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Foot Infection Tips

Stinky Feet - Know The Reasons Behind It!

MD, DNB, FIDP, FIL
Dermatologist, Mumbai
Stinky Feet - Know The Reasons Behind It!

Why do feet stink?

Smelly feet can be a cause of great embarrassment and discomfort for anyone. Also known as bromodosis, the primary cause of smelly feet is the sweat glands in your feet. This part of the human body has more sweat glands than anywhere else in the body. Additionally, compared to sweat glands in the other parts of the body that secrete to control your body temperature when exposed to hot weather or while exercising, the sweat glands in your feet produce perspiration all the time.

When this happens, bacteria living on your skin break down the perspiration that oozes from your skin pores and a cheese-like smell is produced as the sweat gets broken down by the bacteria.


Apart from the explanation of the origin of this kind of smell, the causes that lead to you having smelly feet are:

 

  • Wearing the same footwear on a daily basis and not letting them dry
  • Poor hygiene habits like not washing your feet and drying them thoroughly
  • Changes in the body's hormones level especially during pregnancy and puberty
  • Too much stress
  • Hyperhidrosis (a condition wherein you sweat excessively)
  • Athlete's foot (infection of the soles of the feet and between the toes)

Athlete s Foot - Know More About Its Causes!

MD - Acupuncture, Diploma In Accupuncture, Advanced Diploma In Accupuncture
Acupuncturist, Delhi
Athlete s Foot - Know More About Its Causes!

Athlete’s Foot
Athlete’s foot is a commonly occurring infection of the skin which is caused by fungus. The medical name of this condition is known as tinea pedis. It is a fungal infection which primarily affects the skin on the feet. It is a contagious condition. It might also spread to the toenails and the hands. The disease is named as athlete’s foot because it mostly affects athletes. This is not a serious condition but sometimes it can be hard to cure.

Any condition that causes inflammation of the skin and affects the skin between the toes and the sole of the foot is generally referred to as athlete’s foot. The condition presents itself as scaly, red and raw looking eruptions and sometimes it might also be oozing with small blisters. It can affect both athletes and non-athletes alike. It is caused fungal infections but there might be other causes also which can be distinguished through proper testing.

There are different kinds of fungi that might be responsible for causing athlete’s foot. Exposure to these fungi can happen at many places which include swimming pools, gyms, communal showers, locker rooms, nail salons and from contaminated clothing from an affected person. It is a contagious disease and can spread from contact from affected individual to non-affected individual. Majority of the people contract this disease by walking barefoot at the place where someone suffering from athlete’s foot has also walked barefoot. Some people can be more at risk than others for the disease while others might be resistant to the condition. This condition is also known by the name ‘Jungle Rot’. This is usually used by the members of the armed services serving in tropical climates.

Infections caused by different fungi are spread by moisture and warmth. It is believed that the condition of athlete’s foot was less prevalent before the advent of enclosed shoes. It was thought to be a rare condition and became more prevalent in the 1900s as more and more health clubs and shoes became popular. If an individual contracts this disease once, it does not guarantee resistance from subsequently occurring infections.

Globally, this condition occurs in about 15% of the population. Males are more likely to develop this disease than females. Older children and younger adults are more often affected. This condition is treatable by the use of over the counter antifungal medicines. Prescription medicines are also available.

What does athlete’s foot look like?
Athlete’s foot caused by fungal infections leads to rashes on one or both the feet and can also affect the hands. Marks or rashes on two feet and one hand is a common characteristic of the presentation of athlete’s foot especially in men. Fungal athlete’s foot can also cause ringworm of the groin which is mostly seen in men or can cause ringworm on the hands. The fungal infections on the hands are known as tinea manuum. All areas affected by fungal infection should be treated simultaneously to decrease the risk of re-infection.

Risk factors of Athlete’s foot-
Some risk factors for developing athlete’s foot include walking barefoot in areas like communal showers, indoor swimming pools, locker rooms etc. which can lead to increased exposure to pathogenic fungi which are the cause of athlete’s foot. Individuals with the problem of excessive sweating or other sources of excessive moisture is also a common risk factor. Wearing occlusive footwear like trainers and socks can also prove to be a factor. People suffering from diabetes are also more prone to the disease. Pedicures when done in unhygienic environments can cause significant risk. Wearing the same socks and shoes for long periods can also lead to the development of athlete’s foot. Men are more at risk than women for this condition.

