One can develop a diabetic neuropathic condition where the person becomes unaware of the feelings in his legs and feet. As a normal person would have become aware of the bruises or cuts on the legs, a diabetic person cannot sense the same.
Diabetic foot ulcer is a main complication of people suffering from diabetes type 1 or type 2.
Diabetes is a group of metabolic diseases characterized by high levels of sugar in the blood resulting in a deficiency in the function and secretion of the insulin. Diabetic foot ulcer can either be from neuropathic or vascular complication of the disease.
A foot ulcer usually develops on the surface of the skin or may also develop in the deeper layer of the skin. Diabetic foot ulcer generally exists in two types which are classified according to their origin while each type has their own symptoms. Pain is often absent for most of its cases and the severity is generally rated from 0 to 3 with 0 being the mildest while 3 being the most severe in extent.
The tissues surrounding the ulcer are black in color as a result of insufficient blood flow to the affected foot.
The presence of intermittent claudication is manifested by fatigue or cramping of the major group of muscles in either one or both extremities. The onset of diabetic foot ulcer is being linked to the complications of the disease in the nerve and in the blood vessels. The treatment of diabetic foot ulcer requires bandaging or wound dressing of the affected foot. It is also necessary to determine if the ulcer that developed is neuropathic or vascular or a combination of both in nature. Neuropathic ulcer requires protection from further injury while the wound is in the process of healing.
Vascular ulcer generally requires a careful examination and evaluation from the surgeon to identify the extent of the damage whether partial or complete amputation is necessary or if amputation is necessary at all.
The health information provided on this web site is for educational purposes only and is not to be used as a substitute for medical advice, diagnosis or treatment. Yeast infection or candidiasis as it is technically referred to, is a kind of fungal infection that affects humans. Wearing wet clothes can also cause yeast infections as yeast thrives in a moist environment. If you are having vaginal discharge which is unusually thick and resembles that of cottage cheese then you have a yeast infection.
Excess growth of yeast in the vaginal area causes the vaginal area to swell leading to inflammation. Many women complain of a foul smell emanating from the whitish discharge from their vagina. By following certain precautionary measures, women to some extent can avoid getting yeast infections. Regularly change your tampons or sanitary napkins as they can be a breeding ground for bacteria.
Take ample probiotics as probiotics are known to restore the balance in favor of good bacteria. The condition of gangrene is a serious one, primarily marked by loss of adequate supply of blood to the tissues of the body, ultimately resulting in its necrosis or death. Injury to the tissues, infection (mostly of bacterial origin) and presence of any underlying health ailment that inflicts damage to the blood carrying vessel structure form the three key underlying mechanisms that are responsible for initiation and development of irreversible tissue damage and life threatening condition of gangrene. As already explained, one of the causes of gangrene in the toes and fingers is linked with damaged blood vessels. High level of blood glucose associated with diabetes mellitus also damages the nerves (known as peripheral neuropathy), especially the nerves in the lower extremities.
The dullness or lack of sensation puts diabetic individuals at an increased risk of injuring the skin of their fingers or feet without having any realization (it mostly goes unnoticed in the feet region). The sore or foot ulcer formed takes an extended time to heal because of both, poor circulation of blood through the injured area as well as lesser number of defence cells.
Bacterial infection also forms another causative factor that makes the diabetic individual more prone to developing gangrene.
Such type of infection is marked by noticeable skin discolouration and dryness along with the formation of skin blisters. The weakened immune system (seen in diabetes) further raises the risk of incurring serious infection, which later develops, into gangrene.
Chronic pancreatitis is a disease characterized by progressive destruction with sclerosis of the gland, causing a loss of its functions.
Chronic pancreatitis is a relatively rare disease, characterized by progressive destruction of the pancreas.
This organ is located in the abdominal cavity near the liver and spleen. This is a gland that produces pancreatic juice involved in digestion and also secretes hormones, including insulin and glucagon, playing an important role in sugar metabolism. Nonreversible, progressive destruction of the pancreas causes the loss of its functions, which can cause many complications such as excess blood sugar (diabetes) or a greasy diarrhea. In the vast majority of cases, chronic pancreatitis is caused by alcohol consumption for many years. There is also a familial form of chronic pancreatitis. There is no threshold for alcohol toxicity but the risk is important for regular consumption of more than 60 grams of alcohol (about 6 glasses of wine) per day for five to ten years. The surest sign suggestive of pancreatitis is pain in the middle (epigastrium) of the upper abdomen.
