also be accompanied by appropriate natural treatments, including those related to diet, regulation of activities, and also lifestyle modification. This inadequate treatment is likely to make your mother appear to be undergoing improvement despite long-term treatment. It could also, the slow healing process occurs due to the non-optimal resistance of your mother's body, resistance (immunity) of bacteria to the treatment given, as well as a variety of other factors. Compared with other complaints. lumps in lymph nodes due to TB lymphadenitis often will indeed not disappear completely, even though the patient's status has recovered from illness.



  

The itching that your mother is experiencing right now could be a side effect of the OAT she is taking. It could also, this itching occurs due to other reasons, for example allergies, skin irritation, infections, disorders of liver function, disorders of the thyroid gland, dry skin, atopic dermatitis, contact dermatitis, and so on.



  

Our advice, you check your mother back to the doctor or a specialist in internal medicine in order to get the right treatment. Meanwhile, at home, help your mother do the following steps:







Take OAT as recommended by your doctor  

Give your mother healthy and nutritious food, containing rich calories and protein  

Give him too much to drink  

Let your mother take a break from exhausting activities  

Accompany him to exercise  

Create a clean, well-ventilated and well-lit environment  

If you or someone else around your mother shows symptoms of TB infection, see your doctor directly to treat them properly



Hope this helps ... i was officially diagnosed when i was 11/12 but had been experiencing pain and flares since i was quite young about 5/6. doctors initially wrote it off as "growing pains" or symptoms from high/low blood sugars (diagnosed with type 1 diabetes when i was 9) but went for more extensive testing out of town at a children's hospital where it was later discovered i have juvenile onset inflammatory arthritis (later ra) and a condition where the ligament's/muscles on the insides of my knees are very weak (can't think of the name right now.) and you are quite right, this journey we all deal with is a long and tiring one, but remembering to stay positive, do what you can when you can, to rest when you need to, and to have support whether through family/friends or sites like this we can all come out saying we got this! xo Good afternoon, thank you for asking at HealthReplies.com. Cantengan, or also known in English as ingrown nail, is a condition of inflammation, swelling, redness and pain that is usually at the corners of the fingertips, due to the growth of nails that protrude into and hurt the skin. This condition is most common in toenails, especially in those who have curved or thick toenails.



  

Among the triggers for this condition are:







Cut the nails too short or penetrate to the edge of the nail  

The shape of the nail is like a fan or curved and wide  

Sweaty feet  

Genetic and hereditary factors  

Poor foot hygiene  

Use tight and narrow footwear  

Foot injury







  

Regarding your question, this condition is treated not with medication, but with a small surgical pathway because the embedded nail must be removed, whether it is removed only partially or completely, it will depend on the condition of each person. Even if given medication, it is only a pain reliever and antibiotics to avoid infection, and if the nails have not been operated on, obviously the problem still exists.



  

Therefore what we want to convey is that it is natural that the treatment is not effective if only given drugs. Our advice, this time check your condition at the surgeon for surgery. And if you use health insurance, you can check with the health center first to get a referral to a surgeon. If you have had surgery, and this is an infection that occurs after surgery, you still need to see a doctor because handling antibiotics requires doctor supervision and the drug should not be purchased freely. Meanwhile, continue to consume drugs regularly, limit physical activity using the feet. So, hopefully answering your question. You are so kind to be this active due to the distress of a stranger. I'm touched by how much you care. I can also see why you are horrified!  
  
Maybe this woman is too far along with the prolapse, but I do know that there is something called a pessary that can generally be inserted to hold the organs in place. I'm surprised this wasn't done long ago for this woman. The nursing home maybe didn't have care of this woman until it was too late.   
  
You seem to be doing everything you can, and you're right in not wanting to get the nursing home in trouble since they aren't the problem. Contacting the urology department of your local hospital may yield some results. Perhaps there's a program for people who are in such dire situations. Please let us know what happens.   
Take care,  
Carol havingdiabetes makes you more at ris to get infections, including lung infections which can make copd worse. Hello Bunga Jasmine, Thank you for consulting with us at HealthReplies.com.



  

In general, vaginal discharge is something that is often experienced by most women. Leucorrhoea can be a condition that occurs normally, with features such as mucus that is clear to vaginal in color, is not accompanied by itching, and is not accompanied by an unpleasant odor. While abnormal vaginal discharge is usually a vaginal discharge accompanied by blood, brownish, yellowish, very unpleasant smell, and sometimes accompanied by itching to pain in the female organs.



  

Leucorrhoea can be caused by certain conditions, such as:







  

yeast infection / vaginal candidiasis: vaginal discharge that is white like milk and feels very itchy.  

Bacterial vaginosis: vaginal discharge and pain, due to a bacterial infection, characterized by a grayish, fishy-smelling discharge.  

Trichomoniasis / parasitic infection: yellowish or greenish vaginal discharge that is bubbly and very itchy.



Sexually transmitted infections (genital herpes, gonorrhea, syphilis): generally accompanied by pain during BAK and bleeding, can also be accompanied by pelvic pain if the discharge occurs for a long time.



The vaginal discharge you experience is not certain whether it has entered the healing phase or not. Because we cannot check you directly, and see first hand the type of vaginal discharge you are experiencing right now. So that for more details it is most appropriate to check with your trusted doctor. So that the causes of vaginal discharge can be resolved appropriately according to the basic cause. And consumption of drugs without a doctor's supervision is very inappropriate and dangerous for your health. And it is not recommended because the use of drugs, especially antibiotics without doctor's supervision, is very dangerous for consumers as well as resistance / immunity to the bacteria / causes of vaginal discharge.



  

Our advice for you is to immediately check your complaint with a doctor / dermatologist and you can do the following simple things to keep the vaginal discharge and pain that you feel from getting worse:







Take care of the health and cleanliness of your female organs  

Use cotton underwear, which is loose and not too tight.  

Change your underwear at least 2 times a day, or if you feel it is too damp or wet, then you can replace it immediately  

clean your vagina / female organs from front to back  

Avoid having unsafe sex or having multiple partners  

Avoid using chemical cleansing soap for female sex organs, which contain fragrances, dyes, alcohol or detergents.



That's the explanation from us, hopefully it's useful. Thanks. brief answer: costochondritis and others as discussed. detailed answer: hi. thanks for your query, albeit short and specific. noted the history and understood the concerns. the commonest cause i can think of with the history you have provided is costochondritis. another/added possibility is... hi werner<br>please excuse me if my translation isn&#39;t great. <br>it appears from what you have mentioned that it&#39;s likely you have patellofemoral syndrome. what that means is that your patella (or kneecap) is misaligned with the underlying femoral/thigh bone. where the patella should be moving over the femur smoothly in a groove, it is actually scraping over the femoral bone, causing pain. it is often caused by an imbalance of muscles; the outer muscles being stronger than the inner ones. <br>the main treatment for it is to strengthen the inner thigh muscles to be as strong as the outer ones. <br>there are surgical options if and only if strengthening exercises don&#39;t help. <br><br>good luck<br>