Top
40
Doctor insights on: Gangrene Foot

Share
1

1
Why do Diabetic patients develop gangrene in foot?

Why do Diabetic patients develop gangrene in foot?

Ischemia: Blockage of small arteries cutting off blood supply by the diabetic process (intracapillary inflammation) ...Read more

Dr. Mark Dickson
394 Doctors shared insights

Gangrene (Definition)

A medical term describing the death of body tissue ...Read more


2

2
Mother, 66, had gangrene/ partial foot amputation, is not diabetic, had 3 stents in her legs due to poor circulation & heavy smoker. Life expectancy?

Mother, 66, had gangrene/ partial foot amputation, is not diabetic, had 3 stents in her legs due to poor circulation & heavy smoker. Life expectancy?

Statistically...: Unfortunately, these effects you describe don't just have an effect on the feet and legs. The effect vital organs are effected as well. 5 years has been reported as an expected life span after an amputation, but this is just an average. It could be more or less depending on many other lifestyle factors. ...Read more

3

3
What are the early symptoms of gangrene in the foot?

What are the early symptoms of gangrene in the foot?

S&S of foot gangrene: In the early stages, a wound surrounded by redness followed by tissue death with darkened avascular tissue, drainage, air entrapped in the tissues causing a crunching sound with eventual malodorous drainage and red streaks running up the leg followed by fever, sepsis and eventually death may occur in untreated gangrene. ...Read more

4

4
Need doctor's help! Will occur fournier gangrene in the foot?

Need doctor's help! Will occur fournier gangrene in the foot?

Not usually the foot: Fournier gangrene is a type of necrotizing infection or gangrene usually affecting the perineum. ...Read more

5

5
My mom has gangrene in her foot and has lost her apatite and is now refusing fluids, is this the infection taking hold?

My mom has gangrene in her foot and has lost her apatite and is now refusing fluids, is this the infection taking hold?

ProbAbly: I hope she is being treated, this certainly has the potential to make her extremely ill. ...Read more

6

6
I was wondering what are some good alternatives for diabetes-based foot gangrene if the weak ointment that the doctor gives isn't working?

I was wondering what are some good alternatives for diabetes-based foot gangrene if the weak ointment that the doctor gives isn't working?

Requires debridemt: Gangrene cannot be treated with ointment. It requires careful removal of dead tissues (debridement) to get to areas with circulation. Important to use leg elevation, compressive stockings, etc in order to reduce leg edema (swelling) which worsens circulation needed to heal. Some are using biocellular injection treatments along with surgery to improve blood supply and healing ability. Reduces recur. ...Read more

7

7
Mrs. Rose is a hospice patient in the nursing home. She has gangrene of her foot. What can she do to cure it?

Mrs. Rose is a hospice patient in the nursing home. She has gangrene of her foot. What can she do to cure it?

It depends: Depending on her current health status, whether the gangrene is wet/dry, if there is neuropathy (which may spare the patient pain), and prognosis are to all be considered. Hospice care is palliative in nature, so if intervention for the gangrene is to be considered, a change in her hospice status is necessary. ...Read more

9

9
I developed severe dry gangrene on right foot after trauma, 4 toes already amputated, but it is spreading very slow. How long can I delay amputation?

I developed severe dry gangrene on right foot after trauma, 4 toes already amputated, but it is spreading very slow. How long can I delay amputation?

If there is no: Infection you can delay in definately as the gangrenous tissue will auto amputate, however, I would make sure I am evaluated by a vascular doctor. ...Read more

10

10
I have lots of dry gangrene on right foot, lost 4 toes, but it doesn't go past the mid-foot. Why would they amputate to knee? Why not just that part?

I have lots of dry gangrene on right foot, lost 4 toes, but it doesn't go past the mid-foot. Why would they amputate to knee? Why not just that part?

Circulation: Normally if there is a problem with blood supply to the affected part, amputation to the point of adequate circulation is necessary. You need to insist on an explanation from your treating physicians before consenting ...Read more

11

11
The vascular surgeon told my mother she has early stages of gangrene in her foot. What is the treatment?

The vascular surgeon told my mother she has early stages of gangrene in her foot. What is the treatment?

