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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest medication for a large cut on top of foot

Hi, About an hour and a half ago a large glass plate dropped from my microwave onto the top of my foot. I have a rather large V shaped cut (slice) on the top bone half way up my foot. Probably about 1/2 by 1/2 or a bit larger. I have semi controlled the bleeding 2 towels of blood and now have wrapped it tight with a large bandaid and and gauze (2nd time). I did use water to clean and put neosporin on the 2nd wrap. I have it elevated now. On second inspection and cleaning the wound is swollen below on the bone and is definitely not closed up. I do have it under control but can t decide whether I should go to the hospital tonight to have a doctor look. Any suggestions would be appreciated. Thanks. Oh there s a bit of throb too.
Wed, 18 Mar 2015
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Dermatologist 's  Response
Hello. Thank you for writing to us

The best thing would have been if you would had gone straight to the doctor as soon as you sustained the injury and immediately got it stitched.
Usually a wound which is 6- 8 hours old and is clean is immediately stitched. Subsequent care includes daily sterile dressing and oral and topical antibiotics.
I would recommend daily cleansing with an antiseptic liquid like betadine and subsequently covering it up with betadine soaked gauze and bandaging it to secure the gauze.
A prophylactic oral antibiotic may also be started e.g either amoxycillin Or cephalexin for a week, to prevent it from secondary bacterial infection.
I suggest that you visit a doctor immediately for the needful. Your doctor will assess the wound and advice accordingly whether it needs to be stitched or not and subsequent course of action.

Regards
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Suggest medication for a large cut on top of foot

Hello. Thank you for writing to us The best thing would have been if you would had gone straight to the doctor as soon as you sustained the injury and immediately got it stitched. Usually a wound which is 6- 8 hours old and is clean is immediately stitched. Subsequent care includes daily sterile dressing and oral and topical antibiotics. I would recommend daily cleansing with an antiseptic liquid like betadine and subsequently covering it up with betadine soaked gauze and bandaging it to secure the gauze. A prophylactic oral antibiotic may also be started e.g either amoxycillin Or cephalexin for a week, to prevent it from secondary bacterial infection. I suggest that you visit a doctor immediately for the needful. Your doctor will assess the wound and advice accordingly whether it needs to be stitched or not and subsequent course of action. Regards