Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

182 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

What causes black discoloration on the foot while having diabetes?

Answered by
Dr.
Dr. Abhay A Mali

Diabetologist

Practicing since :2006

Answered : 805 Questions

default
Posted on Tue, 14 Mar 2017 in Diabetes
Question: Hello, my uncle has Diabetes and is undergoing dialysis. Recently he has developed blackish skin on his foot great toe.
My questions are:
1. Is this gangrene?
2. How can it be treated?
3. If it requires amputation, how soon does that need to be done?

Thanks
doctor
Answered by Dr. Abhay A Mali 1 hour later
Brief Answer:
Consult foot surgeon immediately.

Detailed Answer:
Hi,

Thanks for your question.
Noted your concern.

Went through your uncle's clinical details and pictures attached.

1) Yes there is very likely possibility of gangrene.
2) Without further delay consult foot surgeon if available or go to ER.
There is a need for immediate detailed physical examination.
Assessment of blood supply to legs. For that lower limb arterial doppler may be suggested.
There may be need for hospitalization, intravenous antibiotics, insulin treatment for blood sugar control. Assessment of kidney & liver function.
3) Decision of amputation depend upon physical examination & assessment of blood supply.

Hope this helps you.

Regards,
Dr Abhay Mali.
Diabetologist.
Above answer was peer-reviewed by : Dr. Kampana
doctor
default
Follow up: Dr. Abhay A Mali 13 minutes later
I got hold of some report tests and other details. Please suggest after going through the same.

Other details:
Yes it is prolonged diabitic and peritonela dialysis.
Tlc 23 (limit 4-10)
Creatine 7.8

Also attached are test results.
doctor
Answered by Dr. Abhay A Mali 6 hours later
Brief Answer:
Doppler report is acceptable.

Detailed Answer:
Doppler report suggest adequate blood flow.
But actual physical examination and clinical assessment is important in deciding further line of management.
TLC of 23000 denotes infection.
There is a need for close monitoring of blood sugar levels, blood pressure, urine output and other vitals, intravenous antibiotics.
Follow his treating diabetologist.

Hope this helps.
Above answer was peer-reviewed by : Dr. Prasad
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,  
Drug/Medication
Medical Procedures
Lab Tests

Recent questions on  Creatine

doctor1 MD

My wife and I decided to start trying for a baby. I can not find any research on males side of things. I am most worried about the meds I am on. Overall, Im healthy, dont drink but a couple drinks a week, exercise regularly,don t smoke, etc. I do take Concerta 27 mg, Lexapro 10mg 3-4x s wk, Canasa 1000mg suppository for crohns w/ balazimine? as needed for crohns. Also, for lifting I use protien & N.O. pre workout supplements (l- arginine , creatine etc). I do have 1 child from previous marraige and she is beuatiful and healthy (Besides Daddy s ADD). However I wasnt diagnosed with crohns nor ADD and wasnt on any meds then.

doctor1 MD

sir today 5 feb i tested my blood for s creatine and blood urea. the result was both on higher side Screatine 2.4 and bun 70. Ihad a ultra sound test alos on4feb there was kidney stone they say. after taking xray dr said nothing but kidney swollen a little. sir please guide me the diet or proper treatment how to contrlo this two. iam diabetic level are under control. moderate hypertension 140to 160/90 to 84 fluctuating

doctor1 MD

Hi, may I answer your health queries right now ? Please type your query here... I had kidney transplant in dec 2009 and doing well in all parametres. My creatine has been 1.0 to 1.1 in the last 12 months with Hb 14. My only problem is GI distubancee. either I have frequent motions ( 3 to 4 per day ) or constpation with little disconfort. I have not gained any weight probably last 2 kgs over last one year period. Could you plz suggest how can i handle this issue. my nephrologist asks to to ignore since every other parametere is with in normal limits. My glucose levels and Bp are normal mostly. My pangraf blood levels have been always high even on a current dose of 2.5mg per day. Plz advise.

Regds

KVT
HyDERABAD

doctor1 MD

I m pooping blood im a male and have stomach aches. Ive been working out though ive been taking whey protein and muscle building milkshakes with creatine all seperatley of course. but is this do because i dont have enough water and fiber in my diet? because ive been eating/absorbing mainly protein?

doctor1 MD

Urine test with protein over 300, Hyline cast 10-20, white blood 2-5. I’ve been feeling very sick with stomach pains. I had other blood test done such as: protein urine random with levels 473. Creatine urine random 301. My Doctor is not getting...

doctor1 MD

So I have tremors leading to a a twitch that then leads to a full on body seize. I twitch really fast. I breath really hard. I just repeat something over again, I’m confused, and my world goes black, and I can hear but it sounds like it is under...

doctor1 MD

I’m becomjng a Police Officer in New York. They give a hair drug test to get on the job. I take a variety of legal supplements such as Vitamin D3 , Apple Cider Vinegar Tablets, Probiotic , GNC Triple Strength Fish Oil, Creatine , Whey Protein and...