Suggest Remedy For Swelling On Foot In A Diabetic Person

Posted on Sun, 12 Apr 2015

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Sun, 12 Apr 2015 Answered on

Thu, 7 May 2015 Last reviewed on

Question : I am a diabetic since 18yrs,for the past 2 years i have numb foot especially fingers,a year back i had a hairline frac in my foot ,swelling still persists

Answered by Dr. Rakesh Madhyastha (0 minute later)

Hello. Thanks for the query. Please get a nerve conduction study to rule out diabetic neuropathy. Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Rakesh Madhyastha (25 hours later)

Sir, as u suggested yesterday nerve conducted study done.conculsion sensory motor axol neuropathy in the lower limbs.Please advice.Thank you.

Answered by Dr. Rakesh Madhyastha (7 hours later)

Brief Answer:
Diabetic neuropathy

Detailed Answer:
Hello

Thanks for the query

It looks like my suspicion was correct. Nerves of the feet have got affected because of long standing diabetes. It is quite common in diabetics, here is what your should do

1. Make sure that your diabetes is under good control. Aim for a HbA1C below 6.5
2. Loose weight. Exercise daily for a minimum of 30 min. Walking and swimming are the best exercises for you
3. Always wear diabetic slippers from now on. You should wear diabetic slippers even at home
4. Tab Pregabalin 75 at night will reduce the numbness and prevent further damage. Please approach a neurologist before taking this
5. To rule out other causes please get a Vit b12 level done, Vit b 12 deficiency also causes peripheral neuropathy.

I hope I was of help, if you have any further queries please get back to me

Regards

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Rakesh Madhyastha (40 hours later)

Sir doctor prescribed GABANTIP AT & EPAREL-50 tablets,how long i need to use them?
When should i get the next check-up done? black marks on my feet are they temporary?when can i expect that to become normal?can i use pragabalin 75 along with the prescribed medicines.Please advice

Answered by Dr. Rakesh Madhyastha (8 hours later)

Brief Answer:
Taken for life

Detailed Answer:
Hello

Thanks for getting back

1. You will have to take them for atleast 2 years sometimes even for lifelong. It keeps your nerves safe
2. Next check up will be for diabetes. Keep seeking help from your endocrinologist and make sure that your sugars are under good control. Visit every month
3. Black marks on your feet are permanent. Kojic acid cream will reduce the marks
4. Do not use pregabalin with the prescribed medicine

I hope I was of help

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Rakesh Madhyastha (13 hours later)

Sir thank you for the reply
I started using the tablets mentioned by the doctor
I am feeling drowsy & dull during night and morning.Will this continue or is this only for few days.how to overcome if this persists .please advice.

Answered by Dr. Rakesh Madhyastha (17 hours later)

Brief Answer:
Follow up

Detailed Answer:
Hello

Thanks for getting back, I am sorry for the short delay in my reply. It was a very busy day at the hospital.

Drowsiness is because of the Gabantin. It is known to cause drownisess. It will subside in 2 weeks. Please continue to take it. keep yourself active by walking and doing activities. Coffee will help too

Regards

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar