Doctor insights on:
Shower Clean Leg Ulcer Will Lose
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
I had multiple infections of pseudomonas and staph on my leg ulcer. How do I keep the wound clean?
Wound Clean: Your wound should be followed by a wound specialist. The surface of wounds have bacteria in them. What needs to be differentiated is colonization (which does not require antibiotics) from infection (which does). Slough and fibrin, the material that collects on the surface of the wound can be removed to lower the bacteria (bioburden). Then advanced wound care products can be used on the wound. ...Read more
Leg ulcers.: An ulcer is an opening in the skin that looks like a hole. It can be large or small. Ulcers can be due to many reasons including diabetes, venous insufficiency and arterial insufficiency. The location of the ulcer often times suggest what the source of the ulcer is. Toe ulcers tend to be arterial or diabetic related and ankle ulcers tend to be venous. See a vascular surgeon for an evaluation. ...Read more
Need more informatio: It is unusual for someone at age 34 having problem with leg ulcer. The question is whether you have an underlying disease such as diabetes which makes you more prone to get a leg ulcer. Problem with circulation will also lead to leg ulcer as well. Get evaluated by a doctor. ...Read more
Infections: The outcomes for an untreated ulcer can be severe. You can develop a local infection. This can spread to the bone as well as into the blood which can cause you to become septic with high fevers and illness which can be life threatening. Also the cause is important. If it is due to PAD this can result in an amputation. It is very important to see your physician as soon as possible. ...Read more
See picture: An ulcer is a break in the skin -- this can occur on the calf (typically due to venous disease) or on the toes (typically due to arterial disease). ...Read more
This should be evaluated as soon as possible to determine the source
Weeping may be lymph fluid which exits at the point and actually irritates the ulcer as the fluid burns ...Read more
All Shapes: Most venous ulcers are round or oval but they can present in irregular shapes also. ...Read more
Yes: Sometimes there is an isolated incompetent venous perforator vein under an ulcer. It may have been there for years and in retrospect the patient may remember pain in the area after exercise. When the skin above it can no longer compensate for the increased pressure, an ulcer can form. ...Read more
Certainly: Yes. As long as the ulcer is covered and properly dressed, jeans can be worn. If you aren't already being seen by a wound clinic it is probably a good idea to do so. ...Read more
OK with precautions: If it is a venous ulcer, most likely at your age keeping swelling down with compression and getting up and walking the isle some, if you can get an exit row seat to stretch your legs out and exercise your ankle. If space get your leg up in empty seats too. For most other ulcer types pressure would not be good but be sure if it is draining you have plenty of fluid absorption. ...Read more
See below: If there is infection, then antibiotics will be needed. Depending on cause of ulcer, treatments are different. Many leg ulcers are due to venous issues and may require compression and intervention on the improperly working vein. Special dressings such as a boot of unna may help heal a leg ulcer. Foot ulcers my be due to poor arterial circulation and won't heal until circulation is improved. ...Read more
Depends: Leg ulcer can be a tip of the iceberg. The causes are many so the treatment varies greatly. In the elderly population, vascular disease (artery, vein, and lymphatics), infection, accident/pressure induced soft tissue injury, metabolic issues including diabetes makes healing difficult. Do not delay medical attention, some ulcer can get aggressive and cause big problem. ...Read more
Not really: As drs. Schwartz and marquart said, the mainstay of treatment for venous leg ulcers is compression and treatment of the underlying venous insufficiency. Some medicines, especially trental, (pentoxifylline) or antibiotics, if there is an infection, have been shown to improve the effectiveness of compression but infections are actually rare and medication is not commonly needed. ...Read more
Diabetic ulcer: What you dress a wound with has to do with the location of the wound, the amount of fluid coming off of a wound, where in the timeline of the healing, cost of the products (there are always choices), ease of placing those products, availability of home health, etc... ...Read more
Ulcer: Need to be seen as soon as possible to initiate treatment, if you are septic you need antibiotics and emergent care to treat. Then evaluation is needed to determine the cause of the ulcer, is it arterial or venous related. ...Read more
No, depends,: Is the ulcer from venous, arterial or diabetic neuropathic. Relaxation will not help any. Stop smoking, . Compression therapy for venous, improve circulation for arterial, offloading for neuropathic. These are the first line rx. However all need debridement and good wound care. ...Read more
Ulcer/Philippines: When I was in the Philippines we treated leg ulcers with dressing changes just the same as we would in the US or the UK or Asia??? How depends on what kind of ulcer. An ischemic ulcer is treated differently than a neurotrophic ulcer and differently than a venous stasis ulcer. ...Read more
I have a venous leg ulcer it, s a large one and it has started to bleed heavily, what will cause this?
