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Done surgery for carbuncle on back. How to heal it after operation? How to prevent it?

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General & Family Physician
Practicing since : 2004
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Hi, My mother is having a carbuncle on back. This is second time that she had this carbuncle. Now, each time we have operated the carbuncle to get it removed. But we need to understand
1. How to heal it after operation?
2. How to prevent it and make fix this tenancy.
Posted Sun, 29 Apr 2012 in Skin Hair and Nails
 
 
Answered by Dr. Sujeet N Charugulla 31 minutes later
Hello and thanks for your query.

I shall make an effort to provide you with good professional recommendations specific to your questions.

I understand that your mother's repeated carbuncles are of concern to you.

1. How to heal it after operation?
The healing of a carbuncle's surgical wound is no different from any other wound. After the gauze dressings are removed, proper hygiene should be the foremost. Irritating clothing should be avoided (friction).

The above mentioned are of course, in addition to the prescription antibiotic creams/tablets that your doctor would have already prescribed to kill the staphylococcus, which is a very rampant bacteria in the world today and is renowned for its resistance to many antibiotics. But, most carbuncles do respond to some powerful antibiotics.

The right choice of antibiotics which she will need depend primarily on the type of organisms grown on the culture. Usually a swab sample is sent for culture and antibiotic sensitivity analysis. You may discuss with her treating doctor and decide on the right choice of antibiotics. Currently the most frequently used antibiotics are broad generation cephalosporins.

2. How to prevent it and make fix this tenancy.
The only home method of trying to prevent the occurrence is to help in the right healing of the carbuncle, so that it does not grow again. Warm and moistened cloth should be of help, just by placing over the area. Carbuncles should never be touched with bare hands/burst open with nails.

Considering that she has a diabetic history presently, carbuncles as a bacterial (staphylococcus) infection have a predilection. So, her sugar levels need regular check every 3-6 months to make sure that risk is cut.

Poor immunity also has a role to play in recurring carbuncle infection. I realize that her Rheumatoid arthritis history has a bearing in this too. As the immunity is not perfect for her. Just review her blood tests too regularly.

Hope my answers and recommendations are useful and helpful.

Yet again, I duly appreciate your query to me, I do hope that you have found something useful to help you and I shall be glad to answer any further apprehensions.

Sincerely,
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Follow-up: Done surgery for carbuncle on back. How to heal it after operation? How to prevent it? 39 minutes later
Hi,

I know I suppose I have wasted my money.
Just to confirm if I have not
1. Can I go to medical shop and ask for broad generation cephalosporins?
2. The doctor who treated her gave Nimusulide as prescription and I do not agree at all with it so I cam to you people for your suggestions.
3. Please be specific if you are going to tell the medicine name or not!
else what doctors you all are who cannot tell the name of the drug.

I am not suppose to be a chemistry student.
And if this is the case, stop calling this site as a site of doctors!

4. I can also find the word Right Choice of Antibiotics on google, probably you have spent more time then last attempt but again its a copy paste answer not a DOCTOR's Prescription.

I am deeply deeply disappointed, wait for an article against this site, I will be airing one soon if I do not get a proper reply
 
 
Answered by Dr. Sujeet N Charugulla 58 minutes later
Thanks for the response though.

1. Can I go to medical shop and ask for broad generation cephalosporins?
A - It would be unethical and inappropriate to prescribe you scheduled drugs without doing a proper examination. Antibiotics should only be taken on prescription for many reasons beyond this response. Appropriate antibiotic is usually decided upon based on the culture sensitivity reports. That is the precise reason why I mentioned you to discuss with her treating doctors. And let me tell you that all broad generation cephalosporin drugs DO NOT kill resistant Staphylococcus aureus bacteria. I mentioned "some" in my answer - as a guide for you amongst a list of antibiotics that are powerful for staphylococcus.

2. The doctor who treated her gave Nimusulide as prescription and I do not agree at all with it so I cam to you people for your suggestions.
A - NIMESULIDE is an analgesic, that takes care of her pain of osteoarthritis and rheumatoid arthritis. You have not mentioned this drug in the medication lists anyway. Now that you mention, I do not see any conflict of interest with the doctor who has prescribed it and your mother will need it.

3. Please be specific if you are going to tell the medicine name or not!
else what doctors you all are who cannot tell the name of the drug.
A - It is not legal and ethical to prescribe antibiotics without a proper physical examination and evaluation of a patients health status. Hence prescribing antibiotics on ehealth forum is not legal. It is absolutely necessary that antibiotics are used upon prescription of the treating physician.

I understand what you are mother is going through has been concerning you. Having said that, I will be able to provide you with my opinion about her medical condition. Prescription drugs can be obtained after a proper physical examination alone.

I wish good health for your mother though.

Regards

Above answer was peer-reviewed by
 
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