Hi, I need a medical opinion on what to do for type 4 ulcer

Patient : Hi, I need a medical opinion on what to do with a type 4 ulcer on a foot. The patient has type 2 Dm, on renal failure (dialysis every 2 days), has a weakened heart function, on oxygen mask, has fluid on his lungs. The general surgeon is delaying doing any procedure due to heart, but the foot has progressively turned into a black purplish color. The patient has been receiving iv antibiotics. Can any doctor recommend placing a stent on the foot or hyperbaric oxygen therapy? Or to prevent risk of sepsis or further spreading of gangrene, is it better to have it amputated? Thank you so much for the help!
Images: 
Hi,  I need a medical opini...-1
Doctor :   Hello. Welcome to ask the doctor. I understand your concern. Long term Diabetes Mellitus can lead to various compl ications including Neuropathy and microangiopathy. As a result of neuropathy, the sensations of touch and pain are lost which results in unnoticed trauma and hence recurrent ulcerations and gangrene. Any kind of surgery cannot be planned until the blood sugar levels of the patient are uncontrolled. Till that time, ulcer foot can be managed by conservative methods. Patient is given systemic antibiotics. But if sepsis has set in, the ultimate treatment is amputation of the gangrenous part. He would also require anti-platelet drugs to help preventing further microangiopathy. The key is to get the blood sugar under proper control. You should see a Diabetologist and a surgeon for this purpose. I hope it helps. Stay Healthy

Related Q&A

Q: My girlfriend has been having brown discharge for four days now without any other symptoms of pregnancy we've had unp...

Q: Fell on my neck in a port activity. Since then I have some pain in my left arm it comes and goes, depends on my move...

Q: I am a 55-year old NYC woman who flew to Vienna for a wedding and a European holiday. After exiting the airplane 3 da...

Q: Good morning. Several months ago I saw an ENT for persistent throat clearing. My chief complaint was constant post na...

Q: Hello. :( I've had some amount of rectal bleeding for a couple of days now, there's blood from there in the toilet ev...

 
DOCTOR ADVISORY BOARD
218

Dr. James Obaji M.D.

  • 247 Reviews
  • Family Physician
173

Dr. Suneel Sharman M.D.

  • 190 Reviews
  • Family Physician
138

Dr. Pat Golden M.D.

  • 169 Reviews
  • Cardiologist
98

Dr. Kunaal Jindal M.D.

  • 112 Reviews
  • Plastic Surgeon
CNN
BBC
MSNBC
CBS
abcNews
FoxNews