Another sign, the person loses a lot of weight despite eating habits and appetite unmodified. This weight loss is related to the development of diabetes or a greasy diarrhea.
The digestive problems, related to inadequate secretion of pancreatic enzymes necessary for digestion, is causing, in effect, the presence of fat in the stool. Diabetes appears to him, when the insulin-producing cells are impaired. Some people also notice that their skin is colored. This yellow color (jaundice) is caused by compression of the bile duct drainage (the bile) by the pancreas is fibrotic. It is also often the occasion of the occurrence of a complication that the diagnosis of the disease is made.
In the first five years of disease progression, the most common complication is acute pancreatitis. Diabetes : after fifteen years of development of chronic pancreatitis, it affects about 80% of cases. Steatorrhea : This diarrhea is the result of fat malabsorption of fat deficiency in pancreatic enzymes. An X-ray called ASP (for abdomen without preparation) can visualize the presence of calcifications. Ultrasound, CT and MRI are three imaging techniques that can highlight a change in volume of the pancreas as well as changes in the channels.
Another consideration, further, the endoscopic retrograde cholangiopancreatography (ERCP) is used to display the bile duct and main pancreatic duct with contrast agents. Medical treatment includes treatment of pancreatic insufficiency. It combines the treatment of diabetes, which can be used with insulin, and treatment of fatty diarrhea (steatorrhea). The endoscopic treatments which consist of introducing a flexible tube fitted with a camera and for instruments used to relieve pain and drain the pancreatic juice blocked by stones or strictures. When imaging revealed the presence of pancreatic cysts, endoscopy can drill these holes bulging into the stomach or duodenum. If the draining bile duct is compressed, endoscopy allows to set up a prosthesis in the proper channel to drain the bile.
In case of failure of endoscopic treatment, we will use the radiation treatment that can drain cysts passing through the skin to develop a drainage catheter. Surgical intervention is indicated as a last resort when other therapeutic techniques have failed. Thus, when narrowing of the biliary or gastrointestinal tract, bypass interventions are done to bypass the obstacle. Finally, and surgery is much heavier, it is sometimes necessary to remove part of the pancreas. Understand the problem is part of the treatment and care. If you have any questions or uncertainties report it to your doctor before reread our articles and feel free to further explore our information via the links.
It is recommended that physical activity in endurance against outside any indication, to better manage your health holistically. No specific recommendations in regard to the disease. Check our drug database that sun exposure is permitted with the medication you were prescribed.
To facilitate your next consultation with your doctor, do not forget anything and optimize your maintenance information here as useful information to your doctor. Although there is no threshold for alcohol toxicity, the risk of developing chronic pancreatitis is important for regular consumption of more than 60 grams (about 6 glasses of wine) per day for 5 to 10 years.
Pain is a fundamental symptom of chronic pancreatitis. Its aggravation during the meal is an essential sign to consider this diagnosis.
Documents and any orders from another health professional consulted since your last appointment.
Alcohol? Yes, No, you must make every effort to control your drinking. Talk to your doctor, get help, accompanied by specialized services and the various associations that can bring you real support. Alcohol is 80 to 90% of cases of chronic pancreatitis. Among other causes, there is the family hyperparathyroidism and pancreatitis.
There are 15% of deaths in 10 years. The main causes of mortality are not directly related to chronic pancreatitis, but complications related to alcoholism or possible surgery needed to treat. The indications for surgical treatment have become rare. It is necessary in case of abdominal pain not relieved by medication or complications such as compression of the intestine or bile draining bile.
Yes. Treatment includes drugs against pain, diabetes (insulin often) and fat malabsorption responsible for diarrhea (pancreatic enzymes).
Yes. It includes the complete removal of alcohol, fat and restriction on a diabetic diet if necessary.
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According to scientific studies, some of the common causes of this disease results from damage to the adrenal cortex.
