How can diabetic toe infections be treated in elders?

Question

Hello doctor,

My mother-in-law is 72 years old. She has had swelling in her toe on and off for the past year. Recently, there was pus inside, and she is having pain. After soaking the toe in hot water and betadine, discharge came out, but it is relapsing again. She had an antibiotic too. She has diabetes, but it is under control with medication. Please help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

She has an infection in the nail bed space. Need to focus on three things.

1. Her diabetes needs better control. Better diet modification with medicines. HbA1c is too high.

2. The nail needs to be trimmed well regularly, and the area needs to be cared for well daily. She may not have a proper sensation in the region due to diabetes. So regular inspection and care are mandatory. She should not walk barefoot, and slippers need to be correctly selected.

3. She needs control of the infection. Visit a nearby surgeon (preferably podiatric) for the drainage of pus if present. Take an X-ray to rule out bone involvement, and also need to check the blood supply to the region. I hope your queries have been cleared. Please review if any further questions.

I hope this helps.

Kindly revert in case of further queries.

Thank you.