[ARCHIVED THREAD] - Medical question (Page 1 of 2)
Posted: 7/17/2005 10:25:48 AM EDT
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i have several cuts and scrapes on my legs that just don't heal. one is an area on my shin that recieved an avulsion after falling through a porch on a medical call. the skin healed with the exception of a small area that almost looks like a very small scratch. it has a constant scab on it and will bleed a small bit if i remove the scab. that has been that way almost 15 years now. seem to get the same thing from bug bites and such now. scab over but don't really heal. they seem to heal about 99% and just never finish. All in all i am 100% healthy <other than a bit overweight> and have no medical issues. Just sitting here bored today and wondering about it. |
I had a wound like that on my shin as well (maybe it's a shin thing, because there's not a lot of tissue between the bone and the skin?) - from a motorcycle crash in the mid 1980s. It probably took about 10-15 years before it was completely healed. But that's the only place I've ever gotten it - any other wounds I've ever had have always healed pretty well. I have no idea why, so Im just tagging this because I'm curious too. 
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 The slowminded always resort to name calling when confronted or challenged.
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Confronted with what… Again… are you saying/implying a wound not healing is not a sign of high blood sugar. You are telling us blood sugar is not related to wounds healing? |
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| Try Neosporin on them/it. Wally World has a generic version for about half the price right beside the Neosporin. I Think it's called Triple Antibiotic Ointment. Just look at the ingredient decks on both packages. They are the same, at least as far as active ingredients. |
WTF... been at the happy pills???
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Not me. My specially designed probe handles all explorations in that area. My father told me if you ever see an eye looking back at you to RUN. |
I know next to nothing about this kind of stuff, but I believe there are many potential reasons for poor healing of wounds, and many of them are not related to blood suger. So yeah - blood sugar issues can no doubt be related to wounds not healing, but wounds not healing doesn't imply that the explanation has to involve blood sugar - it could be lots of other reasons. I don't have a dog in this fight, just adding my wholly uninformed opinion. |
I never said or implied that there are not many potential reasons for poor healing of wounds. I asked about his blood sugar because that is supposedly a cause of poor would healing… at least according to every doctor I have ever heard comment on the matter. He seems to think this is incorrect… is it? Or is he just being a childish ass polluting a thread. |
| Foot and leg ulcers are quite common in poorly controlled diabetics because of impaired circulation and nerve damage. A significant number of type 2 diabetics are also diagnosed every year because of a wound that won't heal. They've probably been diabetic for ten or more years at that point. |
A reading of your statement in red above, could (in my opinion) accidentally be interpreted to mean that if a wound is not healing, it is a sign of blood sugar issues. That could SOUND like it did imply that blood sugar had to be involved in the explanation. I'm NOT saying that's what you meant or intended - just that the way you wrote it, it woudl be misunderstood. By the same token, MY READING of ARDOC's reply to you seemed more like friendly ribbing than an attack - but you obviously read it differently than me, and the thread went downhill from there. Either way - I think we all agree that blood sugar is probably ONE possible explanation, and something that The_Beer_Slayer's docs should look at. Not really something worth fighting over, since we all no doubt agree on that much. |
| You might see if you have had blood vessel damage to the area when you feel. I had a friend that had scratched his leg up pretty good then later on the he had bruised his shin above the scratch site. Due to the bruise which occurs because of a damaged blood vessel the scratch wasn't getting any blood to it and won't heal properly, he ended up spending three days in the hospital due to infection and treatments to help the wound heal. Just because most of the wound healed doesn't mean the the whole thing is getting the blood supply that it needs. |
Some people just dont understand smile faces. The dude has some issues so I will leave him alone. ETA: Its funny because any disagreement with this guy and he starts calling people names and using profanity. No sense of discussion or any idea that others have different opinions that are just as valid as his own. Danes are still woosies by the way! 
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More likely then diabetes is that he may have a foreign matter or something underneath the wound. HIV, cancer can also cause slow healing wounds. Also if the wound is in an area that sees a lot of movement, they are also hard to heal. Shins are also very close to the skin and there could be bone problems underneath. Even simple wounds sometimes can cause serious problems. One thing that can be done, is for the doc to cut it out and suture it over. Then it should heal well with some antibiotics. |
The_Beer_Slayer asked a question, I asked him about his blood sugar said nothing else said or implied nothing else I never claimed to be an expert I was just asking what I belived to be a valid question.… The_Beer_Slayer answered. That was it as far as I was concerned I was trying to be helpful but I do not care for being pissed on by someone trolling for a fight in somebody else’s thread. |
Please show the smile faces. You did not use them. I don’t know what your problem is but it appears you are still trying to pick a fight in someone else’s thread. BTW What profanity? |
<---------- I believe this is a laughing smiley face.
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Dude are you retarded? People can see you edited your posts. Ass <---profanity Clown <----name calling. ETA: Beerslayer IM sent. I think its more likely something underneath the skin is causing it not to heal. If it doesnt bother you might just leave it alone. But if does go to a doc and see whats going on. An xray or the area may reveal debris or bone damage underneath. Pressure will cause skin not to heal as well. |
Ass is a jackass and not profanity. And clown fits. |
Which is entirely correct as far as it goes. There must be a rule around here that any thread in excess of one page must turn into a pissing contest. I would recommend something of a workup to rule out metabolic abnormalities, and to definitely include Diabetes screening. Check blood counts and look for evidence of a vitamin deficiency. I agree with ARDOC though that the shin lesion should be removed, sutured and sent to pathology. Skin CA is always a possibility though the history doesn't suggest it really, except for chronically not healing and there is always a risk of a small foreign body as ARDOC alluded to. You can tell he is a trained surgeon.hat In the long run you may need to treat bites more effectively to diminsh local reaction and do some things to quit scratching. Benadryl cream maybe, or cortisone. NO NEOSPORIN If you want to use an antibiotic ointment use polysporin or something else without neomycin in it. As usual, a thorough history and exam may well reveal the cause. |
I will add that the shin is an area without a great blood supply also, especially if right over the shin bone. |
| DrJarhead is absolutetly correct. In the IM I alluded to the fact that skin in that area is thin. Little blood supply and also little cushioning by fat before you hit bone. Also cancer however unlikely should be considered as if it is a skin cancer it can have mortal consequences. So go to your doc and get it checked. He may want a biopsy or he or she may just tell you your internet friends are full of shit once they get a look see. |
I've been using a triple antibiotic ointment with polymyxin B sulphate, bacitracin, and neomycin sulphate for cuts etc. Is this OK? |
Too many allergic reactions (contact dermatitis) from the neomycin componenet. Tough to heal when that happens. |