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What causes swollen painful foot ? - Online Doctor Chats

Date : 13-Apr-2014
User rating for this question
Very Good Posted in: Bones, Muscles and Joints
Answered by

General & Family Physician
Practicing since : 2003
Answered : 1563 Questions
User:Yes O am a male age 23 and I have a pretty seriouse infection in my foot on the bottom. My foot is very swollen and hard to walk. I have no health care insurance and am not sure where to go?
User:hello
Doctor:Hi
User:I have stepson who is 23
Doctor:Ok
User:he has apparently stepped on something in the water in the swamp and cut his foot
User:a week o rso ago
Doctor:Ok
User:nw his foot is very swollen
User:h has no insurance and not sure what to do
User:doe not look good at all
User:seem lik an infection
Doctor:Is he running fever?
User:no
User:juet pretty sore so far
User:and swollen
User:had a big pocket of puss
Doctor:You mentioned the feet is swollen - is it progressing in size.
User:yes and he said yes he did feel al ittle feverish earlier
Doctor:You also mentioned there is a pus pocket - is it oozing now?
User:his father kinda sliced it or put a hole in it and it drained
Doctor:Does he have history of diabetes?
User:no
Doctor:Ok
Doctor:Let me brief you now.
Doctor:Presence of large swelling + soreness and fever are not good signs.
Doctor:If this lesion was smaller, I would have advised to use topical antiseptic creams.
Doctor:However I think he has crossed that stage.
User:okay
Doctor:He will need oral antibiotics.
Doctor:Since you have no insurance, ER may not be the feasible option.
Doctor:I would recommend that you find a low cost surgical clinic where the doctor accepts non insurance patients.
User:okay that's where I am running int o problems I guess finding that
Doctor:Since I practice far away from your location, I do not have personal reference of doctor.
User:I will continue to search
User:I thought possibly Walgreens they have a clinic
Doctor:I shall try my best and search for similar doctors from your locality
Doctor:and will mail it to your email id.
User:my zip is 70072
User:see I have insurance and he has none
Doctor:I am not very sure if the doctors there at Walgreens have abilities to handle surgical issues.
User:he just moved from Mississippi here with his father and I
Doctor:He needs a surgeon who can examine the wound
User:the wound is notr large
Doctor:he may need local debridement under aseptic precautions
User:he didn't even know that he had one he said until a few days ago
User:he know it stared when he stepped into the swamp and hot something
User:okay so a local surgeon
Doctor:The next best option until you find a clinic is to visit an urgent care clinic managed by registered nurse practitioner.
Doctor:I think they can help you prescribe antibiotics.
User:okay
Doctor:I would use penicillin group of antibiotics in this case.
User:okay is that over the counter or by prescription?
Doctor:It can be extremely helpful until you find the right surgeon.
Doctor:Oral antibiotics are not over the counter.
User:okay then he needs a doctors visit afterall..I figured ths from the beginning. I guess sice he is not from here and I have always had insurance I am a little lost
Doctor:If any of such oral antibiotic left over from your previous prescription, he may use it.
Doctor:Else visit a registered nurse practitioner. He/she can give a prescription to you with less charges.
User:ahhh smart..thank you good suggestion
Doctor:I'll try and find a doctor if possible and mail it to you.
User:thnk you so much
User:to my email address?
User:I pray this is not gain green..(hope I spelled that right.
User:do I wait or are we done?
Doctor:yes. I'll send it across to the email id with which you registered as soon as I find out.
User:okay thanks so much
Doctor:It doesn't seem to be wet gangrene yet.
Doctor:But get hold of antibiotic soon.
User:hopefully just some infection
User:okay goodnight
Doctor:Wish him a speedy recovery.
User:Thank You
Doctor:Thanks for visiting me here. Bye for now.
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