"Sugar old man" hot water soaks feet and toes necrosis and risk of amputation


   Doctor: Diabetics have deviations in temperature perception, it is best to have a thermometer

  Wuhan Evening News (Reporter Liu Xuan, Correspondent Yan Rui and Peng Xiali) "It is cold, please do not use hot water for feet, let alone use a hot water bottle to warm your feet!" Xie Peilin, director of Wound Repair and Peripheral Vascular Department of Wuhan No. Post a reminder in the circle.

He revealed to reporters that in the past few days, five patients who had their feet ulcerated or even had their limbs amputation due to hot water soaking their feet and using a hot water bottle for heating.  

  The 72-year-old man Wang lives in Qiaokou and was diagnosed with diabetes six years ago.

On January 4, the weather was wet and cold. He boiled a pot of hot water to soak his feet, and deliberately tested the water temperature with his hands before putting his feet in.

After soaking for more than ten minutes, I lifted my foot to see that my foot was red with hot and there were several blisters on it.

Uncle Wang pierced the blisters with a needle and applied iodophor, but did not take it to heart.  

  Three days later, he found that his right big toe had severe pain and had turned black. He was so scared that he hurried to the Wound Repair and Peripheral Vascular Department of Wuhan First Hospital.

The doctor Zhu Xu who received the consultation found that Mr. Wang's blood vessels in his lower limbs were completely blocked and his toes had been gangrene.

After active anti-infection treatment, with the special medicine change made by the department, the toe was finally saved.

  Coincidentally.

Half a month ago, the 75-year-old grandmother Cheng used a hot water bottle overnight and scalded blisters on her calves. The skin ulcers after the blisters burst.

The old man bought topical medicine for application, but the ulcerated skin never healed.

Her family sent her to a city hospital for treatment and was diagnosed with diabetes and was admitted to the hospital.

  "Patients with diabetes and lower extremity vascular disease are not recommended to use hot water to soak their feet and use hot water bottles. This is very dangerous." Xie Peilin explained. Although Mr. Wang tested the water temperature with his hands before soaking his feet, for diabetic patients, Nerves and blood vessels are soaked in high-concentration "sugar water" for a long time, and it is easy to develop pathological changes, leading to decreased sensation and loss.

When you soak your feet or use hot water bottles, electric blankets and other items, you cannot accurately sense the temperature, and you will get burned if you are not careful.

In addition, the low temperature in winter causes the blood vessels to constrict and narrow the blood vessels. The blood supply to the lower limbs is not good and the wounds are more difficult to heal.  

  Xie Peilin reminded that people with diabetes must pay attention to the temperature when soaking their feet. Prepare a thermometer. The water temperature should not exceed 40°C and the time should not exceed 15 minutes.

People suffering from stroke, coronary heart disease and other basic diseases, the blood circulation speeds up when the feet are soaked, and it is easy to cause insufficient blood supply to the brain, which may induce old problems, and it is not recommended to soak the feet.

He suggested that sugar lovers use exercise instead of foot bath, which can not only make the body produce heat, but also effectively control blood sugar.  

  Some citizens will add some Chinese herbal medicines to hot water when soaking their feet, such as mugwort, safflower, angelica, asarum, etc. Xie Peilin said that these Chinese medicines have a good blood circulation effect, but not everyone is suitable for use. Before use, go to the traditional Chinese medicine department of a regular hospital to distinguish your physique.