Normal saline
Hello Dr.
Ke: I had a fall while plowing three days ago, and today the wound is not oozing much serous fluid (yellowish).
However, there are white patches on the wound.
Does this indicate that healing is beginning? When changing the dressing daily, should I still wash with saline solution ➡ apply Betadine ➡ cover with a dressing?
Xiong Xiong, 20~29 year old female. Ask Date: 2019/07/14
Dr. Ke Fangxu reply Surgery
Answer: It is correct to clean the wound with saline solution and then disinfect it with Betadine.
The term "white" regarding the wound cannot be assessed without direct observation, but as long as there is no redness, swelling, heat, or pain, there should not be any major issues.
Reply Date: 2019/07/14
More Info
Hello! It sounds like you are on the right track with your wound care, and I’m glad to hear that your wound is showing signs of healing. The presence of white patches on the wound can indeed indicate that the healing process is underway. This could be a sign of new tissue formation, which is a positive development. However, it’s important to ensure that the wound is properly cared for to prevent infection and promote optimal healing.
When it comes to wound care, especially after an injury like yours, the general protocol is to keep the wound clean and protected. Here’s a step-by-step guide on how to manage your wound care effectively:
1. Cleaning the Wound: It is crucial to clean the wound daily to remove any debris and prevent infection. Using saline solution (physiological saline) is a good choice as it is gentle and helps to flush out any contaminants. You should rinse the wound with saline solution before applying any antiseptic.
2. Applying Antiseptic: After cleaning the wound with saline, you can apply an antiseptic solution like Betadine (povidone-iodine) if recommended by your healthcare provider. This helps to further disinfect the area and reduce the risk of infection. However, be cautious with the amount you use, as excessive application can irritate the skin.
3. Dressing the Wound: After cleaning and applying antiseptic, cover the wound with a sterile dressing. This protects the wound from external contaminants and helps to maintain a moist environment, which is beneficial for healing. If you notice that the dressing is becoming wet or soiled, it’s important to change it promptly to prevent infection.
4. Monitoring for Signs of Infection: Keep an eye on the wound for any signs of infection, such as increased redness, swelling, warmth, or pus. If you notice any of these symptoms, it’s essential to seek medical attention promptly.
5. Moisture Management: It’s important to maintain a balance of moisture in the wound. While a moist environment can promote healing, too much moisture can lead to maceration of the surrounding skin. If you find that the wound is too wet, consider using a more absorbent dressing or allowing the wound to air out for short periods.
6. Avoiding Irritants: Try to avoid exposing the wound to irritants such as soaps, lotions, or other substances that could cause irritation or allergic reactions. When showering, you may want to cover the wound with a waterproof bandage to keep it dry.
7. Follow-Up Care: Since you mentioned that the wound is not producing much exudate anymore, this is a good sign. However, you should continue to follow up with your healthcare provider as needed. They can assess the healing process and advise you on when it’s appropriate to stop using antiseptics or change your dressing routine.
In summary, your wound care routine of using saline solution followed by antiseptic and a sterile dressing is appropriate. Continue to monitor the wound for signs of healing and infection, and adjust your care as necessary. If you have any concerns or if the wound does not seem to be healing properly, don’t hesitate to reach out to your healthcare provider for further evaluation. Proper wound care is essential for preventing complications and ensuring a smooth healing process.
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