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Doctor insights on: Treatment Of Cellulitis In Diabetics

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Dr. Michael Miller
990 doctors shared insights

Cellulitis (Definition)

A common skin condition caused by bacteria. Common symptoms may include fever, a skin sore that appears suddenly and grows quickly, and redness, pain, and tenderness ...Read more


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What is the most effective treatment of the recurring wound in a diabetic patient?

What is the most effective treatment of the recurring wound in a diabetic patient?

Diabetic wound basic: Diabetes causes nerve injury.This means loss of sensation below the ankles.Foot deformity may occur. Poor sensation means injuries and problems advance before they are found and get worse quickly.Treatments include sugar control, keep the ulcer surface healthy and clean with debridements, moist wound dressings and absolutely keeping the ulcer away from any pressure. No antibiotics unless infected. ...Read more

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What is the prognosis for diabetes with cellulitis and osteomyelitis?

What is the prognosis for diabetes with cellulitis and osteomyelitis?

Osteomyelitis: Not sure i can answer that easily. Osteomyelitis is a bone infection and unfortunately these are more difficult to treat in diabetics. A lot depends on the status of your blood flow. The antibiotics need good blood flow to work so if you have good flow it generally improves the prognosis. Also, good sugar control helps. ...Read more

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Is homeopathic treatment more effective in skin infections of the feet, particularly in case of psoriasis?

Is homeopathic treatment more effective in skin infections of the feet, particularly in case of psoriasis?

Effective? Yes.: Homeopathic treatment can be effective in psoriasis, a chronic condition. But your question asks whether it's "more effective" -- so i wonder what you're comparing it to? In a 2009 study, homeopathic treatment improved symptom severity compared to those receiving conventional treatment alone. http://www.ncbi.nlm.nih.gov/pubmed/19192019 is this what you were wondering? ...Read more

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Treatment of edema in the leg?

Treatment of edema in the leg?

Elevation.: Edema provided both legs elevation low sodium diet. Walking helpful, standing still worsens. If only one leg could be blood clot need medical evaluation. If no improvement if both legs need to see physician. ...Read more

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Are dalacin & ceftazidime the right treatment of the "pseudomonas infection" in the ear?

Are dalacin & ceftazidime the right treatment of the "pseudomonas infection" in the ear?

Cipro (ciprofloxacin) and ciprodex: Cipro (ciprofloxacin) pills or IV in addition to Cipro (ciprofloxacin)dex ear drops is the preferred treatment in the us. ...Read more

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What is the drug for people with diabetes, cellulitis and osteomyelitis?

What is the drug for people with diabetes, cellulitis and osteomyelitis?

Many : There isn't just one medication used to treat cellulitis and osteomyelitis. Intravenous antibiotics and surgery are normally used to treat osteomyelitis and cellulitis can be treated with either intravenous or oral antibiotics. ...Read more

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What is the drug for people with diabetes, cellulitis and osteomyelitis?

What is the drug for people with diabetes, cellulitis and osteomyelitis?

Bad shape: Hi. That's some bad shape you're in. Most likely your cellulitis & osteomyelitis are in a foot. You need a wound clinic, wound debridement, longterm IV antibiotics, assure adequate arterial supply (may require revascularization), maybe hyperbaric oxygen, and really good, tight blood sugar control. I hope this can be healed and not require amputation; amputation is not the end of the world, however ...Read more

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What is the role of different anti-biotic in treatment of gluteal abscess ?

What is the role of different anti-biotic in treatment of gluteal abscess ?

Antibiotic choices: When treating an abscess -one has to consider 'what' germs might be there, then make the appropriate selection for therapy. Sometimes it's more than just antibiotics (such as incision). One has to consider patient allergies, drug interactions, dosing/length of therapy etc. It's nice to have a culture of the abscess material, but sometimes a best guess will do. I like trimethoprim-sulfa. See MD. ...Read more

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What is the the most recent treatement of diabetic foot ulcer?

What is the the most recent treatement of diabetic foot ulcer?

It's changing daily: It’s changing every day. Wound care requires multi-discipline input for proper wound healing. There are multiple modalities and multiple strategies to get a wound closed but it takes a knowledgeable well trained specialist to know when to implement the appropriate treatment during the course of wound healing similar to a conductor leading an orchestra. Better question is whats proven to work. ...Read more

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What is the treatment for hypoglycemia in diabetics?

What is the treatment for hypoglycemia in diabetics?

Sugar: Diabetics frequently carry with them some sugar to take quickly if they feel a hypoglycemic episode come on quickly. ...Read more

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What is the drug of choice for the peripheral neuropathy in diabetic pt.?

