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Suggest Treatment For Yellowish Pus Discharge From A Wound Near The Umbilical Area

Posted on Tue, 3 Oct 2017

Question: hi... previously i had asked about my mother's wound (abscess near umbilical area - insulin injection site - size ~ 2x2 cm) . she completed cap cloxacillin 500mg qid for 5 days and then continue with c.cefuroxime 250mg tdg for 3 days and lastly c. cephalexin 500mg bd for 7 days... antibiotics finish 2 days ago. initially there was yellowish pus discharge from the wound but it change to yellowish serous discharge aftet start antibiotics. i help her do the normal saline dressing 2 time everyday and put on fucidin cream after each dressing but.... after finish the antibiotics 2 days ago.. the discharge become more thicker with yellowish color.. i think it become pus again and what must i do now to help her?

Answered by Dr. Bhagyesh V. Patel (1 hour later)

Brief Answer:
Residual infection underlying still present .

Detailed Answer:
Hello dear

Welcome to Healthcaremagic.com
I have evaluated your query thoroughly .

* This seems in relation with residual infection underlying as this is discharge
after almost 17 days starting antibiotics .

Kindly provide further details so that I can answer your query completely .

1. What is the current status of diabetes control .
2. Any other features of fever or else .
3. I would like to get recent photo pic of the local part to compare with the
previous ones which I have evaluated thoroughly from your question dated
3/09/2017 .
4. Any of the investigations done till now from the beginning of the issue , if yes
kindly provide reports .

Awaiting for your response .

Regards .

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Bhagyesh V. Patel (7 hours later)

dear dr.. my mother did not show any other symptoms such as fever, pain etc. her random blood sugar range from 8 to 15mmol/l but sometime 2-3 times 20mmol/l (currently on actrapid 30 units tds n insulatard 30 units on night). here i attached the picture of her wound. does she need to start on any other antibiotics? is the wound in very poor condition?

Answered by Dr. Bhagyesh V. Patel (27 minutes later)

Brief Answer:
Wound requires minor surgery for better recovery & infection control.

Detailed Answer:
Respected Wxxxxh

Thanks for the details and recent photograph of the wound .

* The wound is not healed properly , there is definite infection underneath .

* Recommendations for you

- Must visit consultant surgeon and this requires debridement of the slough ,
dead unhealthy tissue in form of minor surgery on day care basis .
- During that procedure doctor will take pus for culture report and further
course of antibiotics are advisable in accordance with that only .
- Till then keep the part clean and blood sugar under control .

Hope this clears your query .
Wishing her fine recovery from the same .

Regards .

Note: For further inquiries on surgery procedure and its risks or complications book an appointment now

Above answer was peer-reviewed by : Dr. Kampana