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Ask Dr. David Your Own Question

Dr. David
Dr. David, Board Certified MD
Category: Medical
Satisfied Customers: 43403
Experience:  Board Certified Physician
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I have an open cyst on my

Customer Question

I have an open cyst on my right heel which is getting steadily more uncomfortable. The cyst has been there for several months but recently it has produced this crater-like opening. The lump on the right of the heel is also getting bigger and has a kind of burning sensation occasionally. Please advise. Best regards XXXXX XXXXX PS I can send a photo.

Submitted: 2 years ago.
Category: Medical
Expert:  Dr. David replied 2 years ago.

Dr. David :

This is Dr. David

Dr. David :

yes, please send a photo

Dr. David :

here are instructions for photo upload

Dr. David :

type a word in the textbox and highlight it

then select the "chain" icon above the textbox or the paper clip icon to upload a jpg

this opens a window where you can click next to the text box to select the jpg or pdf file on your computer to upload into JustAnswer

Dr. David :

you really should see a wound care doctor or a podiatrist about this heel ulcer.

Dr. David :

you don't want it to get worse.

Dr. David :

do you have diabetes?

Dr. David :

hello?

JACUSTOMER-h6qe6jr6- :

I am having difficulty sending the photo. Can I email it instead?

Dr. David :

you can email it to administrators at info @ pearl . com

Dr. David :

but this can take 6-12 hours for the administrators to get the photo to me.

Dr. David :

are you on a phone or computer?

Dr. David :

you have to be on a computer to upload the image

Dr. David :

ok.

Dr. David :

I have to wait for it now.

Dr. David :

it can take several hours.

Dr. David :

I will let you know when I get it.

Dr. David :

you can also try using a different browser like firefox or explorer

Dr. David :

which you might have more luck in uploading the photl

Dr. David :

photo

Dr. David :

do you see the icons directly above the chat box where you type?

Dr. David :

the paper clip?

Dr. David :

it says Styles, the the B for Bold, I for italic, scissors.....

JACUSTOMER-h6qe6jr6- :

It seems to have worked now!

JACUSTOMER-h6qe6jr6- :

No I am not diabetic as far as I am aware.

Dr. David :

I still don't see the photo.

Dr. David :

can you try again?

Dr. David :

type a word in the textbox and highlight it

then select the "chain" icon above the textbox or the paper clip icon to upload a jpg

this opens a window where you can click next to the text box to select the jpg or pdf file on your computer to upload into JustAnswer

JACUSTOMER-h6qe6jr6- :

OK

JACUSTOMER-h6qe6jr6- :

I HAVE TO GO OUT NOW I AM AFRAID. I LOOK FORWARD TO READING YOUR ADVICE WHEN I GET BACK

Dr. David :

ok.

JACUSTOMER-h6qe6jr6- :

Just returned. Did you send me any further advice please?

Dr. David :

I haven't gotten the photo yet.

Dr. David :

sorry.

JACUSTOMER-h6qe6jr6- :

Cyst on right heel

Dr. David :

almost

Dr. David :

didn't quite make it.

Dr. David :

can you try again?

JACUSTOMER-h6qe6jr6- :

Cyst on right heel

Dr. David :

sorry.

Dr. David :

not quite.

JACUSTOMER-h6qe6jr6- :

Cyst on right heel

Dr. David :

I don't know what is wrong.

JACUSTOMER-h6qe6jr6- :

I am trying every which way to send the photo. Not sure what to do next, unless you have a personal email I can use just for this occasion?

Dr. David :

the site frowns on that.

Dr. David :

you can also upload the photo to a mediafire file sharing site

Dr. David :

like google files

Dr. David :

and then you can paste the http address of the file here.

Dr. David :

and I can then download.

JACUSTOMER-h6qe6jr6- :

I understand but I will undertake not to use it for other purposes, seems the simplest.

JACUSTOMER-h6qe6jr6- :

Seems like the photo may have gone through now though?

Dr. David :

do you see it on your end?

Dr. David :

I don't see it here.

