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Ankle injury causing trauma - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Bones, Muscles and Joints
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2305 Questions
Doctor :   Hi
User :   hi
Doctor :   How can I help you ?
User :   i have a small injury (open wound) on my ankle which is troubling me
Doctor :   Ok.
User :   it was initially a mosquito bite which i kept on scratching for the last 1 month
User :   sorry
Doctor :   Ok.
User :   have been using band aid on and off
User :   but now it seems to getting worse
Doctor :   Ok
User :   and it itches a lot
User :   injury is about 1 cm in dia
Doctor :   Ok.
Doctor :   May I know your age please ?
User :   and now there is some kind of watery secretion from over there
User :   45
Doctor :   Do you have any other systemic dermatological problem previously ?
Doctor :   Do you have a history of hypertension or Diabetes ?
User :   no diabetes
Doctor :   Ok.
User :   no hypertension
User :   my skin is very sensitive
Doctor :   Ok.
User :   i cannot tolerate anykind of bedsheet etc
User :   needs to be soft and cotton
User :   cotton bedsheet while sleeping
Doctor :   May I know if there is any foul smell pus emanating from the injury ?
User :   no
User :   there is no pus
Doctor :   Ok. It is still in a pretty easily treatable position then I would say.
User :   ok
Doctor :   How about any fever, reddish inflammation or any swelling of gland in the groin ?
User :   none
Doctor :   Ok.
Doctor :   That is very encouraging .
User :   but i have had a past history of a similar probem
Doctor :   Ok.
Please proceed with some info on that .
Doctor :   Do you have a history of long lasting injuriies or non-healing ones ?
User :   a similar would of the leg which led to some infection and then my doc told me it had turned septic and and i had fever etc. luckily got treated in a systematic way by my doc about 15 years back
User :   no
Doctor :   Ok.
User :   also my underwear hurts in the groin area on a regular basis. but no injury etc
Doctor :   I shall give you some important points to follow : User :   ok
Doctor :   1. Have you taken a T.T. Inj., If not do so at least now immediately .
User :   i may have taken, but that would be a few years back
Doctor :   Please take it now immediately in that case.
2. Please do wash the wound everyday with warm-salt water everyday once and mop it dry.
User :   ok
Doctor :   3. Keep a Povidone antiseptic sol. and clean the wound twice daily with it.
User :   ok
Doctor :   4. After this please apply either Povidone or Wokadine Powder and completely cover it with cotton gauge not band aid and put an adhesive cotton tape.
User :   ok
Doctor :   This has to be done for 3 days and then you can keep it open.
User :   ok
Doctor :   5. Apart from this you need to take Dolo 650 mg thrice daily and start an antibiotic.
User :   ok
User :   which antibiotic ?
Doctor :   As antibiotic is a prescription drug, I cannot give you the prescription, but suggest you to take some thing like Cifran or Amoxycilllin.
User :   ok
Doctor :   These steps have to be immediately taken to prevent from further complication .
User :   ok
User :   about the underwear hurting the groin area ?? any advise
Doctor :   I would advise you to keep it as dry as you get a fungal infection called Intertrigo
Doctor :   Intertrigo is a yeast infection of skin folds caused by Candida albicans. In areas of the body that have skin touching skin such as the armpits, groin, and under heavy breasts or fat folds, the environment is warm and moist. This is the perfect environment for Candida albicans, a yeast that is normally found on the skin, to overgrow and cause symptoms.
Doctor :   Other factors that can cause intertrigo include: 1.Hot, humid weather
2.Tight or abrasive underclothing
3.Poor hygiene
User :   ok
User :   i think point 2 fits me
Doctor :   So please take the following precautions : User :   ok
Doctor :   Treatment of Intertrigo
Intertrigo is treated with antifungal creams such as clotrimazole and miconazole. Equally important in the treatment of intertrigo is keeping the skin folds as dry as possible. A drying solution such as Burow's compresses can be applied to the skin folds for 20 to 30 minutes several times a day to promote drying.
User :   ok
Doctor :   Prevention of Intertrigo : Most preventative measures involve reducing skin to skin contact and keeping the area dry.
Weight loss to reduce the size of fat folds
Wear loose, soft underclothing
Apply antifungal absorbent powder to affected areas daily
Wash affected areas with soap and water daily
User :   ok
Doctor :   Hope i have answerd all your queries ?
User :   yes, thank you
Doctor :   do you want to ask anythingelse ?
User :   no thanks
Doctor :   thank you for consulting me
Doctor :   take care
Doctor :   bye foe now
User :   thanks. bye
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