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Suggest Treatment For Sore With Swelling On Left Leg

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Posted on Mon, 11 Jan 2016
Question: HI MY WIFE HAD ALMOST 1 PERFECTLY ROUND SORE ON HER OUTER LEFT LEG.

IT IS SLIGHTLY RAISED NO BLISTERING SWELLING. IT IS REDDISH PINK IN TJE MIDDLE AND CLEAR FLUID SEEPS OUT, THE FLUID ONLY SEEPS IN LIMITED AREAS AND NOT MUCH FLUID SEEPS OR ODEMA OF THE LEFT LEG.

IT IS LOCATED 4 INCHS ABOVE THE ANKLE BONE SLIGHTLY RAISED NO BLISTERING SWELLING OR OEDEMA OF THE FOOT OR ANKLE.

IT HAS BEEN THERE ABOUT 5 DAYS, WITH NO NOTED SEQUELA.

SHE HAS FAIR SKIN, RED HAIR AND PREVIOU SKIN CANCERS BURNT OFF IN DOCTORS SURGERY. WITH AN OVERLAP BETWEEN THE TWO EVENTS.
doctor
Answered by Dr. Mukund Savaskar (2 hours later)
Brief Answer:
Sore on left swollen leg / Under Evaluation

Detailed Answer:
Brief Ans-Sore on left swollen leg / Under Evaluation

Hi Dear,Thanks for your query to HCM.
Read and Reviewed your query and need following more information-
Describe the exact dimensions of this sore?
What made this sore to occur 5 days back?
Any relation with the skin cancer burns you had from your doctor's surgery?
Was there any purple/blue lump at the site of this sore?
Was there any eczema/ scratching/ itching at the site of the sore earlier to its development?
IS your wife obese with Varicose Veins?
Can You update the picture of this sore on the outer leg ?
Await more information on these lines from you.

Welcome for any further query in this regard.

Good Day!!

Dr.Savaskar M.N. XXXXXXX Surgical Specialist
M.S.Genl-CVTS

Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Mukund Savaskar (42 minutes later)
*2.6 x 2.6 cms
*unsure
*no relation this sore started occur on the leg the day after the sun spots were being burnt off her back. different areas of body.
*it was itchy
*wife is 168cm h and 65kgs.
*no varicose veins
* she said it feels like there is something in the wound.
doctor
Answered by Dr. Mukund Savaskar (58 minutes later)
Brief Answer:
Seepage of Clear fluid from Itchy sore on outer left leg/ Under Evaluation

Detailed Answer:
Brief Ans-Seepage of Clear fluid from Itchy sore on outer left leg/ Under Evaluation

My Impression-
Seeping Venus Eczema on outer left leg

Hi Dear,Thanks for the updates on the sore of your left leg.
Reviewed it with your query facts.
Based on the facts of your case,the site was itchy before the sore occurred and seems to have no relation with skin cancers burnt by your doctor and your wife is 10 % (6 kgs around) overweight.

Before suggesting you the plan of exact care to get rid of this left leg sore,please update more information as asked below.

My Impression about left leg sore you have-
From the facts of your query, the sore seems to be a-
" Venous Eczema with seeping sore" on left leg just above ankle

Dear,Please Update on following few lead questions for more information-
How long this itchy feeling is there?for 6mths or a year?Whether it occurred after the last child in a year or 2 later?
Is she strained/ stressed with long standing work/ lifestyle?
Was there a dry itchy patch at the site of the sore earlier?
How many children she has?When was the last child born?
Does this sore itchiness occurred after the last child delivered?

Await your information for further guidance.

Welcome for any further query in this regard.

Good Day!!

Dr.Savaskar M.N. XXXXXXX Surgical Specialist
M.S.Genl-CVTS


Above answer was peer-reviewed by : Dr. Sonia Raina
doctor
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Follow up: Dr. Mukund Savaskar (26 minutes later)
site was dry itchy and slightly raised.it was like this for a day before it turned into a sore.three children last baby 11years ago.some stress at work but nothing major
doctor
Answered by Dr. Mukund Savaskar (1 hour later)
Brief Answer:
Weeping Venous Eczema on outer left leg / Under Remedy assessment

Detailed Answer:
Hi Dear, Thanks for your updates.
Reviewed the updates with your health concerns.

Way out Plan for your Case-
Based on the facts that this sore is 6-8 days old,and not regressing with Chlorsig ointment locally,
I would suggest you the following way out to deal with it,so as to achieve early regression-
1-Check up with Color Doppler study of the left and right leg.
Venous Stockings during the working hours
Calf Exercises with Venous Stoking on.
Leg Elevation or Head Low position for sleeping hours
Padded dressing with siloderm cream x 1 week for anti-itching action
Avoid steroid creams as it may increase infection.
Tab Zincovit 1 x 10 days.
Consult Dermatologist if need be with advise from GP doctor.
This would regress the Weeping Sore over next 10 days time.

2-IF with the above conservative treatment fails,
in that case,You may need Consults from Vascular surgeon to reassess your case.In that case after assessment of the causes in your case, your Vascular surgeon would treat with Medicines and if no relief, EVLT is the option which you have to get fast relief from this weeping sore on left leg.

All this suggestion plan is to educate you to deal with your health issue of Weeping Sore,which may need these steps to regress it.

My Impression and suggestion for your case-

The first plan with Venus Stockings and medicines would help you to come out of this problem.

Before going for this treatment-Surgeon and Dermatologist's physical examination and Second opinion and work up on ruling out other causes of such a sore in your case.

Hope this reply would help you to plan further treatment with your doctors there.
Keep Me updated if you have more queries in this regard.

Welcome for any further query to Me in this regard.

IF no further queries, Will appreciate You, to write excellent feedback review comments about this service experience, just to help needy patient Visitor's like YOU, at HCM.

Wishing fast recovery from this annoying health issue with you.

Good Day!!

Dr.Savaskar M.N. XXXXXXX Surgical Specialist
M.S.Genl-CVTS
Note: For further inquiries on surgery procedure and its risks or complications book an appointment now

Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
Answered by
Dr.
Dr. Mukund Savaskar

General Surgeon

Practicing since :1978

Answered : 3606 Questions

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Suggest Treatment For Sore With Swelling On Left Leg

Brief Answer: Sore on left swollen leg / Under Evaluation Detailed Answer: Brief Ans-Sore on left swollen leg / Under Evaluation Hi Dear,Thanks for your query to HCM. Read and Reviewed your query and need following more information- Describe the exact dimensions of this sore? What made this sore to occur 5 days back? Any relation with the skin cancer burns you had from your doctor's surgery? Was there any purple/blue lump at the site of this sore? Was there any eczema/ scratching/ itching at the site of the sore earlier to its development? IS your wife obese with Varicose Veins? Can You update the picture of this sore on the outer leg ? Await more information on these lines from you. Welcome for any further query in this regard. Good Day!! Dr.Savaskar M.N. XXXXXXX Surgical Specialist M.S.Genl-CVTS