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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Remedy For Lumps,splotches And Pain In Feet,ankles And Lower Leg

About a week ago, my boyfriend was working up on a farm with a friend and was out in the wet elements up to his knees in mud and muck. Since then he has developed swollen red splotchy ankles that hurt quite a bit. It seems the more he is on them the worse the pain is for him. The splotches are on the top of the feet, ankles and run about 6 inches above the ankle. The left is definitely worse than the right one. He is not overweight and is a manual laborer so used to that kind of work. He seems to think he got some weird kind of athletes foot, but I haven't seen athletes foot like that before. He also has lumps under the skin that feel for lack of a better word, knots and they are between the top of the foot and ankles. To me it looks like a bad case of hives. Any ideas?
Tue, 11 Oct 2016
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General & Family Physician 's  Response
Hello Dear. Your boyfriend is probably having contact dermatitis. There are 2 types in this. Allergic and irritant contact dermatitis.

The symptoms of allergic contact dermatitis include:

1. dry, scaly, flaky skin
2. hives
3. oozing or dry blisters
4. skin redness
5. skin that appears darkened or leathery
6. skin that burns with or without sores
7. extreme itching
8. sun sensitivity
9. swelling, especially in the eyes, face, or groin areas

Irritant contact dermatitis may cause slightly different symptoms, such as:

1. blistering
2. cracking skin due to extreme dryness
3. swelling
4. skin that feels stiff or tightened
5. ulcerations
6. open sores that form crusts

Treatment

Avoid scratching your irritated skin if you think you may be experiencing contact dermatitis. Scratching can make the irritation worse or even cause a skin infection that requires antibiotics.

Instead, clean your skin with soap and lukewarm water to remove any irritants. One way to soothe the rash is to mix two tablespoons of baking soda in cool water. Soak a washcloth in the cool water, wring it out, and apply it to the skin.

Other anti-itch treatments include calamine lotion or hydrocortisone cream. You can purchase these items at most drugstores. Your doctor can prescribe a more potent steroid cream if these creams don’t soothe your skin.

Taking an antihistamine drug such as diphenhydramine can help to cut down on itching and reduce your allergic response.

Avoid scratching your irritated skin if you think you may be experiencing contact dermatitis. Scratching can make the irritation worse or even cause a skin infection that requires antibiotics.

Instead, clean your skin with soap and lukewarm water to remove any irritants. One way to soothe the rash is to mix two tablespoons of baking soda in cool water. Soak a washcloth in the cool water, wring it out, and apply it to the skin.

Other anti-itch treatments include calamine lotion or hydrocortisone cream. You can purchase these items at most drugstores. Your doctor can prescribe a more potent steroid cream if these creams don’t soothe your skin.

Taking an antihistamine drug such as diphenhydramine can help to cut down on itching and reduce your allergic response.

Preventive tips

Avoiding initial exposure to irritants can help prevent contact dermatitis symptoms. Try these tips:

1. Purchase products labeled hypoallergenic or unscented.
2. Refrain from wearing latex gloves if you have a latex allergy. Opt for vinyl gloves if you do need to wear gloves to protect your skin.
3. Wear long-sleeved shirts and pants when hiking in the wilderness.
4. Apply water-repellent petroleum jelly before putting on latex gloves to further protect your skin.
5. Apply hand lotions or creams to prevent your skin from drying out.

Hope i have answered your question. Feel free to contact me if you have any more questions. I ll be glad to help you.
All the best
With warm regards
Dr Sanjay Kini
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Suggest Remedy For Lumps,splotches And Pain In Feet,ankles And Lower Leg

Hello Dear. Your boyfriend is probably having contact dermatitis. There are 2 types in this. Allergic and irritant contact dermatitis. The symptoms of allergic contact dermatitis include: 1. dry, scaly, flaky skin 2. hives 3. oozing or dry blisters 4. skin redness 5. skin that appears darkened or leathery 6. skin that burns with or without sores 7. extreme itching 8. sun sensitivity 9. swelling, especially in the eyes, face, or groin areas Irritant contact dermatitis may cause slightly different symptoms, such as: 1. blistering 2. cracking skin due to extreme dryness 3. swelling 4. skin that feels stiff or tightened 5. ulcerations 6. open sores that form crusts Treatment Avoid scratching your irritated skin if you think you may be experiencing contact dermatitis. Scratching can make the irritation worse or even cause a skin infection that requires antibiotics. Instead, clean your skin with soap and lukewarm water to remove any irritants. One way to soothe the rash is to mix two tablespoons of baking soda in cool water. Soak a washcloth in the cool water, wring it out, and apply it to the skin. Other anti-itch treatments include calamine lotion or hydrocortisone cream. You can purchase these items at most drugstores. Your doctor can prescribe a more potent steroid cream if these creams don’t soothe your skin. Taking an antihistamine drug such as diphenhydramine can help to cut down on itching and reduce your allergic response. Avoid scratching your irritated skin if you think you may be experiencing contact dermatitis. Scratching can make the irritation worse or even cause a skin infection that requires antibiotics. Instead, clean your skin with soap and lukewarm water to remove any irritants. One way to soothe the rash is to mix two tablespoons of baking soda in cool water. Soak a washcloth in the cool water, wring it out, and apply it to the skin. Other anti-itch treatments include calamine lotion or hydrocortisone cream. You can purchase these items at most drugstores. Your doctor can prescribe a more potent steroid cream if these creams don’t soothe your skin. Taking an antihistamine drug such as diphenhydramine can help to cut down on itching and reduce your allergic response. Preventive tips Avoiding initial exposure to irritants can help prevent contact dermatitis symptoms. Try these tips: 1. Purchase products labeled hypoallergenic or unscented. 2. Refrain from wearing latex gloves if you have a latex allergy. Opt for vinyl gloves if you do need to wear gloves to protect your skin. 3. Wear long-sleeved shirts and pants when hiking in the wilderness. 4. Apply water-repellent petroleum jelly before putting on latex gloves to further protect your skin. 5. Apply hand lotions or creams to prevent your skin from drying out. Hope i have answered your question. Feel free to contact me if you have any more questions. I ll be glad to help you. All the best With warm regards Dr Sanjay Kini