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Doctor insights on: Treatment Of Cellulitis In Diabetics

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Dr. Michael Miller
987 doctors shared insights

Cellulitis (Definition)

A common skin condition that is 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

Dr. Quang Nguyen
3,328 doctors shared insights

Diabetes (Definition)

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