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Rashes on foot with swelling and pain - Online Doctor Chats

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

General & Family Physician
Practicing since : 2009
Answered : 593 Questions
User :   Husband had a small red spot midway down on front of leg it now has a red streak that goes down leg into foot and foot has swollen. Pain in area of streak. There is no evidence of a bit and says it started a week ago in past two days has gotten worse.
Doctor :   hello
User :   hello
Doctor :   i am Dr xxxx here
User :   Nice to talk to you
Doctor :   can you give me a min please
User :   sure
Doctor :   let me read your query
Doctor :   may i know his age please ?
User :   39
Doctor :   how painful is it ?
Doctor :   on scale to 1 to 10
User :   On a scale of one to ten for him it must be around a 7 or 8 he never complains about anything
Doctor :   so any history or expose outside ?
User :   He is having trounle walking now says foot is pained when weight applied
Doctor :   like in the woods ?
User :   No prior history
User :   Health good
User :   Works in doors
User :   But on feet all day
User :   He workd retail
Doctor :   i see
User :   He is an alcholic though
Doctor :   any fever ?
User :   No
Doctor :   or any other symptoms ?
Doctor :   any pets in the house ?
User :   NO no pets
User :   There is a small bump at site of origin that can be felt under the skin
Doctor :   any change in color at that site ?
User :   Red
User :   It has some striation of color yesterday but has gone down leg to foot today
Doctor :   from what you have told me it strongly suggests that it is a bite from a bug .. leading the swelling of the nodes... usually the bite is not remembered by the individual
User :   could it be cellulitits
User :   or a clot
Doctor :   the spread you are talking about is known as lymph spread
User :   yes
Doctor :   and it needs to be examined
User :   okay as I thought
Doctor :   usually the main line of treatment is an antibiotic course
Doctor :   and the cure rate is 100%
User :   great glad to hear it thank you
Doctor :   your most welcome
Doctor :   just get it examined and the sooner you do the better
User :   what would cause a lymph spread
Doctor :   we don't want it to get more infected
User :   okay I understand
User :   thank you
Doctor :   there are bugs that have a blood route and others have a lymph route
User :   I understand
User :   thank you will take him to urgent care today
Doctor :   its nothing serious
User :   Okay good
Doctor :   just make sure he gets medical care
Doctor :   your most welcome
User :   okay again thank you for you time
Doctor :   no problem
User :   Have a great day
Doctor :   take care
Doctor :   you too
Doctor :   bye
User :   good bye
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