What is the drug of choice for the peripheral neuropathy in diabetic pt.?

Neurontin (gabapentin): I typically start with Neurontin as it has a generic. Other drugs include Lyrica (pregabalin) and cymbalta, but they tend to be more expensive. Remember all drugs have side effects and the inial goal of treatment is sugar control. ...Read more

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What are the risks of an above the knee amputation if severe hypertension and diabetes?

What are the risks of an above the knee amputation if severe hypertension and diabetes?

Slow wound: Healing but chances are if you need to have an above knee amputation then you're at greater risk of getting a blood infection and dying if you don't get the amputation. ...Read more

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What is involved in debridement of pressure ulcers, decubitus?

What is involved in debridement of pressure ulcers, decubitus?

A cleanout and...: Often pressure sores are bottle shaped, with a small skin opening overlying a larger cavity that may extend to an underlying pressure point. This causes dead tissue to build up in the cavity, which is an excellent growing medium for bacteria. Debridement is removal of dead tissue and debris and enlargement of the skin opening: this allows easier cleaning and/or flap closure when the wound is clean. ...Read more

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What's the best antibiotic for treatment of septicemia in neanates?

What's the best antibiotic for treatment of septicemia in neanates?

Situation dictates : Best antibiotic choice in neonatal sepsis, made by considering child's age, medical history/comorbidities, clinical presentation, potential source, gram stain data, local resistance patterns, etc.. Consultation w/ pediatric infectious disease strongly encouraged. May also need anti -fungal, -viral, -rickettsial treatment. Good luck. ...Read more

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What are the symptoms of insulin resistance in diabetic?

What are the symptoms of insulin resistance in diabetic?

Increased insulin: Insulin resistance means that the cells are less sensitive to Insulin - so it takes more Insulin keep the blood sugar down than normal. So, symptoms would be of hyperinsulinemia or hyperglycemia if the blood sugar is not controlled. ...Read more

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Is ceftazidime for the treatment of the "pseudomonas infection" in the ear?

Is ceftazidime for the treatment of the "pseudomonas infection" in the ear?

Otitis externa: Pseudomonas is a common cause of swimmer's ear or otitis externa and is usally treated topically, however, in diabetics and some immunocompromised people, the organism invades into the temporal bone of the skull and then is treated with systemic antimicrobials such as ceftazidime. ...Read more

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What is the antibiotic of choice for ttt of infection with s.Aureus and g-anaerobes eikenella corrodens in pt allergic to penecillin ?!

What is the antibiotic of choice for ttt of infection with s.Aureus and g-anaerobes eikenella corrodens in pt allergic to penecillin  ?!

Depends: The choice is subject to the sensivity of the staph in the test tube, the area of the infection being treated and whether there is loculation of infection that needs surgical drainage. Eikenella is usually present in the oral cavity and is also a rare cause of infective endocarditis. Need much more information to give you a meaningful response. ...Read more

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What is a home treatment for cellulitis if diabetic?

What is a home treatment for cellulitis if diabetic?

What's the cause ?: Cellulitis is basically a visible inflammation (itis) of the skin and soft tissues (red, hot, swollen and tender) . It can be caused by many things including sunburn (radiation), trauma (sprained ankle) or poor vein circulation (stasis dermatitis). It need not be caused by bacteria. If you have repeated episodes of this, get to a wound care or vascular specialist, the diagnoses you have is wrong. ...Read more

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Is there a for sure treatment for cellulitis?

Is there a for sure treatment for cellulitis?

Antibiotics: Cellulitis is a bacterial infection that involves deeper layers of subcutaneous tissue and can spread quickly, sometimes leading to life-threatening complications. Proper treatment with antibiotics, often initial intravenously then followed by oral treatment, is the appropriate way to treat. If cultures are available then that will greatly aid the choice of medicines. ...Read more

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Treatment for cellulitis Extreme infection ?

Treatment  for cellulitis
Extreme infection ?

Need details: Cellulitis is a serious bacterial infection. Antibiotic is useful. The term is frequently used when poorly-informed DR's notice red, swollen skin. Eczema, stasis dermatitis, contact dermatitis are much more common than cellulitis and require very different therapy. If it is itchy rather than painful, if there is no fever, if there is clear discharge instead of pus, bet on something other than cell ...Read more

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What is treatment for facial cellulitis i?

What is treatment for facial cellulitis i?

Cellulitis: Facial cellulitis is a bacterial skin infection that occurs on the face. The infection is characterized by swelling, redness, warmth, and pain. Risk factors for the condition include problems in the lymphatic system, upper respiratory infections, and infections of the teeth or middle ear. Treatment is with oral antibiotics. ...Read more

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Is there an effective treatment for cellulitis?