Athlete’s foot Symptoms-

  • Athlete’s foot can be demarcated into 4 categories namely, Plantar with plantar referring to the sole of the foot, interdigital athlete’s foot which means between the toes, acute ulcerative tinea pedis that leads to the development of lesions with scaly borders and vesiculobullous athlete’s foot which causes fluid filled lesions.
  • When interdigital athlete’s foot is caused by Trichophyton rubrum, the condition might be symptomless or may show signs such as itching, appearance of red or ulcerative skin between the toes which might or might not be itchy. An acute type of ulcerative interdigital athlete’s foot which is caused by T. mentagrophytes shows signs such as pain, erosion and fissures on skin, skin maceration, crusting of the skin and odor because of secondary bacterial infection.
  • Plantar’s athlete’s foot caused by T. rubrum shows signs such as appearance of redness on the sole of the foot which is often covered by fine, flaky scales. In case of vesiculobullous athlete’s foot is generally very rare and is caused by T. mentagrophytes and shows signs of itchy blisters on the soles of the foot.
  • General symptoms of the disease include itching, burning and stinging sensation between the toes, itchy blisters on the feet, dryness of the skin on the soles and the sides of the feet, discoloration of the toenails, raw skin on the feet, itching, stinging or burning sensation on the soles of the feet, pulling away of toenails from the nail bed, cracking and peeling of the skin generally between toes and on the soles of the feet, thick or crumby toenails etc.

Causes of Athlete’s foot-
Athlete’s foot is a form of dermatophytosis which refers to fungal infection of the skin which is generally caused by dermatophytes, fungus living in the layers of the skin and digesting keratin. These fungi which are parasitic in nature thrive in human hosts. The fungus that is related to the development of ring worm and jock itch is associated with causing athlete’s foot. Moisture providing places like damp socks and shoes provide a favorable condition for the fungi to grow. Exposure to the fungus is mostly through direct contact with a person infected by the disease or through coming in contact with places contaminated by the fungus. Showers, indoor swimming pool decks, locker rooms would be the most likely places to contract this disease.

Diagnosis of Athlete’s foot-
The most reliable and the best way to diagnose athlete’s foot is to recognize it’s causes and symptoms. Fungal athlete’s foot is very easy and straight forward to diagnose and treat. Getting the fungus removed from the foot is a very easy and cost-efficient process. The patient should immediately see a doctor if their rashes look infected and they have diabetes, the rash has changed into ulcers or sores that leak liquid or if the infection has spread to their groin or hands. If the rash just won’t go away or the symptoms get worse the doctors might suggest a biopsy. A skin lesion potassium hydroxide (KOH) exam is a very common test conducted by the doctors for athlete’s foot. A skin lesion is an unusual change on the skin’s surface. The doctors might order a KOH exam if they suspect fungus to be the reason for the skin lesion. The doctors will use a slide of glass or some other instrument to scrape off a bit of the skin from the patient’s lesion. The scraped skin is then mixed in with potassium hydroxide. Potassium hydroxide will destroy the healthy skin leaving behind only the fungus for the doctors to examine. The test is very simple and straightforward and has no risks to it.    

Athlete’s foot Treatment-
It is advised to get athlete’s foot treated as soon as a person notices any symptoms. Athlete’s foot can be treated by medications, home remedies or therapies. The treatment for the foot infection are as follows:

Over the counter medications
Many medications for the foot infection are available to treat fungal and non-fungal athlete’s foot. Medications such as miconazole (Desenex), clotrimazole (Lotrimin AF), terbinafine (Lamisil AT), tolnaftate (Tinactin), butenafine (Lotrimin Ultra) are available without any prescription of the doctor. Although, it is really hard to determine which one of these medications is the most effective. These medications are also available for purchase online over the internet.

