Post-Abscess Care: Best Practices for Wound Management After Incision

What are the wound care instructions after an abscess incision and drainage?

Hello Doctor, about two weeks ago I had a pimple-sized abscess that I had drained at a clinic.
After that, it was no longer painful and showed no unusual symptoms.
At that time, I was not very knowledgeable about this condition, so I didn't pay attention to my diet and consumed spicy and rich foods.
About five days ago, a hard lump appeared in the same area and was very painful, so I went to the hospital for treatment.
The doctor made an incision about the size of a coin.
The next day, I went back to the doctor to change the dressing, and the wound was still bleeding.
The day after that, which is today, I started warm sitz baths.
There is still some blood, serous fluid, and brownish material on the dressing.
After the sitz bath, should I dry the wound and immediately apply a dressing? Is it okay to let the wound air out for about 20 minutes before applying the dressing? I noticed that the area around the wound is white; does that mean it is not dry? Also, previously when the abscess was the size of a pimple, the clinic doctor prescribed me Neomycin ointment.
Can I use it this time, considering the wound is larger and deeper? Thank you, Doctor.

You, 30~39 year old female. Ask Date: 2017/05/24

Dr. Ke Fangxu reply Surgery

Based on your description, it is not possible to determine whether it is an anal abscess or possibly a soft tissue cellulitis of the buttocks; however, both conditions are caused by bacterial infections.
The key point is to keep the wound clean and to take medications regularly.
It is best to cover the wound with gauze to absorb secretions and prevent external contamination.
If you undergo incision and drainage surgery, you should allow the wound to heal without using ointments to avoid accumulation of secretions, and you need to return for regular follow-up appointments for the physician to examine the wound.

Reply Date: 2017/05/24

More Info

After an incision for an abscess, proper wound care is crucial for optimal healing and to prevent complications such as infection. Here are some best practices for managing your wound post-incision:
1. Keep the Wound Clean: After your sitz bath, it is essential to gently clean the area around the wound with mild soap and water. Avoid using harsh chemicals or scrubbing the wound directly, as this can irritate the tissue and delay healing.

2. Drying the Wound: After cleaning, gently pat the area dry with a clean towel. It’s important to avoid rubbing the wound, as this can cause further irritation. If you notice any white discharge around the wound, it may indicate moisture retention, which can be a sign of infection or that the wound is not drying properly.

3. Air Exposure: Allowing the wound to breathe for a short period (around 20 minutes) can be beneficial. This helps to dry out any excess moisture and can promote healing. However, be cautious about exposing the wound to dirt or bacteria during this time.
4. Dressing the Wound: After allowing the wound to air dry, it is advisable to cover it with a sterile dressing or bandage. This protects the wound from external contaminants and helps to absorb any drainage. If the dressing becomes saturated with blood or other fluids, it should be changed promptly to maintain cleanliness.

5. Using Antibiotic Ointments: Regarding the use of Neomycin ointment, it is generally safe to apply antibiotic ointments to clean, closed wounds to help prevent infection. However, since your current wound is larger and deeper than the previous one, it’s best to consult your healthcare provider before applying any ointment. They may recommend a specific type of antibiotic ointment or a different treatment plan based on the wound's condition.

6. Monitoring for Infection: Keep an eye on the wound for signs of infection, which can include increased redness, swelling, warmth, or discharge that is yellow or green. If you experience increased pain or fever, seek medical attention promptly.

7. Avoid Irritants: As you mentioned consuming spicy and rich foods, it’s advisable to maintain a balanced diet that supports healing. Foods rich in vitamins A and C, zinc, and protein can aid in tissue repair. Avoiding irritants and inflammatory foods can also help reduce the risk of further complications.

8. Follow-Up Care: Regular follow-up appointments with your healthcare provider are essential to monitor the healing process. They can assess the wound and make recommendations for further care or adjustments to your treatment plan.

In summary, proper wound care involves keeping the area clean, allowing it to dry, and protecting it with a sterile dressing. Consult your healthcare provider regarding the use of Neomycin or any other topical treatments, and be vigilant about monitoring for signs of infection. By following these guidelines, you can promote healing and reduce the risk of complications.

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