Burning Sensation and Swelling After Accidental Chemical Exposure: What to Do? - Dermatology

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Experiencing a stinging sensation on the penis after contact with medication, resembling symptoms of edema or a burn?


Tonight, while taking a shower, I accidentally grabbed a bottle of quaternary ammonium compound that was placed nearby, resulting in exposure to it during my shower.
Now, I am experiencing swelling and a burning sensation in my genital area, with the foreskin showing blisters and sharp pain.
I'm unsure if this is a chemical burn.
Should I see a urologist or a dermatologist?

Chen, 20~29 year old female. Ask Date: 2020/01/22

Dr. Wu Yuxin reply Dermatology


Dermatology

Reply Date: 2020/01/22

More Info


If you've accidentally exposed your skin to a chemical like ammonium hydroxide (commonly referred to as "fourth-grade ammonia"), and you're experiencing burning sensations, swelling, and blistering, it's crucial to take immediate action. Chemical burns can be serious, and the symptoms you're describing indicate that you may have sustained a chemical burn, which requires prompt evaluation and treatment.


Immediate Steps to Take:
1. Rinse the Affected Area: The first and most important step is to rinse the affected area thoroughly with copious amounts of lukewarm water. This should be done for at least 15-20 minutes to help dilute and wash away the chemical. Avoid using hot water, as it may exacerbate the burning sensation.

2. Remove Contaminated Clothing: If any clothing or materials are contaminated with the chemical, remove them carefully to prevent further exposure. Be cautious not to spread the chemical to other areas of your body.

3. Avoid Home Remedies: Do not apply ointments, creams, or any home remedies such as ice, butter, or oils to the burn area, as these can trap heat and worsen the injury.

4. Seek Medical Attention: Given the sensitive nature of the area affected (the genital region), it is advisable to seek medical attention promptly. You should visit either a urologist or a dermatologist, as both specialists can assess the extent of the chemical burn and provide appropriate treatment. If you experience severe pain, difficulty urinating, or any signs of infection (such as increased redness, swelling, or discharge), seek emergency care immediately.


Medical Evaluation:
During your medical evaluation, the healthcare provider will likely perform a thorough examination of the affected area. They may ask about the specific chemical exposure, the duration of contact, and any symptoms you are experiencing. Depending on the severity of the burn, treatment options may include:
- Topical Treatments: For mild chemical burns, your doctor may prescribe or recommend topical treatments to soothe the skin and promote healing. This could include antibiotic ointments to prevent infection.

- Pain Management: Over-the-counter pain relievers may be recommended to help manage discomfort.

- Further Testing: If there are concerns about deeper tissue damage or if the burn is extensive, further diagnostic tests may be necessary.


Follow-Up Care:
After the initial treatment, follow your healthcare provider's instructions for care. This may include keeping the area clean and dry, avoiding irritants, and monitoring for signs of infection. If blisters form, do not pop them, as this can lead to infection.


Conclusion:
Chemical burns can lead to serious complications if not treated properly. Given the symptoms you are experiencing, it is essential to act quickly and seek professional medical advice. Remember, the sooner you receive treatment, the better the outcome is likely to be. Always handle chemicals with care and ensure proper labeling and storage to prevent accidental exposure in the future.

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