Suture site wound issues?
I sustained a 1.5 cm laceration on the back of my head due to an injury on the night of September 15.
That evening, I went to the emergency room and received two stitches.
I have been taking the pain and anti-inflammatory medication prescribed by the doctor for the past two days, but the area where the scalp was injured and stitched still hurts and there is a slight amount of bleeding.
Is this situation normal?
MELISSA, 30~39 year old female. Ask Date: 2021/09/17
Dr. Peng Xianwen reply Surgery
The described situation regarding the wound healing process is accurate.
It is recommended to return to the surgical outpatient clinic for a physician's evaluation.
Director Peng Hsien-Wen of the Surgery Department, Nantou Hospital.
Reply Date: 2021/09/17
More Info
After a surgical procedure, particularly one involving stitches, it is common to experience some discomfort and minor bleeding at the site of the wound. In your case, having sustained a 1.5 cm laceration on the back of your head and receiving two stitches, it is not unusual to feel pain and see a small amount of bleeding in the initial days following the injury. Here’s a more detailed explanation of what you might expect during the healing process and how to manage your post-surgical care.
Normal Healing Process
1. Pain and Discomfort: After stitches, it is typical to experience pain at the site of the injury. This pain can be due to the trauma of the injury itself, the stitching process, and the body’s inflammatory response as it begins to heal. The pain should gradually decrease over time. If the pain worsens or becomes unbearable, it is essential to consult your healthcare provider.
2. Bleeding: A small amount of bleeding can occur, especially if the area is disturbed or if there is pressure on the wound. It is crucial to monitor the bleeding; if it is persistent or increases significantly, you should seek medical attention. Applying gentle pressure with a clean cloth can help control minor bleeding.
3. Swelling and Redness: It is also common for the area around the stitches to be swollen and red. This is part of the healing process, but if you notice increasing redness, warmth, or swelling, it could indicate an infection, and you should contact your doctor.
4. Scabbing and Itching: As the wound heals, you may notice scabbing. Itching is also a normal part of the healing process as new skin forms. Avoid scratching the area, as this can lead to complications or infection.
Post-Surgical Care
1. Medication: Continue taking the pain relief and anti-inflammatory medications as prescribed by your doctor. These medications can help manage pain and reduce inflammation.
2. Wound Care: Keep the wound clean and dry. Follow your doctor’s instructions regarding when and how to change the dressing. If your doctor advised you to keep the area covered, ensure that you do so to protect it from dirt and bacteria.
3. Avoiding Strain: Try to avoid any activities that may put strain on the stitches, such as heavy lifting or vigorous exercise, until your doctor gives you the go-ahead.
4. Signs of Infection: Be vigilant for signs of infection, which can include increased pain, swelling, redness, warmth, or discharge of pus from the wound. If you experience any of these symptoms, contact your healthcare provider immediately.
5. Follow-Up Appointments: Make sure to attend any follow-up appointments with your healthcare provider. They will assess the healing process and determine if the stitches need to be removed or if any further treatment is necessary.
Conclusion
In summary, while some pain and minor bleeding are normal after receiving stitches, it is essential to monitor your symptoms closely. If you have any concerns about your healing process, do not hesitate to reach out to your healthcare provider for guidance. Proper wound care and attention to your body’s signals will help ensure a smooth recovery. Remember, healing takes time, and being patient with your body is crucial.
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