Damage to the adrenal cortex could be caused by an autoimmune disease, infections such as HIV, tuberculosis, and fungal infections, tumors, blood loss or haemorrhaging, and the use of anticoagulants or blood-thinning drugs. Those who are at risk of this disease are those who have chronic thyroiditis, Graves’ disease, hypopituitarism, type I diabetes, and vertigo in their medical histories.
Some symptoms related to this medical condition include chronic diarrhea, patchy skin colors, changes in blood pressure or heart rate, loss of appetite, fatigue, and lesions in the inside of the cheeks. Since levels of cortisol produced by the body are significantly lower due to Addison’s disease, patients are recommended to take corticosteroids for boosting the amounts of hormones that adrenal glands produce. A correct dosage of adrenal hormone supplements is important in order to prevent further medical complications. It is important to contact a healthcare provider when infections and injuries are present during occasions of treatment. It is also helpful to learn how to inject hydrocortisone during stressful situations in order to prevent the risks caused by delayed dosages of this pharmaceutical product. Bullous pemphigoid is a skin disease featuring large blisters filled with fluids which affect those skin areas that experience persistent stretching, such as the lower abdomen, the armpit muscles, and the upper thighs.
Bullous pemphigoid is caused when the immune system mistakenly attacks the thin layer of tissue that occurs just below the topmost skin layer.
Bullous pemphigoid is generally treated with corticosteroids and other kinds of prescription drugs that inhibit the immune system. The primary symptom of bullous pemphigoid by which it can be readily diagnosed, is the development of large blisters which do not burst easily. Since bullous pemphigoid can cause fatal complications, all instances of blisters on skin with no definite causes like an allergic reaction, etc., need to be examined by a doctor. A healthy immune system normally produces different types of antibodies to fight off varied germs and infections. The thin layer of skin, which acts as a link between the epidermis or the upper skin layer and the dermis or the inner skin layer, gets attacked by the abnormal antibody produced in patients of bullous pemphigoid. Radiation therapy to treat certain cancers, and UV light therapy to remedy some skin conditions, have been found to trigger an episode of bullous pemphigoid. Bullous pemphigoid can also develop due to use of some prescription drugs like penicillin, furosemide, sulfasalazine, and etanercept.
Doctors prescribe different kinds of medicines to constrain the immune system, treat, and fully heal the bullous pemphigoid blisters.
The use of corticosteroids may sometimes be followed along with intake of anti-inflammatory drugs. People with bullous pemphigoid blisters in the mouth should abstain from hard and crunchy foods such as chips, raw vegetables, and raw fruits, etc.
The presence of bullous pemphigoid blisters as well as use of corticosteroid therapy to treat it, causes the skin to become fragile. In the support of autoimmune process lie antibodies against adrenal tissue, of which the main autoantigen is represented by steroidogenic enzyme 21-hydroxylase (21OH), but antibodies against this enzyme are not directly involved in adrenal tissue distruction. It was observed that patients with Addison’s disease may have a hereditary predisposition and this disease may be associated with other autoimmune diseases such as celiac disease, type 1 diabetes mellitus, Hashimoto thyroiditis, Graves disease, vitiligo, premature ovarian failure, myasthenia gravis, primary biliary cirrhosis and others. Skin and mucous membrane hyperpigmentation usually appears with months or years before the onset of other symptoms and appears due to the fact that the excess of adrenocorticotrophic hormone (ACTH) has a stimulant effect on the melanocytes to produce melanin. Low blood pressure is characterized by a systolic blood pressure below 80 mmHg and a diastolic blood pressure below 50 mmHg.
Psychiatric disorders: asthenia, fatigue, latency in reactions, difficult or abolished initiative, depression and anxiety.
In male patients impotence and decreased libido may occur, especially in those with compromised or borderline testicular function. Female patients may present amenorrhea or menstrual cycle disorders, but fertility is preserved. I’m using the same blog platform as yours and I’m having difficulty finding one?
You can get them over the counter and are specially designed for people suffering from diabetes. As you do not get any sensation of the hurt, it is possible that there could be redness or pain. The onset of diabetic foot ulcer puts a diabetic patient at greater risk for limb loss or amputation. The incidence of diabetes overtime can lead to various problems in health such as kidney failure, blindness and nerve damage. A foot ulcer is characteristically a sore that develops on the surface of the skin but can also be deeper in the skin. It resembles a reddish crater that is usually located at the side or at the bottom of the foot or may be on the top or at the toe tip. The foot unlike in neuropathic ulcer is often cool to touch and the skin is thin and shiny. No ulceration observed at the risk foot is rated as 0 while superficial ulceration with no noted infection is rated as 1.
