### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
my husband had to have one of his fingers amputated down to the middle joint, this was about a month ago, the wound opened up and now the joint is exposed, he is a diabetic, on dialysis and have a poor appetite, doctor told us today we could soak it in Epsom salt water everyday for about 15 min and we go back in about a week to see how things look, we are really trying to keep him from having to have any further amputations on this hand, although vascular disease is an issue. Any suggestions on any other soaks or what can help, I am familiar with the med honey and asked if I could use that as well on his wound, beside neoprene.

### output:

Dear Madam have gone thought your question can understand you concern Let me KNO please :How many years your husband have been diagnosed with diabetes? Where was his last visit at endocrinologist? His last check-up about blood test? Did he treatment with insulin therapy or oral medicine? He has amputation his singer, he is on dialysis too. Did he feel symptoms like Nausea, Heartburn,weight loss, abdominal bloating, Early feeling of fullness when eating? Spasm of the stomach wall? I thought that your husband have low appetite you to bed management of diabetes . In these case Gastroparesis. Gastroparesis is a disorder affecting people with thy pi 1 and 2 diabetes (in which the stomach takes too long to empty is contents)Also vagus nerve which controls the movement of food through the digestive tract, is dam ang or stop working, the muscles of the stomach, and the movement of the food is slowed Diabetes can damage the vagus nerve if blood glucose levels remain high over a long period of time. The diagnosis of Gastroparesis Is confirmed through tone or more of the following tests(you must consult with the Gastroenterology doctor)The most important treatment for diabetes-related Gastroparesis is to manage your blood glucose levels as well as possible. Insulin or oral medicine changes in what and when your husband eats. My advised is to contact your local Gastroenterology and your endocrinology too.Also, your husband must do Blood Glucose fasting -Basic Screening for Luminaria and proteinuria (he is on dialysis)Hope this information is helpful. If you have other questions, feel free and ask. Best regards.