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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Diabetic, Gangrine Like Wounds In Foot Fingers. Four Blockages Seen In Angiography. Possible Treatment?

I am a diabetic patient for last 15 years, recently I have developed gangrine like wounds in two foot fingers. I have got a angiography done for the same at Vadodara and found that there are 4 blockages in the veins of my left leg. Please let me know the best doctor at Mumbai for consultation and treatment of the same as I do not want any surgery for the same. With Best Regards
Fri, 15 Feb 2013
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General & Family Physician 's  Response
Hello,
Only those patients who are non toxic and a febrile at presentation and those who do not have deep seated infection,osteomyelitis or gangrene can be treated with oral antibiotics,rest and appropriate wound care.
But in your case since gangrene has already set in and there are confirmed blockages in legs,you don't have any other option except going for surgical intervention along with parental antibiotics.
You must not wait any longer and must consult a diabetologist and a surgeon as early as possible.
You can visit any super speciality hospital in VADODRA or MUMBAI.
thanks
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General & Family Physician Dr. Syed Zia Hussain's  Response
Hi there,
Thank you for your question.
There is no doctor in the world who would treat gangrene with medications. Gangrene would require surgery and this is something that is agreed worldwide.
If gangrene is not treated in time it may lead to life threatening infections.
Therefore I would recommend that you should have surgery of to cure your gangrene rather than trying to avoid surgery for this.
I know this is a tough decision and I would have felt the same way that you are feeling but the fact is that gangrene does require surgery.
Kindest Regards
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Diabetic, Gangrine Like Wounds In Foot Fingers. Four Blockages Seen In Angiography. Possible Treatment?

Hello, Only those patients who are non toxic and a febrile at presentation and those who do not have deep seated infection,osteomyelitis or gangrene can be treated with oral antibiotics,rest and appropriate wound care. But in your case since gangrene has already set in and there are confirmed blockages in legs,you don t have any other option except going for surgical intervention along with parental antibiotics. You must not wait any longer and must consult a diabetologist and a surgeon as early as possible. You can visit any super speciality hospital in VADODRA or MUMBAI. thanks