Burn Treatment: Should You Use Ointment or Let It Heal Naturally?

Burns

Hello, I burned my wrist on a metal rack from a rice steamer the day before yesterday, and now there is a blister about one centimeter in size near my wrist.
Should I go to the pharmacy to buy an ointment to apply, or should I just let it heal on its own? Thank you.

vge, 20~29 year old female. Ask Date: 2003/07/31

Dr. Luo Qihua reply Plastic Surgery

You likely have a second-degree burn.
If not treated properly, it could progress to a third-degree burn, which may result in scarring.
It is best to consult a plastic surgeon for evaluation.

Reply Date: 2003/07/31

More Info

When it comes to treating burns, especially those that result in blisters, the approach can vary based on the severity and type of burn. In your case, since you have developed a blister approximately one centimeter in size on your wrist from a burn, it is crucial to handle the situation with care to promote healing and prevent infection.

First and foremost, it is essential to determine the severity of the burn. Burns are typically classified into three degrees:
1. First-degree burns affect only the outer layer of skin (epidermis) and usually present as red, dry skin without blisters.

2. Second-degree burns involve the epidermis and part of the underlying layer (dermis), leading to redness, swelling, pain, and blisters.

3. Third-degree burns penetrate through the dermis and affect deeper tissues, often resulting in white, charred, or leathery skin.

Given that you have a blister, it suggests that your burn is at least a second-degree burn. Here are some recommended steps for treating your burn:
1. Cool the Burn: If you haven't already, cool the burn area under running cool (not cold) water for about 10 to 20 minutes. This helps to reduce the temperature of the skin and can alleviate pain.

2. Do Not Pop the Blister: It’s important to leave the blister intact. Blisters serve as a protective barrier against infection. Popping them can lead to complications, including infection.

3. Apply a Suitable Ointment: After cooling the burn, you can apply a topical antibiotic ointment, such as Bacitracin or Neosporin, to help prevent infection. Alternatively, you may consider using a specialized burn ointment that contains ingredients like silver sulfadiazine (e.g., Silvadene), which can help in healing and preventing infection. However, avoid using ointments that are greasy, such as petroleum jelly (Vaseline), directly on the blister, as they may trap heat and moisture.

4. Cover the Burn: After applying the ointment, cover the burn with a non-stick, sterile bandage or dressing. This will protect the area from dirt and bacteria while allowing it to breathe.

5. Monitor for Signs of Infection: Keep an eye on the burn for any signs of infection, such as increased redness, swelling, pus, or fever. If you notice any of these symptoms, seek medical attention promptly.

6. Pain Management: If you experience pain, over-the-counter pain relievers like ibuprofen or acetaminophen can help manage discomfort.

7. Avoid Irritants: Keep the area clean and avoid exposing it to irritants, such as harsh soaps or chemicals, until it has healed.

As for whether to let it heal naturally or use ointment, using a topical antibiotic ointment is generally recommended for second-degree burns to promote healing and prevent infection. However, if you prefer a more natural approach, ensure that the area is kept clean and dry, and monitor it closely for any signs of complications.

In conclusion, for your burn with a blister, it is advisable to use a suitable ointment to promote healing while protecting the area with a sterile dressing. If you have any concerns or if the burn worsens, do not hesitate to consult a healthcare professional for further evaluation and treatment.

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