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Q. I have swollen legs due to cellulitis, which goes away with antibiotics? Please help.

Answered by
Dr. Sugreev Singh
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on May 17, 2021

Hi doctor,

I was diagnosed with cellulitis in my right leg above the ankle. It had again come on my right leg two weeks ago. The swelling this time has subsided without antibiotics. But I still feel some tiredness. I had it three times last year, and the doctor examined it and said it should be because of my high blood sugar. My HbA1c two months ago was 8.3 percent. It goes away with antibiotics. I took Doxt SL 100 mg for four weeks, and it went away. I am attaching my reports of kidney function tests, CBC, and urine analysis. I have also done a color doppler test of my legs. Currently, I am taking Telma 40 mg and Tonact 10 mg. Previously I took Doxt SL 100 and Amoxicillin 500 mg for the same.

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Hi,

Welcome to icliniq.com.

Thank you for writing, and I understand your concern. I went through your reports (attachments removed to protect the patient's identity). The blood values are changed significantly. Especially ESR (erythrocyte sedimentation rate), WBC (white blood cell) indicates infection and allergies. And there are changes in kidney function. You have increased albumin and creatinine levels. Swelling can be associated with impairment in kidney function. You have hypertension and diabetes as well, so both need to be in control so that the swelling and kidney function will be normal. You can consult an endocrinologist to avoid future complications due to diabetes. I would suggest you,

  • Tablet Augmentin 625 mg (Amoxicillin and Potassium Clavulanate) three times after meal for five days.
  • Tablet Pantoprazole 40 mg once before meal for five days.

It will help to reduce the cellulitis and WBC count as well.

Hi doctor,

Thanks for the reply.

Do you think it can be due to some blood circulation issue that requires Ecosprin 150 mg and Cilodoc 25 mg? Or Cushing's syndrome? Since I have suddenly put on a lot of weight last year and have purple-colored stretch marks on my biceps and stomach. Please explain.

#

Hi,

Welcome back to icliniq.com.

You do not require the tablets you specified, and if you suspect it, then you do a D-dimer test once to check if there are any chances of a blood clot and thyroid function test to check if there is hypothyroidism. Because you mentioned that you had gained some weight so it might be associated with that. Stretch marks are due to overweight only. So do both the tests and send me the reports. Then we can start medicine if required. Suppose anything else, let me know. Thank you.


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