Why is my leg wound not healing despite taking medications?

Welcome back to icliniq.com.

I have read the query, and I can understand your concern.

Attach a clinical image to assess so I can guide you accordingly. If these medications are effective according to you, then continue. Otherwise, start with a new treatment regime.

I hope this will help you.

Thank you.

Welcome back to icliniq.com.

I have read the query, and I can understand your concern.

Do not leave the wound open. The most crucial step is compression wound by a firm elastic bandage. Regular changes of dressings after cleaning are needed and keep a check on sugar levels. Avoid chronic pressure or friction on the wound and any injury to the lesion. For seven days, oral antibiotics such as Augmentin (Amoxycillin and Clavulanic acid) 625 mg twice day after meals can be administered. Clean the area with Povidone iodine solution and normal saline with cotton gauze for two months. After proper debridement, apply Mupirocin or Framycetin cream at night for two weeks. Consult a specialist doctor, talk to them, and then take the medication. Decontaminate hands and take necessary anti-septic precautions.

I hope this will help you.

Thank you.

Welcome back to icliniq.com.

I do understand your concern.

According to the reports attached continue with Zifi (Cefixime) twice daily after food for seven days. Yes, you can continue Trental according to the dose advised by doctor. But do take care of present ulcer due to trauma or injury. Is there any history of varicosity, varicose veins, or swollen legs.

Kindly update with the answers.

Thanks and regards.

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I went through your reports (the attachments removed to protect the patient's identity).

There is a thrombosis seen in Doppler, so continue taking Trental. There is no evidence of deep vein thrombosis. For traumatic ulcers, avoid further injury to the wound. Wound care and proper debridement are needed for one month. Apply two percent Mupirocin (antibiotic) cream twice daily in the morning and evening after cleaning of wound with normal saline and cotton gauze piece for two months. Regular changes of dressings are needed. Avoid pressure on the wound. Reduce salt intake in your diet. Avoid stress, as stress is a big contributing factor. Stay relaxed. Avoid excess sugar intake in your diet.

Thanks and regards.

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I suggest you consult a specialist, talk with, and take medications with their consent.

Thanks and regards.

Welcome back to icliniq.com.

Take a tablet of Zifi (Cefixime) 200 mg twice daily after food for seven days. Clean the wound with clean hands. Check for fever, pulse, and blood pressure. Keep a check on sugar levels. Take necessary anti-septic precautions.

Thanks and regards.

Welcome back to icliniq.com.

I suggest you use Povidone iodine ointment or Mupirocin (antibiotic) ointment for two weeks. Take a tablet of Augmentin (Amoxicillin and Clavulanic acid) 625 mg once daily after dinner for seven days.

Thanks and regards.