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Swelling around ankle. BITE or IRRITATED SKIN?

Resolved Question:

I have some swelling around my ankle, but I'm not sure if it is a bite or just irritated skin. What can I put on to get better.?

Category: Internal Medicine Specialist

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Category: HIV- AIDS Specialist
 31 Doctors Online

Hello,
Thanks for your query at DoctorSpring.com
I understand your concern. To give you better advice I need to understand your symptoms.
May I know when it has started?
Is it tender/painful?
Is it red/inflamed?
Is there a history of trauma?
Is there associated itching?
How old are you?
Is it unilateral/or in both the legs?
If possible could you upload the picture?
Please revert back with answers
Thank you


Patient replied :

It started last week, I did hit it like 9 years ago but never bothered me. I wear boots and ankle socks and after getting out from work 12 hour shit I feel like it's irritated. Right now it's not bothering me I just didn't want it to get worse. It's only on one leg. The redness is gone now that I've rested. The only thing that worried me was how red it gets , normally I don't even worry about these things and just let them heal but am currently working 5 day weeks 10-12 hour shifts


Hello,
I can appreciate the inflammation and the irritated skin.
You need to apply Mupirocin ointment 2-3 times daily after cleaning the area with povidone-iodine solution, and this has to be continued for a week. You need to avoid boots if possible as further pressure will only worsen the swelling as well the injury area.
I will also advise you to take Diclofenac or Advil orally till the swelling completely subsides. Alternatively, you can apply Diclofenac gel after the application of Mupirocin.
Hope this was helpful,
Regards.


Patient replied :

I applied cortisone for the itching and I believe that may have helped. From the picture what would you think it is or caused by.should I wrap it to avoid irritation


Hello,
It seems to be a pressure related symptom. May be, the socks are too tight?
It does not look infected.
Yes, please apply both Mupirocin and Cortisone, cortisone will relieve both the itching as well as the swelling.
Let me know the response in 7 days.
Regards.


Patient replied :

Ok, thank you. Will follow up in 7 days


Yes, I will keep the consult open.


Dr. Jaydeep Tripathy
Category: HIV- AIDS Specialist
Experience: 
MBBS from Sri Ramachandra University in December 2011
M.Med (Family Medicine) - TNMGR University, Chennai
MBA-MPH in Public Health in March 2016, SRM University
Finished AFIH in March 2016, SRM University
MRCP ( UK ), Internal Medicine, Royal College of Physicians, June 2016
Fellowship in Diabetology from Martin Luther University in January 2017

Currently Resident Physician, in MD Radiodiagnosis - Kamakshi Memorial Hospital, Chennai
Dr. Jaydeep Tripathy and 4 other Medical Specialists are ready to help you

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