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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Remedies For Small Hole In The Ankle That Oozes Pus

hi sir .i m 29 years old.i have problem in my ankel.now white pus comes out from a small hole in my ankel.sometime swelling is there.some time nothing is there.no hole no pus.but after 10 days hole becomes and pus comes out.sir i have gone to many doctor but nobody came yo know about this desease.one time i have got small opperated.9 month it was ok but again same problem.plz give me suggession wht should i do
Mon, 13 Feb 2017
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General Surgeon 's  Response
Hi,
I have gone through your query and I can understand your concerns.
If I were your treating physician,Based on your description I would come up with following possibilities.

1- Osteomyelitis,The first and most probable differential diagnosis would be osteomyelitis.Its a kind of chronic infection of the bone.Your symptoms (pus and discharging sinuses)perfectly fits for osteomyelitis.We have to do an X-ray and biopsy to confirm the diagnosis.
2-Actinomycosis-Its kind of fungal/bacterial infection.Less likely differential,multiple investigations are needed to confirm the diagnosis.
3-There are other conditions also present with similar symptoms including some bone tumors,But those are rarest among the differentials and no need to worry that much.
I suggest you to consult an orthopedician for detailed evaluation and proper treatment.You may require an X-ray or MRI scan for evaluation.You have to do a biopsy to confirm diagnosis.If the diagnosis of osteomyelitis is confirmed you require long course of IV antibiotics and surgical debridement.
I hope this helps.
Please feel free to contact us if you have any further queries.

Regards.
Dr.Shinas Hussain
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Suggest Remedies For Small Hole In The Ankle That Oozes Pus

Hi, I have gone through your query and I can understand your concerns. If I were your treating physician,Based on your description I would come up with following possibilities. 1- Osteomyelitis,The first and most probable differential diagnosis would be osteomyelitis.Its a kind of chronic infection of the bone.Your symptoms (pus and discharging sinuses)perfectly fits for osteomyelitis.We have to do an X-ray and biopsy to confirm the diagnosis. 2-Actinomycosis-Its kind of fungal/bacterial infection.Less likely differential,multiple investigations are needed to confirm the diagnosis. 3-There are other conditions also present with similar symptoms including some bone tumors,But those are rarest among the differentials and no need to worry that much. I suggest you to consult an orthopedician for detailed evaluation and proper treatment.You may require an X-ray or MRI scan for evaluation.You have to do a biopsy to confirm diagnosis.If the diagnosis of osteomyelitis is confirmed you require long course of IV antibiotics and surgical debridement. I hope this helps. Please feel free to contact us if you have any further queries. Regards. Dr.Shinas Hussain