The foot is made vulnerable when it is deprived of cell oxygen due to insufficient supply of oxygenated blood. In case diabetic foot ulcer already occurred, the goal of treatment is to prevent infection and to prevent further complications including possible amputation of the affected foot.
It also requires antibiotic treatment, debridement including platelet-rich fibrin therapy and arterial revascularization.
The dressing can be in the form of hydrogel dressing, hydrocolloids and absorptive fillers. Identifying the nature of the ulcer will help in determining the method of treatment appropriate to the patient. Several methods of protecting and treating the wound should be strictly followed to enhance healing while frequent skin assessment is also necessary to monitor the improvement or the progression of the foot ulcer. Candidia yeast is normally found in the body of humans but their growth is limited by the immune responses of the individual. Amongst these bacteria, lactobacillus acidophilus is the most important one which helps to keep the other microorganisms in check.
Urine being acidic in nature, when it comes in contact with the vagina causes one to experience searing pain. Wearing tight clothes might lead to moisture build-up which is a contributing factor for yeast infections. After every visit to the toilet wipe yourself from front to back to avoid further spread of infection from the anus to your urinary tracts.
If it’s a simple case of infection then a 1-3 day dose of an ointment cream, tablet or suppository will do the trick. Death of cell and tissue may target any part of the body, however, it has been typically observed in the extremities, such as the toes, fingers and hands. In both, type 1 and type 2 diabetes, the raised level of sugar is capable of causing damage to the blood vessels and reducing blood supply.
Owing to the nerve damage, the transmission of sensation, particularly those of pain to the brain gets impaired.
A notorious bacterial organism, Clostridium perfringes is often linked with gas gangrene; after it attacks the site of injury or sometimes, surgical wound.
If you want to know more about Addison’s disease, it is important to understand its different symptoms as well as some of its common causes. People who have developed this disease also exhibit other symptoms such as nausea and vomiting, continuous weight loss, paleness, and beyond normal craving for salt and salty food.
In addition, patients undergoing this kind of treatment are required to take these maintenance medicines for the rest of their lives. Those who are unable to keep their medication due to vomiting and patients who start developing new symptoms are also advised to contact healthcare providers as soon as possible.
Whether you want to avoid developing this medical condition or you want to treat it with the use of hormone replacement therapies, it is always important to seek guidance from skilled doctors and medical physicians. Bullous pemphigoid is an uncommon disease and typically affects individuals over 60 years old. It is important to note that bullous pemphigoid can lead to dangerous medical complications, primarily in elderly patients who have pre-existing health abnormalities.
They generally form in those parts of the body which have skin creases or folds, such as the inside section of different joints. Uncommonly, the mucous membranes of the eye may also get affected, thereby causing redness, distress, and soreness in the eyes.Oral or ocular bullous pemphigoid blisters can also result in permanent marks or scarring. Such large open wounds are vulnerable to secondary infections by bacteria or other pathogens.
It has however been found that the skin disorder is caused because of some immune system malfunction. However, in people with bullous pemphigoid, the immune system erroneously makes an antibody that attacks a particular healthy skin tissue. Such an attack causes inflammation of the skin leading to itching and development of the abnormal blisters. Properly protect all skin regions with the abnormal blisters whenever there is a need to be outdoors. Usually, Addison’s disease onset occurs when 90% or more of both adrenal glands are destroyed or dysfunctional.
The occurrence of Addison’s disease is rare, the reported prevalence being 40-60 cases per 1 million population.
Addison’s disease as a result of autoimmune atrophy and tuberculosis represent almost 90% of all cases of adrenocortical insufficiency. Symptoms that form the classic picture of Addison’s disease are represented by fatigue-adynamia, hyperpigmentation of the skin and mucous membrane, low blood pressure and digestive syndrome. It has a vesperal character (gets worse in the evening), then with evolution of the disease becomes permanent. It is characterized by loss of appetite, weight loss, nausea, vomiting, diarrhea and abdominal pain. I know this is kind of off topic but I was wondering if you knew where I could locate a captcha plugin for my comment form? With a professional advice behind you, you may most probably need to make your next visit to the podiatrist.