Prescription medications-
Advanced or severe cases of athlete’s foot may require some oral anti-fungal pills such as prescription strength terbinafine. These medications are prescribed by consultation of doctors to restrict the spread of the infection. The drugs such as topical prescription strength miconazole and clotrimazole, oral anti-fungal medications such as fluconazole (Diflucan) and itraconazole (Sporanox) are also prescribed by the doctors. Lab tests to check for liver diseases will be done before the doctors prescribe these oral anti-fungal medications. Topical steroids are suggested for inflammatory infection to reduce the pain caused by the infection. Oral anti-biotics are suggested if raw skin and blisters are the reason for the bacterial infection. Topical steroids are not to be used in cases of fungal athlete’s foot as they help the fungus in spreading further by suppressing the immune system of the body. Topical steroid creams are more useful in treating non-fungal or non-infectious athlete’s foot. During pregnancy it is suggested that the patient should avoid anti-fungal pills because of possible harm to the fetus or other side effects that may take place.

Home Remedies-
Use of tea tree oil has been proven really helpful in treating athlete’s foot in recent years. But, it is suggested that the individual first confirms with their doctor that the use of tea tree oil won’t affect their skin as tea tree oil causes dermatitis in some cases. There are also other home remedies for treatment of athlete’s foot such as soaking your foot in dilute vinegar or use of dilute vinegar spray (four parts water and one-part household white vinegar), soaking the foot in diluted Clorox or taking a dilute Clorox bath (approximately one-fourth cup of Clorox household bleach in a tub of water). Other unconfirmed remedies also include use of Epsom salts and Vicks vapor rub.  

Complications Related to Athlete’s foot-
Athlete’s foot can cause complications in some cases. Minor complications include allergic infection due to fungus, blistering on the feet and hands. The fungal infection can also return even after being treated. More severe complications make take place in case of secondary bacterial infection. These complications include foot getting swollen, hot and painful, fever, drainage and pus. The infection might even spread further to other parts of the body if not treated in the early stages. Fungal nail infection (Onychomycosis) is also highly possible to take place because of the athlete’s foot. Groin infection (tinea cruris) and Body skin fungus (tinea corporis) may as well take place. Individuals with diseases that affect the immune system such as HIV/AIDS, cancer and diabetes will be prone to many kinds of infections. Athlete’s foot fungal infections with diabetes may cause severe ulcers on the body of the patient. Bacterial infection may cause cellulitis or inflammation of the skin of the patient. Use of topical steroid creams weakens the patient’s immune system which can result in other infection to take place. 

Prevention of Athlete’s foot-
There are many things an individual can do to avoid athlete’s foot such as maintaining proper hygiene and washing your feet with water and soap and drying them off properly every day. The area between the toes should be cleaned and dried off thoroughly.

  • Use anti-fungal powder for your feet every day.
  • Disinfecting your shoes by using disinfectant sprays and wipes. Do not share your towels, socks and shoes with others as this might result in spread of the infection. Wear sock and footwear made of breathable fibers and material that also wicks away the moisture from your feet.
  • Change your socks and shoes whenever your feet start to sweat. staying bare foot or in footwear like slippers is suggested at home to air out your feet and remove the moisture. Moisture helps the spread of fungus, to prevent athlete’s foot keep your feet clean and moisture free. Change between two or more different pair of shoes every other day to let each pair dry out between uses.  
  • Make sure family members with athlete’s foot are treated to avoid the spread of the infection to other family members.

Top Dermatologist in Gurgaon

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Lakhimpur Kheri
Top Dermatologist in Gurgaon

Skin problems can affect anyone and a top dermatologist from Gurgaon can help you with the best of treatment. Dermatologist are expert in treating all kind of diagnosis and treatment of skin related issues like cancers and ageing conditions as well as topical and systemic medications, dermatologic surgery and dermatologic cosmetic surgery, phototherapy, laser therapy, radiotherapy and photodynamic therapy are also made use of by a dermatologist.

