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Treatment for left leg cellulitis in pregnancy - Online Doctor Chats

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

General & Family Physician
Practicing since : 2009
Answered : 605 Questions
Doctor :   Hi
Doctor :  
How can i help you?
User :   hi
User :   my wife has swelling in left leg just above ankle for past 1 week
Doctor :  
Ok
User :   its very painful consulted a doctor and they told it might be cellulitis
Doctor :  
Ok
User :   they prescribed para 650 and novaclox lb as she is pregnant
Doctor :  
Ok
User :   today is the second day and her pains have not subsided.The course was for three days
User :   Please let me know if there are any other conditions that could cause this pain
Doctor :  
Ok
Doctor :  
May i know her age?
User :   26
User :   weight 70kg, 164cm
Doctor :   I shall help you in this.
Doctor :  
Since she is also pregnant, the
Doctor :  
painkillers that can be tried on her are restricted.
Doctor :  
Paracetamol is one that is safely used for pain in pregnant ladies.
Doctor :  
You can try hot water bags over the affected area,
Doctor :  
to bring down the inflammation and the pain.
User :   she is 2months pregnant.
User :   pain is more in the night
User :   can it be something other than cellulitis?
User :   she has history of recurrent UTI
Doctor :  
I cannot predict that unless if i can get the examination done.
Doctor :   Can you tell me her symptoms,
Doctor :   Apart from the swelling what else has she got.
User :   swelling in left leg above the ankle, demarcating line of the swelling is visible, has a little blue tinge
User :   walking or standing for a while creates severe pain
Doctor :  
Ok.
Doctor :  
Does she have fever?
User :   swollen portion is mild reddish
User :   mild fever with chills
Doctor :  
Her symptoms are consistent with cellulitis.
User :   how long usually this lasts? how long should we take this antibiotic?
Doctor :  
It may take a few days for the pain and the inflammation to come down.
User :   any other medication?
Doctor :  
Since the cause is infection.
Doctor :   and she needs antibiotic for proper treatment.
Doctor :  
And the time it takes would depend on how effective the antibiotic is.
Doctor :  
She has been started on amoxycillin, which is the basic antibiotic.
Doctor :  
If this does not help in reducing the infection, she may need a higher antibiotic and may be in the infection form.
Doctor :  
Are you there?
User :   do we need to take blood test to confirm this?
User :   what do you suggest next step?
Doctor :   Have you got any blood test done before starting the treatment?
User :   no it was only physical examination
Doctor :  
Ok.
Doctor :  
You can get a complete blood count.
Doctor :  
This would be the basic investigation.
User :   how long should she stay on amoxycillin before acting further
User :   whom should we consult next.Currently we are seeing a general physician
Doctor :   If you do not see any improvement in the size of the swelling in another 3 to 5 days, you may have to visit the doctor again.
Doctor :  
She may have to be seen by a surgeon and a obstretician together.
Doctor :  
Though a general physician is also equally competent to treat her.
Doctor :  
Look for these signs too.
Doctor :  
1. Increase in the size of the swelling inspite of the treatment.
Doctor :  
2. If the fever increases in severity.
Doctor :  
3. If she becomes restricted to the bed even more as compared to her state now.
Doctor :  
If any of these develops, get her to the hospital soon.
Doctor :   Also keep the affected area, dry and clean.
Doctor :  
Preferably with a clean dry cotton.
Doctor :  
this will prevent the further spread of infection.
User :   ok,should she remain in bed can she try performing the normal day to day tasks
Doctor :  
And if you are going to try the heat massages, try it over the cotton and not over the affected skin.
Doctor :  
It would be better if she restricts her activities, till she improves.
Doctor :  
Have you followed?
User :   Yes,thank you
Doctor :  
Do you have any other query?
User :   No,thanks for spending the time answering my queries.
Doctor :  
Please fill the feed back form too.
Doctor :  
Thanks for consulting HealthcareMagic. Bye for now. Please refer your friends to our service.
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