Gangrene Treatment: If it is in the early stages, then the foot can usually be salvaged, but time is of the essence. The first steps would include assessing the arterial ciruculation of the leg w/ ultrasound, ct scan, or MRI of the arteries. This helps to determine the best treatment approach. Most common therapy: catheterization w/ angioplasty or stenting or surgical bypass of diseases arteries causing the gangrene. ...Read more

12

12
Is it possible to treat dry gangrene without surgery of foot to kidney patient?

Is it possible to treat dry gangrene without surgery of foot to kidney patient?

Possibly: But probably not. You need vascular studies to see where
the blockage of blood flow is, and take it from there. One must be vigilant for ascending infections when gangrene is present. ...Read more

14

14
Does hitting your foot way too hard cause you to get gangrene if you're diabetic?

Does hitting your foot way too hard cause you to get gangrene if you're diabetic?

Neuropathy?: Diabetics have poor healing potential, and coupled with neuropathy (numbness or funny sensations in your feet), it predisposes you to ulceration or infection. Gangrene may occur due to infection, or lack of blood flow. See your podiatrist immediately if you're concerned. ...Read more

16

16
I have dry gangrene on my both palms and both feet soles what medicine I should take?

I have dry gangrene on my both palms and both feet soles what medicine I should take?

See a doctor: True gangrene is a result of a serious bacterial infection. What is the reason for both palms and soles to be affected? You need to be evaluated by a physician. ...Read more

17

17
Why isn't this lady on intravenous antibiotics when she has gangrene on her feet, she goes to these meetings I go to wk after wk?

Why isn't this lady on intravenous antibiotics when she has gangrene on her feet, she goes to these meetings I go to wk after wk?

Poor blood flow: To the foot/toes can result in dry black dead areas. Antibiotics do not help at all in this case. There is no blood flow to deliver them to the region anyway. The main worry is if the dry/mummified skin breaks open at some point and allows an infection to get into the deeper tissues. This is why the areas need to be monitored closely. ...Read more

18

18
Gangrene on their hands and feet. When does it require amputation?

Multifactorial.: In case of an uncontrolled infection the amputation may need to take place right away. If the gangrene is dry and stable you can wait to allow it demarcates to a level where the circulation is more stable resulting in greater chance of healing. ...Read more

19

19
How long does it take for dry gangrene to become life threatening if untreated in foot?

How long does it take for dry gangrene to become life threatening if untreated in foot?

Seconds: Dry gangrene is dead tissue that can easily become infected and lead to life threatening sepsis and death. You should see a physician immediately to treat dry or wet gangrene. ...Read more

21

21
What is the most recommended ointment to cure gangrene or ulcers on diabetic foot?

What is the most recommended ointment to cure gangrene or ulcers on diabetic foot?

No ointment: There is no cure for gangrene, it usually requires surgical debridement and correction of any underlying circulation abnormality that may be contributing. Diabetic ulcers in general are often treated with debridement, off-loading, and various ointments depending on the nature of the wound. ...Read more

24

24
I am A type 2 diabetic of my right foot on my big toe it is very swollen and hurts alot I'm wondering if it is possible that I could develop gangrene?

I am A type 2 diabetic of my right foot on my big toe it is very swollen and hurts alot I'm wondering if it is possible that I could develop gangrene?

Try not to get: Yourself worked up as this will only raise your sugar levels. I would not jump to conclusion of an gangrene but I would seek immediate help and if its the weekend then you go to hospital ER. Diabetic foot infections are serious. Now, it may or may not be an infection as gout, or say fracture are possibilities as well. But, have it evaluated now. Good luck. ...Read more

25

25
If you have a foot amputation to get rid of gangrene, will you later need a leg amputation?

If you have a foot amputation to get rid of gangrene, will you later need a leg amputation?

It is possible.: Sometime people go on to have a higher level amputation if the infection is not controlled or if the circulation is not adequate for healing to take place. ...Read more

26

26
My 88 year old mom has developed gangrene in her toes, which has now compromised her foot doc says it will spread, how will this develop?

My 88 year old mom has developed gangrene in her toes, which has now compromised her foot doc says it will spread, how will this develop?

No blood flow: Gangrene is the end result of not enough blood getting to the tissue. It can be from blood vessel blockages, caused by problems like diabetes or smoking, or from infection. If the problem is caught before the tissue dies, sometimes the underlying cause can be corrected. If gangrene has set it, sometimes amputation is the only option - and may be life-saving. ...Read more

27

27
Dx cellulitis top of foot, 7 days smz&rx cream completed. Dk purp/grn, puss, very painful&swollen, more sores up leg, worse since tx. Could it be gangrene?