1. Dr. (Col.) Anil Goyal

MD - Dermatology , Venereology & Leprosy, MBBS

Consultation fees: ₹400 - 800

With more than 35 years of experience and many happy patients under his experienced hands, Dr. (Col).  Dr. Anil Goyal is one of the most trusted and reputed dermatologists in Gurgaon. He is currently affiliated with Sudha Skin Clinic and also practices at his residence. He is known for his effective treatment for face-lifting problems, hair transplants and sexual disorders. He has over 35 years of experience and has been honored as a chairperson in various national and international conferences. He is also known for his chemical peels treatment, anti aging treatment, mole removal and lasers treatments.

2. Dr. Ekta Nigam

MD - Skin & VD, Internship, MBBS

Consultation fees: ₹700

Dr. Ekta Nigam is a well known dermatologist and cosmetologist with 21 years of experience. He specializes in skin, hair and nail treatments. In her vast experience she has been associated with many famous hospitals like artemis, Miracles, HCL healthcare, Umkal Hospital, New look cosmetic laser clinic. She specialises in treatment of acne, burns, skin allergies, vitiligo, skin itching , ringworm and sun burns. Her areas of expertise also include laser surgery, hair removal surgery, dermabrasion and pigmentation treatment.

3. Dr. Sangeeta Varma

M Derm, DNB (Dermatology & Venereology) , MBBS

Consultation fees: ₹250

Dr. Sangeeta Varma is a senior cosmetologist and has 20 years of experience in her field. She is  practicing at  Skin Clinic and Cosmetology Centre and metro hospitals, Gurgaon. She is a professional member of Cosmetology Society of India (CDSI), Association of Cutaneous surgeons of India (ASCI) and Venereologists and Leprologists (IADVL). She was earlier associated with Twacha Pal- Skin Clinic and Cosmetology Centre, Kalyani Hospital and Kaya clinic at Gurgaon. Her clinic in Gurgaon has latest advanced technology including Anti-ageing treatment, Dermaroller Treatment, Restylane Vital treatment and Filler injections.

4. Dr. Aanchal Sehrawat

MBBS, Diploma In Dermatology & Venerology & Leprosy (DDVL), DNB Dermatology

Consultation fees: ₹300

Dr. Aanchal Sehrawat is a renowned dermatologist with 9 years of experience with specialissation in  Skin and Venereal Disease. She has expertise in the procedures like Derma Roller, Glycolic Peel & Skin peeling, Laser Hair Removal, Mole Surgery, Skin Polishing and skin whitening. She is a consultant dermatologist at GNH Hospital and Dr. Aanchal Skin & Hair Clinic, Gurgaon.

5. Dr. Anup Nangia

MD, MBBS

Consultation fees: ₹500

Dr. Anup Nangia specializes in Skin Laser treatment and practices at Nangia Skin Care Clinic, Gurgaon. It is amongst the most reputed clinics in gurgaon for all kind of skin and hair care solutions. The clinic provides a variety of solutions like treatment of any kind of skin allergy, scar acne, laser hair reduction, pigmentation solution, venereal infection, ear lobe repair, hair fall treatment & hair transplantation.

6. Dr. Akhilendra Singh

MBBS, MD - Dermatology

Consultation fees: ₹1000

Dr Akhilendra Singh is a reputed dermatologist practising at AKS Clinic. He is practicing from last 10 years. Some of his specialisations are derma roller treatment, anti-ageing treatment, vampire face lift treatment and bleaching treatment. He is also known fir hair treatments like hair mesotherapy treatment. He is a reputed and active member of the many state and national associations.

7. Dr. Akhilesh

MBBS, DNB(Skin & VD)

Dr. Akhilesh is a reputed dermatologist with 7 years of experience. He is currently practicing atSafe Skin & Hair Laser Centre. His specialties and treatments are psoriasis treatment, Mohs surgery, line and wrinkle smoothing, bleach and skin peel treatment, hair transplant and treatment of atopic dermatitis. He is an active member of many esteemed associations like Indian Association of Dermatologists, Venereologists and Leprologists (IADVL) and the International Society of Dermatology.

