A member asked:

My diabetic foot ulcer have bad odur my doctor says i is infected , if it infected should they cut the foot?

14 doctors weighed in across 7 answers

Ulcer: If you have an infected ulcer, it may require a surgery called debridement in which the infected tissues are removed to allow for healing.

Answered 6/7/2013

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Dr. Howard Fox answered

Specializes in Podiatry

The Team: It's well established that diabetics with foot ulcers do the best with a team approach: endocrinologist, vascular surgeon, infectious disease, podiatrist, orthopedist, cde, physical therapist & nutritionist. Treatment needs to be aggressive, not wait and see. Lack of pain will demotivate you, and that's a mistake. Call in other specialists, get admitted and keep fighting!

Answered 2/24/2013

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Odor: Odor alone does not account for an infected ulcer. Your feet contains bacteria, normal flora, and they will be on the ulcer. The only way to determine if your ulcer is infected with debridement (cleaning) and taking a deeper culture. Cutting of a foot depends on infected bone and joints. An infected ulcer does not necessarily lead to amputations.

Answered 3/26/2013

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Dr. Payam Rafat answered

Specializes in Podiatry

Possibly...: Offloading of diabetic foot ulcers, adequate circulation, good nutrition, blood sugar control, regular wound debridement by your physician, and local wound care are essential factors needed for wound healing. If any of these pieces of the puzzle are missing the final outcome may not be a pretty picture. Amputation of the foot may be required if the foot is severely infected.

Answered 2/22/2013

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Dr. Adam Ringler answered

Specializes in Podiatry

Diabetic ulcer: Infections can be superficial or deep, simple or complicated and are very variable. When infection reaches the bone very often amputation and removal of infected bone is necessary or perhaps long-term IV antibiotics. This would have to be discussed with her physician as each case is certainly unique.

Answered 4/18/2016

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Dr. Scott Bolhack answered

Specializes in Wound care

Dfu: The wound needs to be treated with antibiotics if it is infected. The wound often needs debridement to help with the healing process. Sometimes, if the infection is overwhelming, you will need surgery which may require an amputation.

Answered 11/8/2014

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Dr. James Burns answered

Specializes in Emergency Medicine

You should ask: Your doctor for a referral to an advanced wound and hyperbaric medicine center, or just make the appointment yourself. These are significant but do not necesssarily require amputation. Go soon

Answered 5/2/2015

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