Cysts In The Buttocks In Diabetic Patients.?
Hello doctor. I want to ask about my father’s illness. My father is 54 years old with a fat body, but he is tall. My father had a lump in his buttocks and the doctor diagnosed it as a cyst. The lumps are located right and left near the anal canal. My father had an operation to remove the cyst, but after the operation the doctor left an open wound on the former cyst. The doctor said to clean the abscess to be clean of the wound, because the cyst was caused by an infection. My father could not move, just lay in bed to recover at home. There are a lot of medicines given by post-surgery doctors, in the form of medicines such as antibiotics, etc. My mother’s friend recommended eating fish haruan so that the meat can grow quickly. However, my father often experienced bleeding due to high blood sugar. My mother usually calls a nurse who can be called home to deal with the bleeding and to clean the abscess once a week with special tools and is expensive, up to 800 thousand. A month with treatment from the nurse, my father had begun to improve, the wound was clean, and the flesh began to grow. But, lately suddenly experienced another hemorrhage because my father drank syrup. My question is, actually what cysts suffered by my father before operating and what was the cause? Then, what action should I take with my family so that my father can recover quickly with the constraints of high blood sugar? Moreover, my father felt very weak when he only ate a little to control the blood sugar, only ate white rice porridge and haruan fish because my father could not eat fiber and brown rice. What is the chance of recovery for my father? Please help. thanks.
Hello Lena, thanks for the question.
Based on your explanation, what I have caught is that your father has a history of diabetes mellitus, the possibility of being overweight, and after undergoing surgical removal of the cyst. Your statement is somewhat ambiguous, what does your doctor mean is a cyst or abscess? Generally after the cyst removal surgery, the doctor will sew back the surgical wound. Then the cyst will be sent for histopathological examination to determine the cell type. If your doctor is referring to an abscess, then the condition makes more sense. In people with diabetes mellitus with uncontrolled blood sugar levels, it is easier to have a widespread infection, or an infection that causes an abscess. Postoperative removal of the abscess, the doctor will generally leave the surgical wound open. This is so that pus that may form again, can come out through the wound and not accumulate inside. Try to make sure first to the treating doctor, what is meant is a cyst or abscess. It is also possible that the family caught the doctor's intentions wrong.
Scar from abscess surgery must be treated every day, at least twice a day. The action to call a nurse is appropriate. The nurse will clean the wound by aseptic method, so that dead tissue can be removed, infection can be minimized, and it is hoped that the tissue will grow quickly. In people with diabetes mellitus, wound healing is much longer. This is caused because the blood vessels that are lining the tissue are not good, so the delivery of nutrients and oxygen to the tissue is also obstructed. Bleeding may occur in the healing process because the tissue is still open.
Your father should exercise blood sugar control regularly, so he knows whether his blood sugar levels are normal, high, or low. Symptoms of weakness should be aware of because it might indicate that blood sugar levels are too low. Consult a nutritionist or internist regarding your father's meal plan. The doctor will help the family design the right type and amount of food for your father. Continue a good wound cleansing method. Consult with your doctor regularly to monitor the progress of healing the wound. The wound will heal gradually, provided that the blood sugar is controlled normally.
The best way is for the family to participate in adopting a healthy diet, so that your father feels excited and does not feel alone in undergoing this healing. Hopefully your father can be healthy again soon. Regards.