8. Dr. Seema Yadav

Post Graduation Diploma In Cosmetology, MBBS, DDVL (Dermatology )

Consultation fees: ₹400

Dr. Seema Yadav is 10 years of experience and is a reputed dermatologist. She is currently practicing at Skin Oasis Skin & Hair Clinic. Previously she has worked with some of the reputed hospitals like Safdurjang and RML hospital. For few years she has also practiced in Australia. She is also among the few certified Cosmetic Dermal Therapist in Gurgaon. Her clinic is known to provide treatments at an  affordable cost and with the best safety standards. She is also known for her procedures like derma roller, anti-ageing treatment, vampire face lift treatment and bleaching treatment.

8 people found this helpful

Treatment Of Hand Foot And Mouth Disease!

MD - Acupuncture, Diploma In Accupuncture, Advanced Diploma In Accupuncture
Acupuncturist, Delhi
Treatment Of Hand Foot And Mouth Disease!

Treatment of Hand foot and mouth disease

Homeopathic Treatment of Hand foot and mouth disease
Acupuncture & Acupressure Treatment of Hand foot and mouth disease
Psychotherapy Treatment of Hand foot and mouth disease
Conventional / Allopathic Treatment of Hand foot and mouth disease
Surgical Treatment of Hand foot and mouth disease
Dietary & Herbal Treatment of Hand foot and mouth disease
Other Treatment of Hand foot and mouth disease
What is Hand foot and mouth disease
Symptoms of Hand foot and mouth disease
Causes of Hand foot and mouth disease
Risk factors of Hand foot and mouth disease
Complications of Hand foot and mouth disease
Lab Investigations and Diagnosis of Hand foot and mouth disease
Precautions & Prevention of Hand foot and mouth disease
Treatment of Hand foot and mouth disease

 Homeopathic Treatment of Hand Foot and Mouth Disease

Homeopathy improves immunity. It relieves fever pain and other complaints. It treats the person as a whole. Treatment is constitutional. It means that homeopathic treatment focuses on the patient as a person, as well as his pathological condition. It balances the energy system, improves immunity and body functions. It naturally cures the root cause of disorder. Some of the homeopathic medicines that can be used for treatment of Hand Foot and Mouth Disease are:

Am C
Apis
Carb An
Rhus Tox
Spigelia

 Conventional / Allopathic Treatment of Hand foot and mouth disease

In the allopathic Treatment of Hand foot and mouth disease, topical oral anesthetic is prescribed may help relieve the pain of mouth sores. Over-the-counter pain medications other than aspirin, such as acetaminophen or ibuprofen may help relieve general discomfort.

Dietary & Herbal Treatment of Hand foot and mouth disease

Eat ice cream or sherbet
Eat soft foods that don’t require much chewing
Drink cold beverages, such as milk or ice water
Avoid acidic foods, citrus fruits, fruit drinks and soda
Avoid salty or spicy foods

 What is Hand foot and mouth disease?

Hand foot and mouth disease is a viral infection common in young children. It is most commonly caused by a coxsackievirus.

 Symptoms of Hand foot and mouth disease

Fever
Sore throat
Painful, red, blister-like lesions on the tongue, gums and inside of the cheeks
red rashes on the palms, soles and sometimes the buttocks
Irritability in infants and toddlers
Loss of appetite

Causes of Hand foot and mouth disease

The common cause of hand foot and mouth disease is infection with the coxsackievirus A16. It spreads by person-to-person contact with an infected person’s:

Nasal secretions or throat discharge
Saliva
Fluid from blisters
Stool
Respiratory droplets sprayed into the air after a cough or sneeze

Risk factors of Hand foot and mouth disease

Children younger than age 10

Complications of Hand foot and mouth disease

Dehydration
Viral meningitis
Encephalitis  

Diagnosis of Hand foot and mouth disease

Diagnosis of Hand foot and mouth disease is based on the signs and symptoms and the appearance of the rash or sores.

Precautions & Prevention of Hand foot and mouth disease

Wash your hands thoroughly, especially after using the toilet or changing a diaper, and before preparing food and eating.
Practice good hygiene to keep yourself clean
Disinfect common areas
Isolate contagious people

1 person found this helpful

Surgery For Diabetic Foot - What All Should You Know

MBBS, MS - General Surgery, Laparoscopic, Burns & Plastic
General Surgeon, Delhi
Surgery For Diabetic Foot - What All Should You Know

Surgery is an art and surgeons are artists. It is a grueling process and requires extreme dexterity and quite a bit of courage. It is a process where specialized tools are used to remove unwanted tissues, infections or treat an injury or to reshape the human body.

