How to Care for Burns and Blisters at Home: Expert Tips - Dermatology

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Burns and scalds with blisters?


Hello, doctor.
Yesterday (9/15), while I was cooking soup at home, I burned my finger for about 2-3 seconds.
After the burn, I immediately rinsed it with cold water, but the wound still has a dull pain.
After applying burn ointment, it felt much better.
However, today (9/16) when I woke up, I noticed that the burned area has developed a large blister (about 1.5-2 cm in diameter) and it feels tingly.
What should I do? Besides seeing a doctor, is there anything I can do myself? Also, do I need to continue applying the burn ointment? Thank you.

Niming, 10~19 year old female. Ask Date: 2020/09/16

Dr. Wu Yuxin reply Dermatology


Without seeing the condition of the wound, it is difficult to provide advice.
If it is very concerning, it is recommended to seek medical attention as soon as possible.

Reply Date: 2020/09/16

More Info


Burns can be painful and distressing injuries, and proper care is essential to promote healing and prevent complications. Based on your description, it sounds like you have sustained a second-degree burn, which typically involves damage to the outer layer of skin (epidermis) and part of the underlying layer (dermis). This type of burn can result in blisters, swelling, and significant pain. Here are some expert tips on how to care for burns and blisters at home:

Immediate Care
1. Cool the Burn: You mentioned that you immediately rinsed the burn with cold water, which is excellent. It's crucial to cool the burn area for at least 10-20 minutes to reduce the temperature of the skin and minimize damage. Avoid using ice or very cold water, as this can further damage the skin.

2. Do Not Pop Blisters: The blister that has formed is a natural protective barrier that helps prevent infection. It's important not to pop or drain the blister, as this can introduce bacteria and lead to infection. If the blister breaks on its own, clean the area gently with mild soap and water, and apply a sterile bandage.

3. Apply a Burn Ointment: After cooling the burn, applying a burn ointment or antibiotic cream can help soothe the area and prevent infection. If you are using a specific burn ointment, continue to apply it as directed. However, avoid using products that contain alcohol or fragrances, as these can irritate the skin.


Ongoing Care
4. Keep the Area Clean: Maintain cleanliness around the burn site. Gently wash the area with mild soap and water daily, and pat it dry. Avoid scrubbing the area, as this can cause further irritation.

5. Moisturize: Keeping the burn area moisturized can help with healing. You can use a non-irritating lotion or aloe vera gel to keep the skin hydrated. This can also help reduce itching as the burn heals.

6. Protect the Burn: If the burn is in an area that may be exposed to friction or irritation (like your hand), consider covering it with a sterile, non-stick bandage. Change the bandage daily or if it becomes wet or dirty.

7. Monitor for Signs of Infection: Watch for any signs of infection, such as increased redness, swelling, warmth, pus, or fever. If you notice any of these symptoms, it’s important to seek medical attention.

8. Pain Management: If you are experiencing pain, over-the-counter pain relievers such as ibuprofen or acetaminophen can help manage discomfort. Follow the dosing instructions on the package.


When to Seek Medical Attention
While many burns can be treated at home, there are certain situations where you should seek medical care:
- If the burn is larger than 3 inches in diameter.

- If the burn is on the face, hands, feet, or over a major joint.

- If you notice signs of infection.

- If you experience severe pain that is not relieved by over-the-counter medications.


Conclusion
In summary, caring for a burn involves cooling the area, protecting blisters, keeping the area clean and moisturized, and monitoring for signs of infection. Continue to apply your burn ointment as needed, and be vigilant about the healing process. If you have any concerns or if the burn does not improve, do not hesitate to consult a healthcare professional for further evaluation and treatment. Remember, while home care is often effective for minor burns, your health and safety should always come first.

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