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Heel injury and having diabetes - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Infections
Answered by

General & Family Physician
Practicing since : 2004
Answered : 40 Questions
User :   Good afternoon Sir,
My age is 52 and am a diabetic and BP and it is with in the normal range (little above).
Three days back, when I pushedback my chair, the base of the chair has hit to my heel and got a little blood injury. I am applying "Mupirocin" ointment and it is heeling and pain also reducing. Do i need any medical treatment like T T injection etc. (base of the wheel in iron)
Thanks and regards
Doctor :   Hi
User :   hi sir
Doctor :   Ok.
User :   Have you got my question sir
Doctor :   1.I would advise you to take T.T.Inj. immediately
User :   whether I am delayed
Doctor :   No problem within 48 hrs.
Doctor :   2. How is your regular PPBS ?
User :   I got injury on sunday afternoon sir
Doctor :   And HbA1c ?
User :   last I got checked about one month back and it was above normal I think it is above 8( file is not with me) but to day my sugar around 200 after my break fast
Doctor :   Ok.
Doctor :   THat is a bit on the higher side ?
Doctor :   3. What is the size of the injury ?
Doctor :   Has it started healing ?
User :   it is less then half inch and started healing
Doctor :   Ok.
Doctor :   2. Please continue with the same antibiotic ointment
User :   is the delay more then 48 hour for TT is a problem?
Doctor :   3. Please wash the food everyday twice in hot water with dettol in it and then mop it totally dry.
Doctor :   Not a problem , but please take it at least now.
Doctor :   4. Use Kamillosan ointment in the night.
Doctor :   Keep your feet clean, wear socks, & shoe if you go out.
User :   ok sir
Doctor :   Do keep checking the injury every day.
Doctor :   If you feel there is any sign of it non-healing in next two days, then I recommend you to start an oral antibiotic.
Doctor :   Like Augmentin , and consult a podiatric specialist / diabetologist.
User :   Due to the injury I am not using the sock and shoe for last three days and using chappel and just applying the ointment and not using any band aid is it all right
Doctor :   5. Pleasse do gently massage on the legs, foot with oil, not on the wound but around and thighs, calf, foot.This will increase bllod circulation.
Doctor :   That is fine.
User :   yes sir
Doctor :   Do you have anything else to ask ?
User :   yes sir
Doctor :   Please go ahead ?
User :   Please mention the oral ontibiotic if necessary to take sir
User :   sorry I mean the dosage
Doctor :   It is 625 mg, but i cannot prescribe medicine without seeing you , as it is against medical ethics and protocol, sorry about that.
User :   thank you sir and I can understand
User :   I am nothing to ask any more and once again thank you sir
Doctor :   Please do one most imp. thing that i have to advise you, take care of foot more than your face.
Doctor :   and keep your HbA1c less than 6.
Doctor :   Take care.
Doctor :   Thank you for ocnsulting me.
User :   Ok and thanks
Doctor :   Bye for now.
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