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Have diabetes. Swollen ankle and foot after stubbing toe, redness. What do I do?

My husband is a diabetic and stubbed his toe . The first night only the toe was dark purple. the second night his entire foot and ankle was swollen, the third night redness started appearing on the top of the foot and of course the extreme welling. He went to emergancy room they took an xray and the xray showed no broken bones. the dr said its probably because of the sweilling but was sure it was broken. Now here we are night five and the redness is bright to dark red on the top of the entire foot and the swelling in really bad. What do we do?
Asked On : Wed, 12 Dec 2012
Answers:  2 Views:  292
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Cosmetic & Plastic Surgeon 's  Response
The first thing you need to do is to keep the foot a bit elevated on a pillow to reduce the swelling. If the redness is bright red it implies that there is dissipation of blood over the dorsum or upper part of the foot. This most likely results from fracture and the management is essentially conservative as the accumulated blood would be absorbed in due course of time. However, depending on his blood sugar levels, he might need a prophylactic antibiotic to ward off the chance of any serious infection. Also, hot compresses over the area and analgesics are needed. Alarming signs are if the swelling moves up the foot, if he develops fever and if there is alteration of sensation in the involved toe with it getting black. If these develop you should rush him to the ER.
Answered: Wed, 12 Dec 2012
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Pathologist and Microbiologist Dr. Anju Choudhary's  Response
hi there, as your husband is diabetic he is very vulnerable to infection in any injury, what you have described looks like cellullitis of the foot which is a serious condition in a diabetic. He needs emergeny consultation and antibiotic cover. His blood sugar needs to be kept under controll. If there is a broken bone then it will show on the x-ray and that can be treated accordingly. At present the more acute condition is the spreading infection which is causing the swelling and redness and that needs to be taken care of first. Do not neglect and take immediate action. Take care.
Answered: Wed, 12 Dec 2012
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