Is there an effective treatment for cellulitis?

What's the cause ?: Cellulitis is basically a visible inflammation (itis) of the skin and soft tissues (red, hot, swollen and tender) . It can be caused by many things including sunburn (radiation), trauma (sprained ankle) or poor vein circulation (stasis dermatitis). It need not be caused by bacteria. If you have repeated episodes of this, get to a wound care or vascular specialist, the diagnoses you have is wrong. ...Read more

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How can a sunburn cause cellulitis and what is the treatment?

How can a sunburn cause cellulitis and what is the treatment?

Yes and no: A sunburn can open the skin barrier to surface germs that can enter the oozing open wound and cause cellulitis or impetigo. Keeping the burn clean and using antibiotic sprays or ointments can prevent this. If it is progressing, see the doc for additional measures. ...Read more

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What is a good antibiotic for cellulitis after the parenteral treatment?

Can't answer: It all depends on where the cellulitis was, what caused it, what the cultures grew out, and what your medical history is. For example, sometimes cellulitis grows out the MRSA bacteria which requires a completely different treatment than a usual infection in a healthy person. Also, a cellulitis in the groin may require a different treatment than one in the neck. ...Read more

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What is a good antibiotic for cellulitis following the i. V. Antibiotic treatment?

What is a good antibiotic for cellulitis following the i. V. Antibiotic treatment?

It depends: There are bacteria that are resistant to certain antibiotics and are not effective. Your doctor needs to consider what antibiotics have been used in the past , possibly culture the infection to see what antibiotics will work now if needed. ...Read more

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Can cellulitis go away with out treatment?

Can cellulitis go away with out treatment?

What's the cause?: Cellulitis is an inflammation (red, hot swollen and tender) of the skin and soft tissues. It can be cause by many things such as bacteria, sunburn, vein disease and trauma all of which have different treatments. Depending on where it occurs and what is the cause, the treatment changes. If you keep having recurrences, the treatments are wrong, seek another opinion. ...Read more

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What can I do for lingering swelling in my lower leg after cellulitis treatment?

What can I do for lingering swelling in my lower leg after cellulitis treatment?

Ted hose: Wear compression stockings. But only after your doc has looked at your leg and doesn't think you still have a lingering cellulitis or anything else causing the swelling. Also if you have very bad circulation, you should wear the stockings only if your doc says it's ok. ...Read more

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Please tell me precautions after treatment for cellulitis at lower leg. I often have swelling at the lower leg ?

Please tell me precautions after treatment for cellulitis at lower leg. I often have swelling at the lower leg ?

Treat swelling: The key to long term success and prevention of future problems is to aggressively treat the leg swelling. Wound centers often use multilayer compression wraps to get swelling controlled and compression stockings to maintain it. You might also be a candidate for a home compression pump or even a venous ablation procedure . Ask your doctor about these treatments. ...Read more

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I was diagnosed with cellulitis bad circulation in my legs is there some kind of treatment for this?

Yes for both: Cellulitis is skin infection and is treated with antibiotics-- typically you need to have an adequate blood supply in order for the antibiotics to reach the site of infection though. If your blood supply is poor, you would need further studies to identify why and where exactly the problem is, such as angiogram, ct or mri, and then there are many options to improve it with stents, bypass etc ...Read more

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Should i still have pain three days after starting antibiotic treatment for cellulitis by surgical incision on posterior. Pain is better but significa?

Should i still have pain three days after starting antibiotic treatment for cellulitis by surgical incision on posterior. Pain is better but significa?

Call your surgeon: Obviously pain is normal in the area of a surgical incision, particularly if you developed cellulitis. If it doesn't seem like it's getting better on the antibiotics, it is possible that an abscess is forming under the skin. See your surgeon for an exam. May also need to order imaging studies to try to see what's beneath the skin. Hope this helps, and best of luck! ...Read more

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Crp20 WBC 20 is it safe to gave dental work done .Post bacterial cellulitis and intensive antibotic treatment?

What's the cause: Cellulitis is basically a visible inflammation (itis) of the skin and soft tissues (red, hot, swollen and tender) . It can be caused by many things including sunburn (radiation), trauma (sprained ankle) or poor vein circulation (stasis dermatitis). It need not be caused by bacteria. If you have repeated episodes of this, get to a wound care or vascular specialist, the diagnoses you have is wrong. ...Read more

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Dr. Quang Nguyen
3,345 doctors shared insights

Diabetes (Definition)

A group of diseases that result in too much sugar in the ...Read more