Gangrene

Gangrene occurs when blood and oxygen starve body tissue. It usually affects the toes, fingers, and limbs. It needs immediate medical attention. Gangrene can affect anyone, but certain health conditions and lifestyle choices can increase the risk. Gangrene can spread and lead to death if left untreated.Due to some risk factors, such as poor nutrition, poor hygiene, and insufficient medical care, gangrene is relatively common in India.
Gangrene affects 1.2–2% of Indians, according to a study in the International Journal of Current Medical and Pharmaceutical Research. Gangrene is also more common in older people and those with chronic diseases like diabetes and hypertension.Another Journal of Clinical and Diagnostic Research study found that 8.5% of Indian diabetics develop gangrene. India has a high rate of gangrene due to its high diabetes rate.Gangrene is a major health issue in India, but better hygiene, nourishment, and healthcare can reduce its prevalence. Gangrene must be detected and treated early to avoid complications and improve outcomes.
Types of gangrene:
Three types of gangrene exist:
  • Dry gangrene: Lack of blood in a body part causes this type. It usually affects feet and toes but can also affect fingers and hands. Dry gangrene is cold, numb, and dry. The skin may turn black and shrivel or mummify.
  • Wet gangrene: Bacterial wound infections cause wet gangrene. It most often affects the feet, legs, and genitals. Wet gangrene causes swelling, pain, and pus. The skin may turn green or brown and stink.
  • Gas gangrene: A bacterial infection causes gas in tissues. Deep tissue injuries from trauma or surgery are the most common. Gas gangrene causes swelling, pain, and discoloration. Gas in tissues makes the skin crackle when touched.
Causes of gangrene
A decreased blood supply to the affected tissues, which results in cell death and decay, is the cause of gangrene. Some common causes of gangrene are:
  • Injury or trauma: An injury or traumatic event can disrupt blood flow to an area by damaging nearby blood vessels. Because of this, gangrene may develop.
  • Diabetes: High blood sugar levels damage blood vessels, increasing the risk of gangrene. Poor blood circulation can damage tissue.
  • Infection: The best way to identify diabetes early and avoid complications is to have regular checkups with a healthcare provider.
  • Chronic diseases: Gangrene can develop from a lack of blood flow to an area due to atherosclerosis, peripheral artery disease, or Raynaud's phenomenon.
  • Frostbite: Extreme cold can cause frostbite, which is the freezing of skin and other tissues. Tissue damage and even gangrene can result from this.
  • Smoking: Gangrene can develop when smoking causes blood vessel damage and a decreased flow of blood to the limbs.
  • Blood disorders: Because of decreased blood flow, conditions like sickle cell anemia can increase the likelihood of gangrene.
  • Surgery: Some patients develop gangrene after surgery because blood vessels are damaged.
Symptoms of gangrene
A timely medical response is essential in the treatment of gangrene. The signs and symptoms of gangrene vary from case to case, location to location, and infection severity to infection severity.
Dry gangrene starts with a dull ache or coldness. The epidermis may become pale, then blue or black. Dry, brittle skin may result. The epidermis may crack and die as the disease progresses. In severe cases, the impacted body part may fall off by itself.
Swelling and redness usually precede wet gangrene. Fluid-filled blisters and shiny skin may occur. It may hurt and feel warm. As the tissue dies, the skin may turn blue or black and smell bad.
Gas gangrene often causes sudden, excruciating pain, swelling, and redness. When touched, gas in the tissues may crackle. Warm skin may turn dark blue or black. Tissue destruction can make the affected area feel "spongy" and tender.
Although there may be no outward signs of internal gangrene, symptoms of infection such as fever and abdominal pain should not be ignored. If not treated quickly, it can be fatal.
Complications of Gangrene:
Serious complications can arise from ignoring gangrene. Some examples of these difficulties are:
  • Sepsis: The bacterial infection that causes gangrene can spread and lead to sepsis. Sepsis is a potentially fatal condition that develops when the immune response overreacts to an infection, leading to systemic inflammation.
  • Amputation: Untreated gangrene can spread to normal tissue and cause irreparable damage. In severe cases, amputation may be needed to prevent infection.
  • Death: In extremely unusual circumstances, death can result from gangrene if the infection spreads rapidly and isn't treated in time.
  • Organ failure: If the infection travels to other organs, like the lungs, heart, or kidneys, gangrene can be fatal.
  • Recurrence: If the underlying cause of the gangrene is not treated, the condition may return despite the treatment.
When the blood supply to an area of the body, typically an extremity, is cut off, gangrene develops. Neurotherapy increases blood flow to the injured area, which may reduce pain and speed recovery.