Bleeding vein ulcer: Venous ulcers are due to chronic venous insufficiency which leads to venous hypertension. The area around the ankle has the greatest pressure and the skin weakens and can then ulcerate. Blood vessels in that area can erode through the weakened skin and then bleed. If you have a venous ulcer then you need a full venous evaluation with a venous ultrasound. See a vein specialist. ...Read more
Cause?: Many ulcers are caused by venous disease even in diabetic patients. These are most often found on the inside of the ankle. If this is the case see a venous doctor. ...Read more
Red and warm: If there is redness and warmth around the wound and you smell an odor it is probably infected. That being said they should be seen by a physician so that they can get on antibiotics. ...Read more
No: No herbal remedy has been shown to heal ulcers. ...Read more
Ulcer in a Diabetic: This is too general of a question to answer accurately. A diabetic can develop diabetic foot ulcers but they are also at risk for other types of ulcers too like venous stasis ulcers. A diabetic ulcer that is considered neuropathic requires offloading; an infectious process needs to be treated with antibioitics; and if there is a blood supply issue then that needs to be corrected. ...Read more
Venous ulcers: Vasculera and diosmin are herbs purported to aid in the treatment of venous ulcers but they are not the mainstay of treatment. Venous ulcers are the end result of venous insufficiency and the best way to treat these is a combination of local care to the ulcer with compression, cleaning and topical wound healing agents. Next the underlying venous insufficiency needs to be addressed. See a vein MD. ...Read more
Firstly the need to define what type of ulceration you have.
Venous ulcerations are secondary to venous reflux, and should be managed by destroying the problem of the reflux, usually accomplished by thermal ablation of the vein.
Arterial ulcers are secondary to arterial insufficiency, and should be treated by identifying the arterial problem treating it.
Exercise with walking Is important ...Read more
I have a leg ulcer and my nurse used Fucidin intertulle to dress it but its very painful, should I leave the net in or remove it.
Clean with mild soap and water.
Elevate leg as much as possible, elevate foot of your bed.
Use adaptic or other no stick gauze on ulcer under ace wrap or pressure stocking and see md- vascular surgeon or wound clinic.
Potential serious issue. ...Read more
I have a leg ulcer that is approximately 1" x 1/2" in size. I have been using unna boots with no success. Will solcoseryl help heal the ulcer?
Leg wound: You need to see a physician (p)to see if your non-healing leg wound is due to either a varicose vein under it, peripheral artery disease (pad) or an osteomyelitis (o). If you have a venous stasis ulcer, a venous doppler study of your leg veins may diagnose a varicose vein beneath it. If there is one, a vein ablation can help cure the wound. If your veins are normal, consider pad or an o. See a p. ...Read more
Ankle ulcer: Sickle cell ulcers most often occur on the inside of the ankle, or just above the ankle. There are similarities in appearance to venous stasis ulcers and venous insufficiency was even suspected in sickle cell patients. Venous insufficiency was found not to be causing ulcers in sickle cell patients. ...Read more
Dressing: Sometimes if you add Normal Saline to the dressing where it is sticking to the wound, it won't pull and tear the skin. ...Read more
Warm water...time: I am assuming you are talking about hypafix tape which sticks to the skin. The easiest way is to soak the entire dressing with warm water or saline until it loosens up. More importantly, it is never a good idea to use tape directly on the skin if it can be avoided. Ankle ulcers are typically a result of varicose veins. A compression dressing avoids the use of tape and provides compression therapy. ...Read more