This means, the footwear you use should be wide enough so that the tips of the toe do have enough space to move in its vicinity. A podiatrist can make such footwear available that are specially designed for the diabetics.
The risk for amputation is increased eight fold that health professionals play a vital role in managing and preventing lower extremity ulcer among their patients.
Millions of people all over the world are being affected with diabetes and it is regarded as the 7th leading cause of death. People with diabetic foot ulcer are prone to suffer from infection due to an open wound while the ulcer generally takes longer time to heal or may not heal at all.
There is also no presence of a pulse and pain while intermittent claudication and atrophy of the subcutaneous tissue can be observed.
The presence of deep ulceration with an exposure of tendons or bones is rated at 2 while deep ulceration or with the presence of abscesses is rated as 3. Other symptoms of diabetic foot ulcer include ischemic pain at rest, development of non-healing ulcer or sore on the foot. However if the infection continues or recurs or there is a complication then you will have to take medications for 10-14 days continuously after which you would have to take medications once a week for 6 months at a stretch. In the absence of a continuous supply of nutrient and oxygen rich blood, the cells within the body begin to fail in carrying out their normal function and finally give up. As a result of restricted blood circulation to the extremities, such as the feet, the area becomes deprived of those cells (white blood cells) which aid in fighting off any infection. The production of cortisol is responsible for regulating brood pressure, maintaining healthy sugar levels, and preserving your immune system. They are also advised to never skip doses of their medication since it could cause life-threatening reactions.
It has however been found that the anomalous immune reaction may get triggered due to consumption of certain medications. It can also result in widespread infection called sepsis which is a life-threatening condition.
A few studies have however suggested that certain medical treatments may be related to bullous pemphigoid formation, albeit very rarely.
If the blisters rupture, then patients need to visit a doctor and bandage the resultant wound to prevent secondary infections. Adynamia is characterized by muscle weakness and myalgias due to trophic and metabolic disorders caused by decreased secretion of cortisol, the main glucocorticoid hormone secreted by the adrenal gland. Palmar creases, nail beds, mucous membranes of the oral cavity (especially the dentogingival margins and buccal areas), and the vaginal and perianal mucosa may be similarly affected.
Low blood pressure may be accompanied by a rapid pulse, with low amplitude and occasionally arrhythmias may occur.
Absence of axillary and pubic hair and decreased body hair may also appear as a result of the loss of the adrenal androgens, which represent the major source of androgen hormones in females. Diabetic foot ulcer is among the problems or complications that can arise from chronic disease which makes an affected individual at high risk of losing a limb. When an infection occurs, a pocket of pus and cellulitis may develop including bone infection.
People with peripheral neuropathy is unable to perceive pain when they stepped on something sharp or when their feet is in discomfort or when the feet is already injured or wounded unless given a closer look. Candidiasis is a harmless disease but sometimes when it invades the bloodstream it becomes life-threatening.
Boric acid capsules are extremely effective against candidia albicans so your doctor might also recommend you to take boric acid capsules for up to 2 weeks.
Swelling and inflammation resulting from the infection causes the local temperature of the area involved to be slightly elevated, and also leads to pain. Meanwhile, aldosterone regulates the electrolytes in your body, assists in the excretion of potassium and re-absorption of sodium into the body.
This deadly complication however tends to occur in the elderly with failing or poor health. In advanced stages of illness, fatigue and adynamia are extremely intense and for this reason patients experience extreme difficulty in performing the smallest movements (speech, gestures are slow and difficult). Skin and mucous membrane hyperpigmentation is always present in cases of Addison’s disease with long evolution and may be absent in cases with short evolution. Gangrene may later occur which can lead to poor circulation subsequently amputation or a loss of a limb.
In the case of nerve that is not functioning, the pain is not felt and the presence of the foot ulcer may not be noticed. It is to be noted though that candidemia is more common in people who are already suffering from serious illnesses such as cancer, AIDS, etc, generally those patients whose immune system is severely compromised.
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