Diagnosis Treatment

Diabetes control is the first step. Detect and treat risk factors such as high cholestrol , uric acid ,and homocysteine levels and watch out for associate system involvement such as retinopathy , neuropathy and ischemic heart diseases as they are relevant in further treatment. Test for culture of organisms and sensitivity to antibiotics. Use appropriate dressing and start a broad-spectrum antibiotic.

Also check for level and extent of block of the arterial blood vessels. Physicians should take care to prepare the kidneys for the dye used during limb angiography. To improve blood circulation to the legs , blood thinners ( aspirin , clopidogrel ) cholestrol lowering drugs ( statin ) ,haemorrheological agents (cilostazol ), can be taken on the advice of doctors. Angioplasty and stenting ( similar to that used in heart vessels ) can also be done. Or if the block is too long , bypass ia an option.

Once the circulation improves, doctors can go for a debridement ( a process where the infected/ dead tissue is cut off from the wound). This prevents viable tissue dying from poor blood flow. The only exception is the presence of abscess or pus that needs to be drained immediately.
By Dr Paresh Pai Vascular and endovascular surgeon.

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Thyroid - Hypothyroid - Meaning - Causes - Symptoms - Treatment

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What signs and symptoms can occur if thyroid function is affected?

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Sunlight is that the body's main supplier of Vitamin D that is critical for sturdy bones and teeth. Vitamin D is in virtually each tissue, therefore, it's vital for the health of the entire body. However, five hundredths of individuals over fifty have low levels of Vitamin D. Studies have shown that an absence of it will result in polygenic disorder, depression, cardiopathy, hip fractures, cramp, and disseminated multiple sclerosis. If we do not get enough Vitamin D our cells will multiply too quick and grow to become malignant tumors increasing a risk of breast, colon, prostate, ovary, gullet and humor cancers. Lack of Vitamin D may also interfere with endocrine secretion therefore it might have an effect on polygenic disorder sufferers it absolutely was found in 'Archives of General Psychiatry' that deficiencies result in depression as a result of it affect the small endocrine glands behind the thyroid and that they become hyperactive manufacturing to abundant o

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