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My Grandmother is Suffering from Lesion/Wound on the Paralyzed Side of her Body

Last Updated - Fri, Mar 16 2018

Similar Questions - Wounds on paralyzed body part

Detailed Question:

Dear Sir/Madam,  

I am posting this query to request your opinion regarding my grandmother (patient) who is suffering from a lesion in her right leg. 
 
First of all I would like to brief you about her medical history. She is from a village near Sitamarhi district of Bihar. In 2011, she got paralysis attack and as a result her whole right side of the body (right hand, right leg, right mouth portion etc.) got paralyzed. She was being treated by local doctors but there was not much progress. But she looked stable which made us to stick with the doctor and his treatments. 

However, since last 2 years she got several Epilepsy attack and was given an ayurvedic medicine named - vrihat vat chintamani ras, which showed positive results. Now from last 2 months she has been suffering from a lesion/wound in her right leg (paralyzed side) and initially we thought as a normal wound and was being treated by local physician. But even after regular dressings and antibiotic medicines it showed no improvement instead, it kept on growing. 

Now it has spread in all fingers and moved towards the ankle. Also the left leg now looks swollen and shows similar symptoms of the lesion. Doctors are not able to diagnose and even they are unable to predict the disease. Now they have referred for better consultation. But as she is not in a situation to move, we have no idea on where she can be taken for better treatment. 

Though we do not have much diagnosis reports, I will attach some images of her legs and some reports available for your reference in an email. We would like to request for your kind attention and looking for your valuable suggestions or any kind of online consultation (paid / unpaid) if possible would be a great help for us. Your kind attention to this may save my grandmother's life and show us the way to progress further on this. 

Category: General Physician


Dr. Surbhi Agarwal

MBBS
People's College of Medical Science and Research Center, Bhopal

The condition she is suffering from is called PVD/Gangrene of right foot. This means there is probably a bacterial infection that has affected her foot. While this is very common in paralyzed patients, because of the immobility, it is also equally important to treat, or else it may require amputation of the affected limb(s) eventually.  Therefore your doctors have rightly advised referral to a higher centre for further evaluation and management/amputation of the right foot. 

Typically, the process will include firstly a test for culture and sensitivity or bacterial susceptibility. This will determine the severity of the infection and whether it can be treated with antibiotics such as Norflox TZ. Also, another test may be done like Ultrasound or Doppler for knowing the extent of blood circulation. Based on this doctors will discuss with you the viability of the limb, if there is sufficient blood supply or not. As early as possible, this needs the above testing and a good Surgeon's opinion for further treatment. Meanwhile, she can continue old medication as advised. For more information on this, get online consultation on JustDoc or consult a doctor on live chat

Dr. Surbhi Agarwal

MBBS
People's College of Medical Science and Research Center, Bhopal

Dr. Surbhi Agarwal is a General Physician in Maharashtra with over 11 years of experience.

About Author

The above medicine data is written by Dr. Surbhi Agarwal. It is edited, updated and maintained by JustDoc Quality Team. If you have any queries regarding the data, please email us at doctors@justdoc.com. Read about our Medical Team here.



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Suffering From Wound on Paralyzed Side - Ask on JustDoc

My grandmother is suffering from lesion/wound in the right side (paralyzed) of her body but no improvement even after regular treatment and antibiotics
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