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What Causes Fluid Discharge From The Legs Despite Being On Amox-Clav?

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Posted on Fri, 24 Nov 2017
Question: Doctor treating me for fluid discharge from lower left leg with anti-biotic, Amox-Clav 875-125 MG. After 5 days do not see improvement. Should there be a topical treatment to supplement the anti-biotic
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Answered by Dr. Dr. Ivan Romich (25 minutes later)
Brief Answer:
depends

Detailed Answer:
Hi and welcome.

If these are leg oedema due to heart or kidney failure or lymphedema/venous insufficiency then there is no reason to have any kind of antibiotics or topical agents. If there is cellulitis or erysipelas without open wound then oral antibiotics may be required since this indicate infection. Infection is manifested with redness, fever, increasing pain and pus leakage. Clear fluid discharge is not sign of infection.
Third, if there is open wound then applying wound dressings based on granuflex or silicone may be beneficial along with oral antibiotics.

Some doctors prescribe antibiotics to prevent infection and this will not treat fluid discharge or swelling if this is not caused by infection. SO underlying cause should be treated. I suggest to do Doppler ultrasound of leg and check kidney and heart function to find appropriate treatment.

Wish you good health.
Regards
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Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Answered by
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Dr. Dr. Ivan Romich

General Surgeon

Practicing since :2008

Answered : 13886 Questions

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What Causes Fluid Discharge From The Legs Despite Being On Amox-Clav?

Brief Answer: depends Detailed Answer: Hi and welcome. If these are leg oedema due to heart or kidney failure or lymphedema/venous insufficiency then there is no reason to have any kind of antibiotics or topical agents. If there is cellulitis or erysipelas without open wound then oral antibiotics may be required since this indicate infection. Infection is manifested with redness, fever, increasing pain and pus leakage. Clear fluid discharge is not sign of infection. Third, if there is open wound then applying wound dressings based on granuflex or silicone may be beneficial along with oral antibiotics. Some doctors prescribe antibiotics to prevent infection and this will not treat fluid discharge or swelling if this is not caused by infection. SO underlying cause should be treated. I suggest to do Doppler ultrasound of leg and check kidney and heart function to find appropriate treatment. Wish you good health. Regards