A surgeon is a person who executes the process of surgery. A surgery team is made for these operations which is highly delicate and life risking task. Surgeon’s have their own assistants who assits or helps with the surgical equipments as instructed by the surgeon.

Foot infections are a very common problem in diabetic people. A very miniscule cut can turn into an untreatable infection and can claim a person’s life. A diabetic person loses the ability to repair and thus  the body is unable to repair itself. Prompt medical actions must be taken to treat the affected person and it is an extremely delicate procedure.

TYPES OF SURGERIESBASED ON TIME

  1. BASED ON PURPOSE
  2. TYPE OF PROCEDURE
  3. BY BODY PART
  4. BY EQUIPMENTS USED

Prevention

There are certain prevention methods of diabetic foot like regulating glucose levels, identification of the problem, proper self-care and self-examination. Doing routine examination of the foot is a necessary step and one should apprise one’s doctor of any development of any kind of infections. Wearing proper footwear is another essential.

Wearing improper footwear that cause repeated trauma to the foot may cause infections. The aim of a foot surgery is to control the infection without losing the limb. The skilled and able surgeons do this by removing the pus, removing every affected tissue and by making a healthy wound bed. In the whole process one should keep in mind the functionality of the affected foot. Untreated infections may create pressure points and trigger the infection again.

Classifications of foot infections

  1. A depth of the infection
  2. The severity of the infection
  3. The amount of tissue involved
  4. The anatomic site affected
  5. The causative factors

The treatment of the infections includes detection of the infection and it is considered an infection if the following symptoms are present

Symptoms

Infections may give rise to recalcitrant hyperglycemia and malaise, but systemic inflammatory manifestations may be absent. Patients with a serious conditions, may have an elevated erythrocyte-sedimentation rate or C-reactive protein level. With deep infections bone involvement is a concern. One study suggested that in the presence of an infection, a high specificity and positive predictive value for osteitis when the bone is felt with a sterile metal probe.

Clinical, radiological, and/or scintigraphic signs compatible with osteitis may lead to suspicion, but MRI is the imaging procedure of choice for classifying osteomyelitis from other conditions, like neuroarthropathy. A  study showed that on MRI of the infected foot, the nonenhanced areas represent infected tissue. Lack of enhancement in these areas can mask the presence of abscesses and osteomyelitis. This type of healing process requires time and patience and utmost self care.

1908 people found this helpful

Surgical Treatment For The Infected Diabetic Foot!

MBBS, MS - General Surgery, MCh - Vascular Surgery
Vascular Surgeon, Bangalore
Surgical Treatment For The Infected Diabetic Foot!

Diabetes is a lifestyle disease which is increasing in incidence. A number of people are being affected, and the age of onset is decreasing. The issue with managing diabetes is that it is a multi-system disease, and affects almost the entire body system. The circulatory, nervous, and musculoskeletal systems and overall metabolism are all severely affected as the disease progresses. Therefore, early detection is highly helpful as it aids in controlling the progression of the disease as well as in arresting its symptoms.

Infections, especially in the leg, which lead an individual to suffer from a diabetic foot are due to two reasons:

  • Nervous system: Diabetes results in a reduced sensation of the nervous system, especially in the distant organs like the toes and legs. As the sensory perception is reduced, small hurts and wounds in the legs go unnoticed and the person does not feel any pain.
  • Skin: Once diabetes sets in, the collagen formation and wound-healing capability is reduced. The rate of regeneration of tissues is reduced. So in addition to the reduced sensation, the rate of healing is also reduced.
  • These wound infections could be limb threatening or non-limb-threatening. As the infection progresses from mild to moderate to severe, the wound progresses from a small ulcer to cellulitis involving the infection of the subcutaneous layer. This then progresses to gangrene, which refers to the death of the underlying tissue due to chronic infection. This infection gradually reaches the bone to cause osteomyelitis.

