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Doctor insights on: Caregiver Skin Pressure Ulcers

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What is a bedsore (pressure sore, pressure ulcer, pressure sore, decubitus ulcer)?

What is a bedsore (pressure sore, pressure ulcer, pressure sore, decubitus ulcer)?

Skin wound over bone: It is an injury to skin and tissues underneath from prolonged continuous pressure on the skin. The heel, ankles, hips or buttocks are the areas most commonly affected because the skin covers the bone. Direct pressure to the skin over the bone will cause decreased blood supply and will initiate the bedsore process. ...Read more

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Bed Sore (Definition)

A bed sore is an injury to the skin, and tissues beneath the skin, caused by pressure. They can range from a stage one pressure sore (tender, red and does not blanch) to stage four (an open wound extending down to the bone). Early stage pressure sores can respond to off-loading, while deep ulcers require debridement, dressing ...Read more


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Should a patient who has veinous ulcers developing under the skin wear decompression stockings? Patient has fluid on lungs; some edema; chf. ?

Should a patient who has veinous ulcers developing under the skin wear decompression stockings? Patient has fluid on lungs; some edema; chf. ?

Venous ulcers: Venous stasis ulcers are exacerbated by swelling of the ankles. Compression stockings that help to keep the swelling down are beneficial. If actual ulcers are present treatment of the ulcers will also be required and you should see your doctor for that. ...Read more

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43-yr old female. Could increased acne, cold sores and uti's be connected? Immune system? Diet? I'm falling apart!

43-yr old female. Could increased acne, cold sores and uti's be connected?  Immune system?  Diet?  I'm falling apart!

Falling apart: Many possibilities. Get blood sugar and hormones evaluated. Are you on any meds or dietary supplements? See a doc and have comprehensive evaluation. ...Read more

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Can high blood pressure make your skin itch?

Can high blood pressure make your skin itch?

Not necessarily: Not necessarily but the meds given to treat the condition can. ...Read more

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Are pressure sores serious?

Are pressure sores serious?

Yes: Yes briefly there are 4 types of stage 1 through stage 4. Stage 1 is relatively superficial with intact skin, where as stage 4 is down to the bone. Once one has gotten one they are much more likely predisposed to having one again. ...Read more

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Coumadin (warfarin) therapy alternating 5 and 10mg qhs. Deep blistering wounds appearing on hips, breasts, and buttocks. Sudden onset nosebleeds x4 in 24°. Er?

Coumadin (warfarin) therapy alternating 5 and 10mg qhs. Deep blistering wounds appearing on hips, breasts, and buttocks. Sudden onset nosebleeds x4 in 24°. Er?

Yes!: Definitely go get checked out in the er. The blistering wounds could be warfarin necrosis. If you have this, the warfarin will need to be discontinued in favor of another blood thinner. With recurring nosebleeds, you should have your protime checked. ...Read more

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Can help blood thinners against burning feet?

Can help blood thinners against burning feet?

Some times : Blood thinner might play a role to increase perfusion it depend on what type of blood thinner. There is one that increase the diameter of vessels would help like pletal and trental (pentoxifylline) ...Read more

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Biting sensation followed by itching in hands, legs. Hydration n't helping. Reason? Not diabetic. B.P under control.

Biting sensation followed by itching in hands, legs. Hydration n't helping.  Reason? Not diabetic.  B.P under control.

Need more info: Hi there. Sounds like you've been having some uncomfortable sensations on your skin. There could be various reasons and would need a much more thorough history to come up with what could be the reason. Some common reasons could be dry skin (moisturize) or some kind of allergy or sensitivity to a chemical or texture that you are in contact with. ...Read more

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Help plz! Can skin tears turn into venous stasis ulcer?

Help plz! Can skin tears turn into venous stasis ulcer?

No: Skin tears alone don't cause venous stasis ulcers. Wounds can heal poorly with several medical conditions, including severe varicose vein disease and severe venous insufficiency -in which case they may need to be treated like a venous ulcer. A venous stasis ulcer can occur without prior skin injury and can take months to years to heal. Treatment of varicose veins before an ulcer occurs is best.. ...Read more

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Mum 64 using compression for vascular ulcer. Ulcer tends to bleed as wound dressing is removed as it gets stuck to the ulcer due to compression. Help!

Mum 64 using compression for vascular ulcer. Ulcer tends to bleed as wound dressing is removed as it gets stuck to the ulcer due to compression. Help!

Wet to dry: I often teach my patients that they should cover the ulcer with a saline soaked bandage or gauze and then a dry gauze...A concept known as 'wet to dry' so that the dry gauze does not further damage the skin when it is changed. ...Read more

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Which layers of skin are affected by pressure sores?

Which layers of skin are affected by pressure sores?

All layers : Deep to superficial. But the primary problem is compromise of the vascular supply in the subcutaneous layers and secondarily in the dermis. ...Read more

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Can the supplement vitamin b-12 cause painful (widening) of blood vessels to the skin (feet) resulting in skin feeling hot?

Can the supplement vitamin b-12 cause painful (widening) of blood vessels to the skin (feet) resulting in skin feeling hot?

Vit B-12: People frequently feel flushing, usually of face, sometimes to the point that they are unable to take it. The feet swelling would suggest something else going on. ...Read more

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How are pressure sores aka bed sores treated?

How are pressure sores aka bed sores treated?

Getting the pt up: It is from lying on one spot too much. Anything to mobilize the patient or make them turn over periodically would help. ...Read more

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What blood thinners are given to people with stroke/heart attack and peptic ulcers?

What blood thinners are given to people with stroke/heart attack and peptic ulcers?

Blood thinner: this is a difficult situation because you have to balance between the ulcer and the need for blood thinner. A good choice is enteric coated aspirin. However, depending on the etiology of stroke or heart dz, a blood thinner may be avoided. ...Read more

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Does being in a wheelchair cause pressure ulcers?

Does being in a wheelchair cause pressure ulcers?

Wheelchair: Not necessarily so. Your wheelchair and cushion should be assessed by someone knowledgeable with this type of equipment. For example, there are seating specialists (physical therapists) that can evaluate you and your needs and order the correct equipment. ...Read more

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What could fatigue, headaches, under eye puffiness, high uric acid, weight loss and skin lesions indicate?

What could fatigue, headaches, under eye puffiness, high uric acid, weight loss and skin lesions indicate?

Fatigue wt loss: 33 M asks What could fatigue, headaches, under eye puffiness, high uric acid, weight loss and skin lesions indicate? ANS: This indicates you need to see a Dr. Give your detailed Hx of sex practices, wt loss take pictures of skin lesions, and have a careful exam. Consider: cancer, hyperthyroid, TBC, renal failure, HIV, to mention a few. Happy to do 2nd opinion to help. ...Read more

Ulceration (Definition)

Exact synonym so far as this pathologist is concerned. An ulcer is a lesion on a body surface (outer or inner) in which the epithelium and at least some of the underlying connective tissue has been lost specifically to necrosis (cell death) rather than just mechanical or chemical injury. All ulcer craters ...Read more


Dr. Scott Bolhack
2,089 doctors shared insights

Ulcer (Definition)

An ulcer is a discontinuity or a break in a body membrane that impedes the normal functioning of the organ of which that membrane is a part. Ulcers are further classified by their location. Ulcers are usually caused by infections, excessive acid production, stress, ...Read more