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Doctor insights on: Prisma Side Effects

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Is their any bacteria that is known to indirectly cause ulceration in skin healing? What other option are their beside Prisma, Xerform for skin ulcer

Is their any bacteria that is known to indirectly cause ulceration in skin healing? What other option are their beside Prisma, Xerform for skin ulcer

Yes: Several organisms cause or contribute to skin ulceration. Pyoderma gangrenosum is one. There are multiple therapies in wound care for difficult chronic ulcers. Okay to ask for referral to wound care center. Take friend with you to appointment. Be Well. ...Read more

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HI! I HAVE DIABETES. AND HAVE A WOUND ON MY LEFT LEG. FOR A YEAR NOW I'VE WAS IN THE HOSPITAL JUST BEFORE XMAS. AND NOW THE WOUND KEEPS GETTING A SLIME ON IT. THE NURSE AND DOCTOR HAVE PUT MEDA HONEY ON IT NOW. BUT THEY HAVE USED TENDER WETS -PRISMA -SIL

HI! I HAVE DIABETES. AND HAVE A WOUND ON MY LEFT LEG. FOR A YEAR NOW I'VE WAS IN THE HOSPITAL JUST BEFORE XMAS. AND NOW THE WOUND KEEPS GETTING A SLIME ON IT. THE NURSE AND DOCTOR HAVE PUT MEDA HONEY ON IT NOW. BUT THEY HAVE USED TENDER WETS -PRISMA -SIL

I: I agree wholeheartedly with dr. Christensen's answer, and would like to add my own thoughts.

It's been my experience too many doctors, of all specialties, get hung up on treatment of leg and foot ulcers instead of focusing attention on the cause. An ulcer is a symptom, not a disease. The key to the successful closure of an ulcer is to address the underlying cause.

For instance:

chronic venous insufficiency from varicose veins can cause an ulceration on the inner lower 1/3 of the leg. Since the underlying cause is blood stagnation, the blood needs help fighting gravity, so compression dressings are the most helpful.

Diabetic foot ulcers over pressure points are the result of pressure and a lack of sensation. Thus, the treatment must address pressure above all.

Chronic high blood pressure can produce leg ulcers on the outside of the lower legs. It doesn't matter what sort of goo is applied to these ulcers. To close them, the hypertension must be adequately addressed.

Ulcers that arise from ischemia (lack of blood circulation) will only close if the poor circulation is addressed.

In short, if the underlying cause of the ulcer is properly addressed, you could put mayonnaise on it and it will close. Likewise, if the underlying cause of an ulcer is not addressed, all the topical dressings, honey, antibiotics or the latest "miracle" dressing won't make a difference.

So my unsolicited $0.02 here is to find someone who will take the time and effort to make a diagnosis as to why you've ulcerated. That is the key to closing this thing. ...Read more

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