The primary problems with severe cases of diabetic foot include:

  • Hypoxia it reduces the oxygen supply
  • Debris due to infection and death of subcutaneous tissue
  • Nutritional deficiencies is a common side effect of diabetes
  • Lack of vascularity due to atherosclerosis and arteriosclerosis

How does surgery help?

  • Sharp surgical debridement: This is done in cases that only have a deep cellulitis or gangrene. The infected tissue is marked out along with a good margin of normal tissue, completely debrided leaving normal margins. This allows diagnosing the extent of the infection, clear debridement, and also promotes wound healing. The skin closure is done with skin grafts from another portion, usually the thigh or torso. Postop care is essential for success.
  • Amputation: In people where the infection is quite deep, with or without osteomyelitis (bone involvement), amputation may be required. This amputation may be only of the toes, the foot, or below or above the knee depending on the stage of identification and extent of infection. This helps in improved diabetic foot control as well as re-ulceration, which can be quite complicated.

While surgery comes with its own set of complications, it sometimes helps in treating severe diabetic foot infections. In case you have a concern or query you can always consult an expert & get answers to your questions!

2045 people found this helpful

Diabetes and Wound Healing: Why Is It Slower?

M.D. Internal Medicine
Endocrinologist, Mumbai
Diabetes and Wound Healing: Why Is It Slower?

Diabetes is a chronic condition where glucose level of your body rises too high. There are two types of diabetes type 1 and type 2. In case of type 1 diabetes, the body fails to produce insulin and people suffering from this condition have to depend on insulin injections for the rest of their life. In case of type 2 diabetes the body produces less amount of insulin which is not enough for the proper functioning of the body. This type of diabetes can be kept under control by following a healthy diet and practicing exercise regularly.

Why diabetic wounds can cause severe problems?
Diabetes can cause a number of complications that makes it harder for certain wounds to heal. These include:

  1. Nerve damage: Until a cut or blister worsens and becomes inflamed, in case of neuropathy, you will not experience the pain. Diabetics often suffer from neuropathy, making it difficult for wounds to heal.
  2. Weak immune system: A minor wound may even get severe and become infected if your immune system fails to exercise its natural defenses.
  3. Narrow arteries: Blocked arteries may cause severe wounds which becomes difficult to heal. Clogged arteries make it difficult for the blood to flow to the affected area which slows the process of wound healing.

Treating a diabetic wound
You can follow the methods mentioned below to avoid getting infected:

  1. Taking care of the wound immediately. If the wound is not cleaned and taken care of, letting bacteria to build up, it can lead to infection.
  2. Avoid using soaps and hydrogen peroxide to irritate the injury. Use antibiotic lotions to prevent infection and use a sterile bandage to keep the affected area covered.
  3. Consult your doctor before any minor problems turn to larger ones
  4. Since the bottom of the foot is a common place for developing blisters and calluses in case of diabetic people, try to keep pressure off the wound as it slowly heals
3763 people found this helpful

Diabetes and Wound Healing: Why Is It Slower?

MBBS, MD - Paediatrics, FRACP - Pediatrc Endocrinology, SCE, Endocrinology
Endocrinologist, Kanpur
Diabetes and Wound Healing: Why Is It Slower?

Diabetes is a chronic condition where glucose level of your body rises too high. There are two types of diabetes type 1 and type 2. In case of type 1 diabetes, the body fails to produce insulin and people suffering from this condition have to depend on insulin injections for the rest of their life. In case of type 2 diabetes the body produces less amount of insulin which is not enough for the proper functioning of the body. This type of diabetes can be kept under control by following a healthy diet and practicing exercise regularly.

Why diabetic wounds can cause severe problems?
Diabetes can cause a number of complications that makes it harder for certain wounds to heal. These include:

  1. Nerve damage: Until a cut or blister worsens and becomes inflamed, in case of neuropathy, you will not experience the pain. Diabetics often suffer from neuropathy, making it difficult for wounds to heal.
  2. Weak immune system: A minor wound may even get severe and become infected if your immune system fails to exercise its natural defenses.
  3. Narrow arteries: Blocked arteries may cause severe wounds which becomes difficult to heal. Clogged arteries make it difficult for the blood to flow to the affected area which slows the process of wound healing.

