Should You Remove Skin After Exhaust Pipe Burn? Expert Advice

Should the skin affected by an exhaust pipe burn be removed?

Hello doctor, I got burned by an exhaust pipe a couple of days ago.
There were no blisters, but there is some white skin exposed.
I disinfected the area and applied a synthetic skin.
The clinic doctor said that the surrounding skin doesn't need to be removed and that I should wait for new skin to grow.
Can I apply burn ointment under the synthetic skin before reapplying it?

et, 20~29 year old female. Ask Date: 2016/07/02

Dr. Wu Yuxin reply Dermatology

If the area is small, there is no need to remove the skin, and burn ointment should not be added to the artificial skin.

Reply Date: 2016/07/02

More Info

When dealing with burns, particularly those from exhaust pipes or other hot surfaces, it's crucial to follow proper care guidelines to ensure optimal healing and minimize complications. In your case, since you have a second-degree burn without blistering, the management of the affected area is essential.

First and foremost, it is important to understand that the white skin you see is likely part of the healing process. This area may be necrotic tissue or simply the result of the burn, and it is crucial not to remove any skin unless advised by a healthcare professional. Removing skin prematurely can lead to increased risk of infection and delayed healing. The advice given by your clinic to allow new skin to grow underneath is sound; the body has a natural healing process that should not be interrupted.

Regarding the use of artificial skin (such as hydrocolloid dressings or other types of synthetic skin), these products are designed to create a moist environment that promotes healing while protecting the wound from external contaminants. It is generally not recommended to apply topical medications, such as burn ointments, directly onto the artificial skin unless specifically instructed by your healthcare provider. This is because the artificial skin is meant to provide a barrier and may not allow for proper absorption of topical medications. Instead, you should follow the instructions provided by your doctor regarding the use of topical treatments.

If you are experiencing itching or discomfort under the dressing, it is advisable to consult with your healthcare provider. They may recommend antihistamines or other treatments to alleviate these symptoms. Itching can be a normal part of the healing process, but it can also indicate irritation or an allergic reaction to the dressing or topical treatments.

In terms of follow-up care, it is essential to monitor the burn for any signs of infection, such as increased redness, swelling, pus, or a fever. If you notice any of these symptoms, you should seek medical attention promptly. Regular follow-up appointments with your healthcare provider are crucial to assess the healing progress and make any necessary adjustments to your treatment plan.

In summary, do not remove any skin from the burn area unless directed by a healthcare professional. Allow the new skin to form naturally, and avoid applying additional medications to the artificial skin unless advised. Keep an eye on the healing process and consult your doctor if you have any concerns or if symptoms worsen. Proper care and monitoring are key to ensuring a successful recovery from your burn injury.

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