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Recurring skin infections and boils in a diabetic - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Diabetes
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1722 Questions
User :   I am a 51 year old with diabetes. I have just recently with to a new diabetes doctor . My A1C was 7.7 a few weeks ago. Two days ago I developed a bruise on back and inside of my thigh that also has a lump in middle. I don't think I ran into anything. It is sore to the touch. This morning it seems that the lump is a little smaller than yesterday. Should I go to the doctor?
Doctor :   hi
Doctor :   Dr XXX here
Doctor :   let me read your query
Doctor :   OK
Doctor :   i guess, that you had a contused swelling
User :   It is swollen a little bit, but not hot.
Doctor :   And since the swelling is decreasing in size, you can try using icepacks,
Doctor :   is there any redness or yellowish discoloration?
User :   It looks red below the bruise
Doctor :   Any fever , etc ?
User :   SHould I worry that it could be a blood clot? No fever
Doctor :   any prior history of boils, of skin infection before
User :   No
Doctor :   i dont think its a blood clot, as its a unusual site and clots dont come as a painful swelling
Doctor :   since you are a diabetic, you are prone to recurrent skin infection and boils
Doctor :   and adequate precaution has to be taken , to prevent complications
Doctor :   any serious infection resulting can cause problems with Diabetes control
User :   I will be traveling in a car in a few days- anything I should or should not do? Just use icepacks right now.
Doctor :   If the pain & swelling has come down, and symptoms are better , apply icepacks, and use ibuprofen for pain
Doctor :   if the swelling increases, or becomes fluctuant, and turns yellowish , i would suspect a abscess, due to a infection
Doctor :   this would need antibiotics, as well as drainage if needed
User :   ok, I dont really have much pain.
User :   ok I will watch it closely.
Doctor :   for travel, needs, please use a leucoplast or bandage on the swelling to avoid injury to the affected part and further infection
Doctor :   just a compressive bandage, without a adhesive must be used
User :   ok
Doctor :   i hope the swelling comes down within the next 48 hrs
User :   Thank you. Never got advice on the internet before. cool
Doctor :   you are welcome
Doctor :   do you have any other query?
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