Treating a diabetic wound
You can follow the methods mentioned below to avoid getting infected:

  1. Taking care of the wound immediately. If the wound is not cleaned and taken care of, letting bacteria to build up, it can lead to infection.
  2. Avoid using soaps and hydrogen peroxide to irritate the injury. Use antibiotic lotions to prevent infection and use a sterile bandage to keep the affected area covered.
  3. Consult your doctor before any minor problems turn to larger ones
  4. Since the bottom of the foot is a common place for developing blisters and calluses in case of diabetic people, try to keep pressure off the wound as it slowly heals.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3337 people found this helpful

Diabetic Foot!

MBBS, Dip.Cardiology, Fellowship in Clinical Cardiology(FICC), Fellowship in Echocardiology
Cardiologist, Ghaziabad
Diabetic Foot!

If you have diabetes, your blood glucose, or blood sugar, levels are too high. Over time, this can damage your nerves or blood vessels. Nerve damage from diabetes can cause you to lose feeling in your feet. You may not feel a cut, a blister or a sore. Foot injuries such as these can cause ulcers and infections. Serious cases may even lead to amputation. Damage to the blood vessels can also mean that your feet do not get enough blood and oxygen. It is harder for your foot to heal, if you do get a sore or infection.

You can help avoid foot problems. First, control your blood sugar levels. Good foot hygiene is also crucial:

  • Check your feet every day
  • Wash your feet every day
  • Keep the skin soft and smooth
  • Smooth corns and calluses gently
  • If you can see, reach, and feel your feet, trim your toenails regularly. If you cannot, ask a foot doctor (podiatrist) to trim them for you.
  • Wear shoes and socks at all times
  • Protect your feet from hot and cold
  • Keep the blood flowing to your feet
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Pitted Keratolysis: Tips to Manage it!

MBBS, Diploma in Venerology & Dermatology (DVD), DDV, MD - Dermatology , Venereology & Leprosy
Dermatologist, Pune
Pitted Keratolysis: Tips to Manage it!

Pitted keratolysis is a skin condition that affects the soles of your feet. As a result of this disease, the skin on the forefoot or heel turns white with pitted clusters. This is often accompanied by an offensive odor and is worse when the skin is wet. This odor is the main reason patients seek treatment for this skin condition. If left untreated, this can last for many years.

People who suffer from excessive sweating and those who wear closed shoes for extended durations have a high risk of suffering from this condition. Pitted Keratolysis is a bacterial infection where the bacteria multiply in moist conditions and release enzymes that destroy the horny cells of the foot soles. 

With time, this turns into characteristic crater like pits on the skin. They also produce sulphur compounds simultaneously that lead to the odor.

Treatment for this skin condition can be categorized under medicinal treatments and home remedies.

Medicinal remedies:

  1. One of the ways to treakt this disease is to treat the hyperhidrosis or excessive sweating that triggers it.
  2. Topical fusidic acid ointments or clotrimazole ointments can also provide some relief.
  3. Your doctor may also prescribe oral antibiotics to clear stubborn lesions.
  4. Other treatment options include anti-bacterial soap and injectable botulinum toxin. Using a strong antiperspirant with aluminum chloride can also resolve the issue.

Home remedies:

  1. The first thing you must do if you suffer from this condition is keep your feet dry. Wearing socks with your shoes is a good idea as this keeps your feet dry and ventilated. Thus, keeping the bacteria from multiplying. After having a bath, pay special attention to drying your feet. You could even use a hair dryer on your feet.
  2. Wash your feet with soap and water at least twice a day. You could also use an antiseptic cleanser or antibacterial soap.
  3. Try and reduce the number of hours you wear closed shoes. Whenever possible, wear open toed sandals. Do not wear the same shoes for two days in a row without giving them time to dry out.
  4. If possible, change your socks at least once in the day.
  5. Do not share footwear or towels with anyone else.
  6. Apply antiperspirants to the soles of your feet.
  7. Soak your feet in half a bucket of water with 15-20 drops of tea tree oil. If you wish to discuss about any specific problem, you can consult a dermatologist.
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