My mother is suffering from chronic venous insufficiency. She has high bp as a overweight. At present there are stasis dermatitis along with a small venous ulcer near the left ankle. Previously there was two venous ulcers which healed completely. Right now, in the affected area she is applying mupirocin ointment followed by bactigras dressing. It almost healed, but there is still watery fluid oozing out from some area. Skin colour became normal to some extent, but it is turning red again. She wears compression stocking daily for 10 hrs as prescribed by doctor. She is in pain and there is burning sensations.
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It seems to be a repeat episode of dermatitis or lymphangitis. An antibiotic, limb elevation, dressing and rest will make it better. It will be prudent to show to a surgeon for diagnosis confirmation and treatment.
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Pain and burning indicate 1) progression of disease, or 2) an active inflammation & infection since your skin is turning red with discharge from the ulcer, it is likely harbouring an infection sending a pus/ulcer fluid culture to rule out infection with proper aseptic dressing and antibiotics (according to culture sensitivity) will help when given with your current ongoing treatment. But I still recommend to visit a near by surgeon or vascular surgeon for better assessment of your condition because you might be having varicose veins which may need surgical procedure if your having recurrent venous ulcers.
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