Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
169 Doctors are Online

Suggest treatment for non healing ulcers on my left second toe - Online Doctor Chats

Date : 25-Mar-2014
User rating for this question
Very Good Posted in: Skin Hair and Nails
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User:I have an uhealing ulcer on my left second toe over the last 18 months drs at hospital wont operate bec. it's an open infection - am on waiting list for another specialists apt on may 13 - don't know what to do - am a recent widow, depressed and feel like suiciding - what's to do - XXXXXXX
Doctor:I got your query please give me a couple of minutes
Doctor:I read through your query
Doctor:Did you attempt suicide?
User:no of course not I have too many family responsibilities
Doctor:Ok that is good take
Doctor:I understand what kind of thoughts go through you if you have an non healing ulcer
Doctor:At this time I have to say you that I saw people who had ulcers for more than 12 years and still happy
Doctor:with the life that is blessed
User:well I have a family who are so dysfunctional you wouldn't believe
Doctor:Non healing ulcers is a medical term however there is a treatment for it
Doctor:You should no go by its term but the options that are still viable to heal it
Doctor:One of them is the positivity in mind that the ulcer is just a small thing in my large body that would definitely not kill me
Doctor:Having said that let us discuss the options
Doctor:Are you diabetic?
User:but what I have tried antibiotics and medihoney, I clean every day with antibiototic skin solution, dress every day with clean gauze etc
Doctor:What is the size of the ulcer and how many and where is it on the toe?
User:no I a m not have been tested and had gestational diabetes 40 yrs ago wit my first child
User:not big but surrounded with yellow dead skin
User:- bottom of toe pressure point
Doctor:Did the doctor say that the pulses are palpable and the sensations are preserved or lost?
Doctor:I mean the local sensations
Doctor:Was a proper diagnosis made why is it not healing
User:no my dr just says to amputate
Doctor:Ok are you prepared for amputation?
User:it is not really painfull, but I am cushioning it with gauze so it is over the footstep
Doctor:That is the last option
User:no I don't want amputation
Doctor:So did the doctor explain you the options and that amputation is the last resort.
User:yes they seem so keen on it but won't do it if there is an infection
Doctor:What about a biopsy of the margins and asking Pathologist?
User:never thought of it
User:at 66 am I too old to have an ordinary life
Doctor:I do not think you are too old to think about possible options before amputating
Doctor:Now a days there are more products to aid wound healing
Doctor:However the right person who is regularly using them should be contacted
Doctor:So I suggest you to ask your doctor why should the ulcer not be biopsied and sent for pathological examination
User:thank you I am a nice person and don't want anything else happening to me I want to walk to the beach and enjoy myself
Doctor:Also ask him if someone in his network practises Hyperbaric oxygen therapy, skin grafting
User:ok but am not a pushy person
Doctor:I am not sure if debridement of the ulcer and skin grafting is a possibility for the location of the ulcer
Doctor:This can be done by your own surgeon
Doctor:extremely common procedure
Doctor:If he says that is not an option, then you can go with him
User:no the practise nurse does this every couple of weeks - I'm in cairns surgeons are gods here
Doctor:That is great. If you believe in your surgeon they are your power. So I think a lot of people are helping you out there
Doctor:Ok I think it is also time to revise your antidepressant drugs
Doctor:Please meet your Psychiatrist if a dosage needs change
Question is related to
Diseases and Conditions
© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor