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Lump under the great toe - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: General Health
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3560 Questions
User :   I have a small lump on the sole of my left foot near to big toe. When pressed it's painful. No problem walking. It's blue in colour, round and slightly purplish ton one side. For some years I have swollen leg veins. I have a rectal pile for some time.
Doctor :   Hi
Doctor :  
How can I help you?
Doctor :   Ok

Doctor :  
What is yoru age?
Doctor :  
How did it start first?
User :   77 YEARS OLD. Noticed it 2 days ago. it felt as if there was something in my shoe. Ltaer I felt my foot and felt this little lump.
Doctor :  
What is the size of it
User :   Little bigger than match head
Doctor :  
Is it increasing in size?
Doctor :  
Did you notice this earlier?
Doctor :   or is this the first time?
User :   It's decreasing in size. I didn't notice any problem before 2 days ago.
Doctor :  
Is the lump first time?
User :   This is the first time
Doctor :  
Do you have any other medical conditions like Diabetes etc?
Doctor :   What is your weight and height?

User :   No. Blood tests take 3 /4 years ag
User :   No. Blood tests 3 years ago showed no abnormalities
Doctor :  
Weight?
User :   75kg
Doctor :  
Do you walk or exercise regularly?
User :   Yes. Daily - gardening and walking
Doctor :  
DO you wear proper foot wear?
User :   Mostly yes
Doctor :  
Do you have pain relieving cream available over the counter for application which has Diclofenac in it
User :   I don't need cream because I don't have constant pain. My main concern is to know whether this is something serious or not?
Doctor :   I do not think it is serious

User :   What exactly is it? has it anything to do with varicose veins?
Doctor :  
Is it compressible?
Doctor :  
Does it have any discharge?
User :   It's not hard. Earlier I massaged it and it appeared to get smaller.
Doctor :   Is it reducing after sometime when you lie down on the bed?

User :   No discharge
User :   Reduced somewhat when I had my leg raised high.
Doctor :  
Is it reducing when you elevate the leg for sometime more than your body
Doctor :  
while you sit
Doctor :  
O
Doctor :  
Ok
Doctor :  
Yes, this is related to the engorged veins
Doctor :  
and however this is not serious now
User :   What would you recommend?
Doctor :  
but there is a likelihood to increase in number in future
Doctor :  
This usually happens in old age as the valves in the veins do not work
Doctor :  
I would recommend a compressible stocking
User :   Any cream for leg massage?
Doctor :   I do not recommend any thing now

Doctor :  
You can do a plain massage
Doctor :  
though
Doctor :  
No massage cream helps thought
Doctor :  
the best thing is the compressible stockings
User :   Thank you Dr for your advice. This was very helpful.
Doctor :  
Thanks
Doctor :  
Do you have anyother queries
Doctor :  
I can help you with
User :   What can I do about the pile?
Doctor :  
At this age, water and high fibre diet are the only things that prove helpful if not surgery
Doctor :  
As one ages the motility reduces
Doctor :  
motility of the intestine reduces and hence a chance of accumulation of the feces inthe rectum and more problems
Doctor :  
with piles
Doctor :  
If the piles pain, it is better to do sitz baths
Doctor :  
that relieves the pain in minutes
User :   Great! thank you.
Doctor :   Thanks

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