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Suggest treatment for swollen leg, ankle and foot

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Posted on Mon, 30 Nov 2015
Question: I am diabetic with periphial neuropathy. Recently my left leg and ankle and foot have been swelling. I wear compression stockings and have elevated my feet as much as possible. Tonight the bottom of my left foot was hurting very badly, I took out a mirror and have 2 rather large round black spots there. Do I need to go to ER immediately?
doctor
Answered by Dr. Muhammad Hanif (2 hours later)
Brief Answer:
Yes it seems to be start of gangrene;I need some more information please...

Detailed Answer:
Thanks for the consultation at my virtual clinic!
I have carefully worked through your case, and can well realize your health worries. Being your physician, I will take care all of your medical concerns today and will put my best efforts to get you out of this situation.


Can you please spare sometime to upload the pictures of the black spot on the bottom of foot.


It is because, such kind of lesions come up with the loss of blood supply to the area and is very common in diabetics. It may be the start of Gangrene that is a condition in which tissues get dead due to loss of blood supply.

Yes if it really is this gangrenous lesion (Can be decided on reviewing the pictures) on the sole of foot, you need to go straight to the Podiatrist who is a personnel trained to deal with the diabetic foot. Yes you may also go to the ER for urgent care.

Hope I answered all of your questions. Let me know if you have further clinical concerns or doubts. I will be more than happy to get back to you with expert opinion. Please don't forget to give Five Star rating to help me assist my patients in a better way; and, please don't forget to 'Close This Discussion'.
For any disease you have, a timely follow-up is very necessary regarding the treatment efficacy and to see if there is a need to change the treatment options. So keep a follow up to see how you doing (Always write down my name in the start of your questions at this forum & I will be with you in no time).


Regards!
DR. XXXXXXX HANIF
USA

Above answer was peer-reviewed by : Dr. Sonia Raina
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Follow up: Dr. Muhammad Hanif (2 hours later)
Dr. XXXXXXX Hanif, I sent you a picture of the sole of my foot, per your request, with your name at the heading from phone number USA 0000 well over 2 hours ago so you could more clearly determine if it is gangrene. Please reply in kind ASAP. Thank you, XXXXXXX XXXX
Dr XXXXXXX Hanif,
I expected to see your findings when I received an email at 2:43am, a good 2 hours after I sent you a picture of the sole of my foot. However, when I opened the email and clicked "view answer" I could not find any different information than the initial diagnosis you made prior to seeing the picture of the sole of my foot. Please respond quickly, my leg and even life may be in your hands.
doctor
Answered by Dr. Muhammad Hanif (5 hours later)
Brief Answer:
Needs urgent care through an ER visit!

Detailed Answer:
Welcome back and thanks for taking time to upload the picture. I feel sorry for any inconvenience. We are doing our best to expedite the services. Kindly, upload any supporting documents/pictures with the query in the first place to get a fast answer and more personalized medical help.

Well, You need to go to the ER as it looks like the start of diabetic gangrenous foot. For pain you may take any over the counter Pain Killer.


I pray for the best of your health. Hope I answered all of your questions. Let me know if you have further clinical concerns or doubts. I will be more than happy to get back to you with expert opinion. Please don't forget to give Five Star rating to help me assist my patients in a better way; and, please don't forget to 'Close This Discussion'.
For any disease you have, a timely follow-up is very necessary regarding the treatment efficacy and to see if there is a need to change the treatment options. So keep a follow up to see how you doing (Always write down my name in the start of your questions at this forum & I will be with you in no time).


Regards!
DR. XXXXXXX HANIF
USA
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
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Answered by
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Dr. Muhammad Hanif

General & Family Physician

Practicing since :2009

Answered : 2369 Questions

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Suggest treatment for swollen leg, ankle and foot

Brief Answer: Yes it seems to be start of gangrene;I need some more information please... Detailed Answer: Thanks for the consultation at my virtual clinic! I have carefully worked through your case, and can well realize your health worries. Being your physician, I will take care all of your medical concerns today and will put my best efforts to get you out of this situation. Can you please spare sometime to upload the pictures of the black spot on the bottom of foot. It is because, such kind of lesions come up with the loss of blood supply to the area and is very common in diabetics. It may be the start of Gangrene that is a condition in which tissues get dead due to loss of blood supply. Yes if it really is this gangrenous lesion (Can be decided on reviewing the pictures) on the sole of foot, you need to go straight to the Podiatrist who is a personnel trained to deal with the diabetic foot. Yes you may also go to the ER for urgent care. Hope I answered all of your questions. Let me know if you have further clinical concerns or doubts. I will be more than happy to get back to you with expert opinion. Please don't forget to give Five Star rating to help me assist my patients in a better way; and, please don't forget to 'Close This Discussion'. For any disease you have, a timely follow-up is very necessary regarding the treatment efficacy and to see if there is a need to change the treatment options. So keep a follow up to see how you doing (Always write down my name in the start of your questions at this forum & I will be with you in no time). Regards! DR. XXXXXXX HANIF USA