Burn Treatment: What to Expect with Blisters - Plastic Surgery

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Burn Treatment


Hello Doctor: I have a burn blister from a rice cooker that is about 2 centimeters in size and hasn't been popped for three days.
Today, I noticed that the edges are slightly red and itchy, and the blister feels softer than it did in the previous two days, not as tight.
Is this normal?

Mei Mei, 40~49 year old female. Ask Date: 2017/08/01

Dr. Lu Daokuan reply Plastic Surgery


After a few days, the fluid in the blister will gradually be absorbed, and it is normal for the edges to itch.
You should apply a burn ointment.

Reply Date: 2017/08/01

More Info


Burn treatment, particularly when it involves blisters, requires careful attention to ensure proper healing and to prevent complications such as infection. In your case, having a blister that is approximately 2 cm in size and has not been ruptured for three days is a positive sign, as intact blisters serve as a natural barrier against infection and help protect the underlying skin.

When it comes to the redness and slight itching you are experiencing around the blister, it is important to understand that some degree of redness can be normal as the body responds to injury. This redness may indicate inflammation, which is part of the healing process. However, if the redness is increasing or spreading, or if you notice any discharge or a foul odor, these could be signs of infection, and you should seek medical attention promptly.

The fact that the blister feels softer than it did initially is also not uncommon. Blisters can change in firmness as they heal. The fluid inside the blister may be reabsorbed by the body, which can make the blister feel less tense. As long as the blister remains intact and there are no signs of infection, this change is generally considered normal.

Here are some general guidelines for managing blisters from burns:
1. Do Not Pop the Blister: It is crucial to keep the blister intact. Popping it can introduce bacteria and lead to infection. The blister acts as a protective layer, and allowing it to heal naturally is the best course of action.

2. Keep the Area Clean: Gently wash the area with mild soap and water. Avoid scrubbing the blister. Pat the area dry with a clean towel.

3. Cover the Blister: Use a sterile, non-stick bandage or dressing to cover the blister. This protects it from further injury and helps keep it clean. Change the dressing daily or if it becomes wet or dirty.

4. Monitor for Signs of Infection: Watch for increased redness, swelling, warmth, or pus. If you notice any of these symptoms, contact your healthcare provider.

5. Manage Pain and Itching: Over-the-counter pain relievers such as ibuprofen or acetaminophen can help manage pain. For itching, antihistamines may be recommended by your doctor.

6. Avoid Irritants: Keep the area away from tight clothing or anything that may rub against the blister. This will help prevent further irritation.

7. Follow Up with Your Doctor: If you have any concerns about the healing process or if the blister does not improve, it is wise to follow up with your healthcare provider. They can assess the blister and provide additional treatment if necessary.

In summary, while some redness and itching around a burn blister can be normal, it is essential to monitor the area closely for any signs of infection. Keeping the blister intact and protected is key to promoting healing. If you have any doubts or if the condition worsens, do not hesitate to seek medical advice. Your health and safety should always come first.

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