Post-Surgery Care: Managing Wound Redness and Pain

Post-operative wound care after suturing?

Hello doctor: I have a hole in my foot from swimming in a pool.
I went to the emergency room to get the wound stitched and received medication.
However, after two days, there is redness and swelling around the wound, and it hurts when I touch it.
Is this normal? Should I go back to the emergency room for the doctor to examine it again?

Hsu Ting-Wei, 20~29 year old female. Ask Date: 2016/03/19

Dr. Li Zhonghuai reply Surgery

Hello! Please rinse the wound with saline solution daily, apply antibiotic ointment, and avoid tap water.
If it hasn't improved after two days, you should return to see a general surgeon.
Wishing you a speedy recovery! Changhua Hospital cares about you!

Reply Date: 2016/03/19

More Info

Post-surgery care is crucial for ensuring proper healing and minimizing complications. In your case, the redness and pain around the wound two days after suturing can be concerning. While some degree of redness and tenderness can be normal as part of the healing process, especially in the initial days post-surgery, significant swelling, increasing pain, or any signs of infection warrant immediate attention.

Understanding Post-Surgery Symptoms
1. Normal Healing Process: After surgery, the body initiates a healing response. This includes inflammation, which can cause redness, swelling, and tenderness around the surgical site. This is part of the body's natural response to injury and is typically expected in the first few days post-operation.

2. Signs of Infection: However, if the redness is spreading, the area feels warm to the touch, or if you notice any discharge (especially pus), these could be signs of infection. Infections can occur after any surgical procedure, and they may require prompt medical intervention, including antibiotics.

3. Pain Management: Pain is also a common symptom following surgery. It is essential to manage pain effectively, as uncontrolled pain can hinder recovery. Over-the-counter pain relievers, as prescribed by your doctor, can help alleviate discomfort. If the pain worsens or becomes unbearable, it is crucial to seek medical advice.

Recommendations for Care
Given your current symptoms, here are some recommendations:
1. Monitor Symptoms: Keep a close eye on the wound. If the redness increases, or if you experience fever, chills, or worsening pain, you should seek medical attention immediately.

2. Wound Care: Ensure that the wound is kept clean and dry. Follow any specific instructions given by your healthcare provider regarding wound care. Avoid soaking the wound in water (like swimming pools or baths) until it has fully healed, as this can introduce bacteria and increase the risk of infection.

3. Rest and Elevation: Resting the affected area and keeping it elevated can help reduce swelling and promote healing. Avoid putting weight on the injured area if it causes pain.

4. Follow-Up Care: If symptoms do not improve or worsen, it is advisable to return to the emergency room or your healthcare provider for further evaluation. They may need to assess the wound for signs of infection or other complications.

5. Hydration and Nutrition: Staying hydrated and maintaining a balanced diet can support your body’s healing process. Nutrients like protein, vitamins A and C, and zinc are particularly important for wound healing.

Conclusion
In summary, while some redness and pain can be normal after surgery, it is essential to differentiate between normal healing and potential complications like infection. Given your symptoms, it would be prudent to consult with your healthcare provider for a thorough evaluation. Early intervention can prevent complications and ensure a smoother recovery process. Always prioritize your health and do not hesitate to seek medical advice when in doubt.

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