Dx cellulitis top of foot, 7 days smz&rx cream completed. Dk purp/grn, puss, very painful&swollen, more sores up leg, worse since tx. Could it be gangrene?

See doctor: What you described warrants evaluation by a doctor. If you do not have a personal physician, please go to the nearest emergency room as you need attention immediately. ...Read more

29

29
I have ingrown toenail (infected but no pus or blood) so im soaking my feet in vinegar. Now I have small black dot on skin near toenail. Gangrene?

I have ingrown toenail (infected but no pus or blood) so im soaking my feet in vinegar. Now I have small black dot on skin near toenail. Gangrene?

You state: Your 20 so I would highly doubt it is gangrene. If its infected, just to see a foot doc and have it taken care of correctly. ...Read more

30

30
Mom (diabetic)has dry gangrene on toe. Angioplasty failed, doctors say vascular surgery imposible (foot veins too small), how can we restore bloodflow?

Mom (diabetic)has dry gangrene on toe. Angioplasty failed, doctors say vascular surgery imposible (foot veins too small), how can we restore bloodflow?

You don't: Gangrene is dead tissue. If there is gangrene of the toe, that part of the toe is gone. If there is poor blood flow to the leg, there are techniques to improve flow, starting proximally and going toward the foot. These may or may not work, but they are designed to limit the level of an amputation. ...Read more

31

31
If a person has dry gangrene in on one toe, is it ok to let it amputate itself?

If a person has dry gangrene in on one toe, is it ok to let it amputate itself?

Varying opinions: You will hear different opinions on this. If it were my toe, I would have it surgically amputated. That tissue is dead, so a secondary/emerging infection is possible and this can spread rapidly. I personally think the risk of that versus the risk of having surgery is greater. ...Read more

32

32
Supposing you have dry gangrene in on one toe, is it ok to let it amputate itself?

Supposing you have dry gangrene in on one toe, is it ok to let it amputate itself?

Only if this is: Advice after seeing a vascular surgeon and or podiatrist. You need to assess the vascular flow tot he foot. If it is bad and you keep waiting you can lose more of your foot potentially. ...Read more

33

33
If you have dry gangrene in your toe is it safe to let the toe fall off on its own?

If you have dry gangrene in your toe is it safe to let the toe fall off on its own?

No: Need treatment because it would lead to more serious infection and possible loss of foot or leg. ...Read more

34

34
If a person has gangrene in his toe, why is it necessary to eliminate half of his leg?

If a person has gangrene in his toe, why is it necessary to eliminate half of his leg?

Not always: Even if there is only visible toe gangrene sometimes the surgeon is concerned about poor healing of the toe amputation wound. Perhaps the circulation is so poor that an amputation at the level of the knee is more likely to heal. Sometimes the circulation can be improved to increase the chances of healing. ...Read more

35

35
If my mom has gangrene on her left toe, does this mean that it is on other parts of her body?

Not necessarily: If she has diabetes or peripheral artery disease, the toes are very susceptible to gangrene. They are at end of blood supply and nerves, and prone to injury. Depending on cause, the same pathology may involve all vessels and nerves, though she is not yet seeing symptoms in those areas. Treatment of underlying cause can slow progression. ...Read more

36

36
How long should it take for a small patch of dry gangrene to fall off pinky toe?

How long should it take for a small patch of dry gangrene to fall off pinky toe?

Dry gangrene: A small patch of gangrene should self destruct on 3. -4 weeks first the scab had slowly loosen and fall off and then self heal. ...Read more

38

38
What are the chances of gangrene to develop in an ingrown toenail?

What are the chances of gangrene to develop in an ingrown toenail?

Small: Unless you have bad circulation, severe diabetes or a bad ignored infection the chances would be small. ...Read more

39

39
Most of my 5th toe is dry gangrene some part is okay. Doc advised me to wait & watch it. My toe feels detached & hasn't been reduced properly.?

Most of my 5th toe is dry gangrene some part is okay. Doc advised me to wait & watch it. My toe feels detached & hasn't been reduced properly.?

Why?? and how???: Why a 22 years old get gangrene, it does not make any sense medically.
did you have an accident where your toe was crushed? Did you have a dislocation? even if you did have dislocation even if it was not reduced properly that does not cause gangrene.
send a picture if you can ...Read more