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Black marks and pus throughout the legs, pain. What to do now ? - Online Doctor Chats

Date : 09-Jun-2013
User rating for this question
Very Good Posted in: Skin Hair and Nails
Answered by

General & Family Physician
Practicing since : 2009
Answered : 983 Questions
Doctor:How can I help you?
User:My mother is having an health issue
User:she got balck marks and puss thorugh out her legs
User:she is having pain
User:for both the legs, it became complete balck marks
User:what shall i do now?
Doctor:May I know your mother's age?
Doctor:Does she have history of diabetes, peripheral arterial disease or varicose veins?
User:she is having 200 now on daibetics
Doctor:May I know currently she has only the black marks or there are pus draining lesions also?
User:it is all black and red marks i can see from outside
User:puss is not coming
Doctor:Is the limb swollen?
Doctor:Are you there?
User:yes not completely, where the black spots are there, it is swollen there,
User:she tested the kidneys, but it is all fine
Doctor:Is she running fever?
Doctor:Since when is she having all these symptoms?
Doctor:Are you there?
User:she is not having any fever
Doctor:Since when is she have the symptoms?
User:since 1 yr it is there
Doctor:Let me brief you.
Doctor:Black spots on the skin occurs due to hyperpigmentation.
Doctor:Such hyperpigmentation occurs due to multiple reasons - one among that is post inflammatory pigmentation.
User:what is the cure for that?
Doctor:It looks like your mother has recurring episodes of localized inflammation/infection.
Doctor:Such infection in the limbs can vary from simple boil to impetigo to large furuncle.
Doctor:Rarely they can spread across to all parts leading to cellulitis.
Doctor:Diabetes and increased blood sugar is mostly the cause for such recurrent/spreading lesions.
Doctor:Therefore for a cure, the following needs to be done.
Doctor:1. Her blood sugar needs to be maintained at ideal limits.
Doctor:You mentioned her sugars were 200mg/dl, I am not sure if they always remain at this level; if so it needs to brought down with medications.
User:it is not always same, it iwll increase
Doctor:The target is to keep blood sugar as close to 120-140mg.
Doctor:2. You can perform a blood test called glycosylated hemoglobin (HBa1c)once every 3 months. This will give us a fair idea whether sugars are controlled or not.
Doctor:2. She needs to maintain proper personal hygiene and care as to avoid scratching, trimming finger nails, injuries or cut.
Doctor:They can start an infection leading to the process of new pigmentation.
Doctor:3. Presence of red and swollen areas can indicate new lesions.
Doctor:They can be treated with good antibiotic cream such as polysporin.
Doctor:This cream can be applied to new lesions.
Doctor:4. Black spots improve with time. On an average such spots will fade away in 4-6 months time.
Doctor:If spots are persisting and causing cosmetic problems, the can be treated with depigmentation cream.
Doctor:I would not suggest you to use any depigmentation cream whenever there is redness and swelling.
User:can you suggested one cream name she can use for now
Doctor:5. Good moisturizer are very helpful in treating the spots.
User:could you suggest me one specalist in visakhapatnam
Doctor:For now she can use the polysporin cream.
Doctor:Once the red lesions are gone, depigmentation cream such as mederma can be used on black spots.
Doctor:She can visit a dermatologist for treatment.
Doctor:I do not have any personal reference of doctors at vishakapatnam.
Doctor:If you are finding difficulties to find a dermatologist, you can contact the customer support team.
Doctor:They can help you find a good doctor.
Doctor:Have you followed?
Doctor:Do you have any other query?
User:contacted one doctore she gave one cream called sodium fusidate ointment B.p
User:is that good?
User:and tablets Taxim -o 200
User:serrat opeptidase
User:are you there?
Doctor:The cream and taxim o are antibiotic which gives useful results in such conditions.
Doctor:However though seratiopeptidase are useful in reducing swelling and odema, when there is not much swelling of limbs, it's use is doubtful.
Doctor:Still she can continue them as suggested by her doctor.
Doctor:Have you followed?
Doctor:Do you have any other query?
User:nothing thanks alot for your response
Doctor:You are welcome.
Doctor:Thanks for consulting me.
Doctor:Bye for now.
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