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Suggest diet chart for cellulitis

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Posted on Tue, 22 Jul 2014
Question: My friend has been taking Prednisone for quite some time now and this has led her into Diabetes. She originally had a disease where the fat cells attack themselves. I don't know the medical name for this disease, but she is now experiencing excess inflammation in her lower legs and feet and is constantly in pain. Is there anything we can do in her diet (she has very poor dietary habits) to combat this inflammation? She was placed in the hospital last night after she sat for over 2 hours in a very hot car which has no air conditioning.
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Answered by Dr. Rakesh Madhyastha (2 hours later)
Brief Answer:
Cellulitis

Detailed Answer:
Hello

Thanks for the query

In order to help you better I need to know a few more things.

1. How long has she been on Prednisolone?
2. How long has she been a diabetic? Is she on any medications for it? Please mention all the medications she is currently on
3. When you say lower leg inflammation, is it bilateral or only one leg? Is it also red and swollen? How long has it been like this? Any history of fever?
4. Has her blood sugar been under good control?

Please get back to me, I am awaiting your response

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Rakesh Madhyastha (1 hour later)
1.My friend has been on Prednisolone for well over 3 years.
2. She has been diagnosed as Diabetic for less than one year, and is on an oral Diabetic medicine, but I don't know the name of it.
3. The inflammation is bilateral; not red, but swollen to the point that both legs and one foot are markedly larger than usual and lesions tend to form and occasionally burst to form sores. It appears to get worse when she is highly stressed. The swelling has appeared to the point that she has to wear special medical soft shoes now. The condition has escalated in the last 2 months. The fever is up from time to time and because she was exposed to such high temperatures yesterday, she was hospitalized.
4. Her Blood Sugar has been under control, but I don't know her A1c right now. The highest blood sugar level that I recall her telling me was in the high 300's, but this rarely happens that I am aware of.
5. She has terrible diet habits and is constantly under stress due to demanding relatives that she cannot seem to say "no" to.

Should she avoid certain foods and what type of diet should she follow? Would a diet similar to Weight Watchers be sufficient?
doctor
Answered by Dr. Rakesh Madhyastha (22 hours later)
Brief Answer:
Cellulitis

Detailed Answer:
Hello

Thanks for the reply in detail. It was of great help to me.

It looks like your friend is suffering from cellulitis which has to be treated with antibiotics. Since she is admitted to the hospital I am sure the doctors will take care of it

Here is the diet I recommend for her


1. She should follow a low carbohydrate and low fat diet
2. Her diet should be rich in green leafy vegetables.
3 Avoid junk food and processed food. For example Pizzas, burgers, pastas.
4. Follow a regular diet. Regular timings and at regular intervals.
5. Since you tell me that your friend is highly stressed, she might tend to over eat. I highly recommend that she eats at regular intervals to avoid over eating.

A typical diabetic diet is as follows
1. Early morning nuts like almonds or walnuts. Avoid cashew. It should not be salted
2. For breakfast oatmeal or a sandwich. Avoid adding sugar into anything you make.
3. Mid morning a fruit will help. Avoid fruits of high glycemic index like mangoes and avocado
4. Lunch should not be rich in carbs. Avoid having burgers or pizzas for lunch
5. Tea with low sugar biscuits ( not more than 2)
6. For dinner vegetable soup with chicken ( not deep fried)

The swelling of the leg might need treatment with anti biotics. Dietarty management of that is not possible. I would also recommend a USG scan of the leg and doppler to rule out deep vein thrombosis

I hope I was of help, if you have any further queries please get back to me

I wish her good health and a speedy recovery

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Rakesh Madhyastha (2 hours later)
I forgot to mention that my friend is on the blood thinner, Cumadin (spelling is incorrect, I am sure). Her Cumadin level was recently below the required count, therefore I think it is alright for her to follow step 2 in the first category above. Otherwise, when her levels come up to normal, should she avoid rich green leafy vegetables such as Cabbage, Collard Greens and Turnip Greens?
doctor
Answered by Dr. Rakesh Madhyastha (2 days later)
Brief Answer:
Hello

Detailed Answer:
Thanks for getting back

You have raised a very important point here. Green leafy vegetables reduce the absorption of warfarin , there it is adviceable to fix the amount of consumption of green leafy vegetables everyday and then make sure the inr is within the optimal range. It is a little cumbersome but possible. Some of my patients have their own inr checking machine. It is portable and looks exactly like the sugar monitoring matching

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Rakesh Madhyastha

Nephrologist

Practicing since :2009

Answered : 4364 Questions

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Suggest diet chart for cellulitis

Brief Answer: Cellulitis Detailed Answer: Hello Thanks for the query In order to help you better I need to know a few more things. 1. How long has she been on Prednisolone? 2. How long has she been a diabetic? Is she on any medications for it? Please mention all the medications she is currently on 3. When you say lower leg inflammation, is it bilateral or only one leg? Is it also red and swollen? How long has it been like this? Any history of fever? 4. Has her blood sugar been under good control? Please get back to me, I am awaiting your response Regards