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Suggest treatment for swelling and foul smelling liquid discharge in the lower legs

DOCTOR OF THE MONTH - Dec 2016
Dec 2016
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Cardiologist
Practicing since : 2012
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Question
Severely swollen legs that are seeping clear water below the knees. Person is male age 67. Has frequent coughing spells, little or no appetite and has lost quite a lot of weight over 3 to 4 weeks. He is very week. The fluid that is seeping from the lower legs has an unpleasant oder. Prescrs given to him in 10/25/17 were OF Bromphenir, Promethazine -DM and Prednisone.
Fri, 4 May 2018 in Hypertension and Heart Disease
 
 
Answered by Dr. Rishu Saxena 1 hour later
Brief Answer:
Can be congestive cardiac failure.

Detailed Answer:
Hi thanks for posting query on this forum.
Most likely he is having severe edema in body.
Most common cause of edema in old age can be an ongoing coronary artery disease.In such a condition, the arteries supply insufficient amount of oxygen and blood to the heart. Subsequently, the heart receives scanty amount of nutrients and oxygen.Slowly and slowly it loses its pumping action causing reversal of blood into lungs and other part of body leading to severe edema.Sometimes the sudden,unanticipated blockage of the coronary artery and the ensuing stoppage of the flow of the blood lead to a heart attack. The heart muscles are damaged in such a case and prevent the proper functioning further worsening the condition.
Kidney and liver can also be involved.

Suggestion
Take him to hopsital and get following investigations done-
2d echo of heart- to rule out working of heart.
Renal function tests
Serum electrolytes
urine culture
Swab culture from oozing fluid
liver function tests
ultra sound abdomen.
Pulmonary function test.

These tests should be performed initially and proper medictions should be started after that.

Follow up with reports!
Above answer was peer-reviewed by
 
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