Dr. David :

are you clicking on the button insert as the very last step?

JACUSTOMER-h6qe6jr6- :

Which button?

JACUSTOMER-h6qe6jr6- :

cyst on right heel

Dr. David :

after selecting your file, there is a insert button on the very bottom right of the screen possibly.

JACUSTOMER-h6qe6jr6- :

Thanks for all your help. It is 11.30 pm here in Jersey and I need to go to bed. I look forward to hearing from you tomorrow. Have a good weekend. Hugh

Dr. David :

ok

JACUSTOMER-h6qe6jr6- : I did not tell you that underneath and to the left of the open wound is the hard part of the cyst that is sensitive to the touch, which I presume is the pouch of fluid from where a creamy substance has been emitted, and still is but less than before. There has also been some cheese like white ingredient. This cyst first appeared in 2009 and has been troublesome off and on since then but never as badly as now. How can I get rid of it altogether? Hugh
Dr. David :

it could be a long term fungal infection under your foot and heel.

Dr. David :

I still have not received the photo from administration that you emailed before to info @ pearl . com

Dr. David :

I am sorry about the delay.

Dr. David :

it still sounds like you need to see a wound care doctor and get some treatment to the area like a antifungal cream and antibiotic cream for long term treatment.

Dr. David :

if there is dead tissue there, you might need surgical debridement of the area for it to heal.

JACUSTOMER-h6qe6jr6- : Thank you, XXXXX XXXXX forward to your final assessment when you have seen the photo.
Dr. David :

I know

Dr. David :

I still haven't seen it yet.

Dr. David :

can you email it to info @ pearl . com again

Dr. David :

I'm not sure why administrators have not forwarded the photo to me yet.

JACUSTOMER-h6qe6jr6- : Ok I will send it again.
Dr. David :

sorry.

Dr. David :

I still haven't seen the images from administrators.

Dr. David :

just email it to my email

Dr. David :

you have been more than patient

Dr. David :

commissure @ yahoo . com

Dr. David :

I finally got a copy of the

Full Size Image

Dr. David :

now I'm having a hard time inserting the photo.

Dr. David :

your heel looks very dry and cracked and yellowed.

Dr. David :

this is more on the back side than under the heel.

Dr. David :

it does look like there is dead tissue around the area and it needs to be debrised by a surgeon.

Dr. David :

I think you do need to see a surgeon about it.

Dr. David :

I got the photo of your heel finally.

Dr. David :

thanks for your patience.

Customer:

OK I look forward to your assessment and advice.

Dr. David :

your heel looks very dry and cracked and yellowed.





8:27 AM



this is more on the back side than under the heel.






8:28 AM



it does look like there is dead tissue around the area and it needs to be debrised by a surgeon.






8:29 AM



I think you do need to see a surgeon about it.



Customer:

Yes I think you are right. Thanks anyway, but you have not said anything about the lump on the right which has a burning sensation.

Dr. David :

that lump could be holding in pus or infection.

Dr. David :

and needs to be drained surgically most likely .

Dr. David :

you said there was pus coming out of the area?

Customer:

No, out of the hole in the heel, and not puss more a creamy coloured fluid, from the cyst I think.

Customer:

It feels like a small bulb of fluid adjacent to the hole which hurts when pressed

Dr. David :

that could be a small seroma or a small abscess of infected fluid.

Customer:

OK I will make an appointment with my GP. Thanks for your help. Unless you need to tell me anything else I will rate your service as requested.

Dr. David :

thanks.

Dr. David :

good luck

Dr. David :

let me know how it goes

Dr. David :

thanks for your patience.

Dr. David :

don't forget a positive feedback below

Dr. David :

thanks for using JustAnswer.com

Customer:

Will do. where abouts are you anyway?

Dr. David :

I am in the USA

Customer:

Have a good day. Goodbye.

Dr. David :

bye.

Dr. David, Board Certified MD
Category: Medical
Satisfied Customers: 43403
Experience: Board Certified Physician
Dr. David and 2 other Medical Specialists are ready to help you

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