Dealing with Fish Spine Injuries: When to Seek Medical Attention

Stung by a fish spine?

Hello doctor, yesterday while preparing dinner, I accidentally got my thumb punctured by a fish fin.
Initially, there was some bleeding, but after rinsing it a bit, the bleeding stopped.
A few hours later, I noticed that the area around the wound had a slightly scabbed appearance, but it seems to be within the surface layer of the skin.
It has been over 24 hours now, and although there is still a slight stinging sensation when I press on the wound, it is not visible to the naked eye.
However, when I rub it with my other fingers, I can feel a slight bump, and the color around the wound seems to be a bit darker than the surrounding skin.
Should I be concerned about anything? Should I see a doctor immediately? Thank you.

Mr. Lin, 30~39 year old female. Ask Date: 2020/04/08

Dr. Liao Yaopan reply Family Medicine

Hello, regarding your concerns, it is still recommended to monitor for any changes indicating infection.
Additionally, some specific fish species may have venomous spines, so if you have any doubts, it is advisable to seek medical attention for confirmation.
Please note: online consultations are not equivalent to in-person visits and cannot provide diagnoses or treatment recommendations.
Changhua Hospital cares about you.

Reply Date: 2020/04/08

More Info

Injuries from fish spines or fins can be deceptively minor at first glance, but they can lead to complications if not properly addressed. Your situation, where you experienced a puncture wound from a fish spine, is not uncommon. While it may seem like a minor injury, there are several factors to consider regarding when to seek medical attention.

Initial Assessment
1. Bleeding and Pain: You mentioned that there was initial bleeding, which stopped after rinsing the wound. This is a good sign, but the presence of pain, especially if it persists or worsens, is a cause for concern. Pain that continues after 24 hours may indicate an underlying issue, such as infection or a retained foreign body.

2. Swelling and Color Changes: The fact that the area around the wound appears slightly discolored and feels "bumpy" when you touch it could suggest inflammation or the presence of a foreign object. Fish spines can sometimes break off and remain embedded in the skin, leading to infection or abscess formation.

3. Signs of Infection: Monitor for any signs of infection, which can include increased redness, swelling, warmth around the wound, pus or discharge, and fever. If you notice any of these symptoms, it is crucial to seek medical attention promptly.

When to Seek Medical Attention
You should consider seeing a healthcare provider if:
- Persistent Pain: If the pain does not subside or worsens over the next few days, it may indicate a deeper issue.

- Increased Swelling or Redness: If the area becomes more swollen or red, this could be a sign of infection.

- Fever: If you develop a fever, this is a clear indication that you should seek medical care.

- Difficulty Moving the Finger: If you experience any loss of function or increased pain when moving your thumb, it’s important to get evaluated.

- Visible Foreign Body: If you suspect that a piece of the fish spine is still lodged in your skin, it is essential to have it removed by a professional to prevent infection.

Treatment Options
If you do decide to visit a healthcare provider, they may perform the following:
- Wound Cleaning: Proper cleaning of the wound to remove any debris or bacteria.

- Assessment for Foreign Bodies: They may use imaging techniques if necessary to check for any retained fragments.

- Tetanus Shot: Depending on your vaccination history and the nature of the injury, a tetanus booster may be recommended.

- Antibiotics: If there are signs of infection, a course of antibiotics may be prescribed.

Self-Care Measures
In the meantime, here are some self-care measures you can take:
- Keep the Wound Clean: Wash the area gently with soap and water. Avoid using alcohol or hydrogen peroxide, as these can irritate the wound.

- Apply an Antibiotic Ointment: After cleaning, you can apply a topical antibiotic ointment and cover it with a sterile bandage.

- Monitor Symptoms: Keep an eye on the wound for any changes, and note any new symptoms that arise.

Conclusion
While your injury may seem minor, it’s always better to err on the side of caution when it comes to puncture wounds, especially those caused by fish spines. If you have any doubts about the healing process or if symptoms worsen, do not hesitate to seek medical attention. Your health and safety are paramount, and a healthcare professional can provide the best guidance tailored to your specific situation.

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