Fall-related abrasions?
Hello doctor, a few days ago I fell and scraped my leg.
At that moment, I immediately rinsed it with saline solution and disinfected it with Betadine.
Today is the fourth day, and the wound looks like the one in the link: https://imgur.com/a/w0zFWR5.
The smaller wounds on the side are starting to scab, while the larger abrasion in the middle is still red but not painful.
When I touch it, it feels warm.
Is it normal for it to feel warm? How should I change the dressing to promote faster healing? Thank you, doctor.
Niming, 30~39 year old female. Ask Date: 2023/06/16
Dr. Chen Bingze reply Surgery
The wound looks okay at the moment.
It feels warm to the touch, which is still considered normal because a slight inflammatory response is necessary to bring growth factors to promote tissue healing.
Problems arise only if the wound becomes increasingly red, swollen, hot, or painful.
You can rinse the wound daily with saline solution and apply antibiotic ointment.
However, please avoid using irritating substances like alcohol and hydrogen peroxide, as they can be harmful instead.
Reply Date: 2023/06/16
More Info
When managing scrapes after a fall, it is essential to follow proper wound care protocols to promote healing and prevent infection. Based on your description, it sounds like you have already taken some important initial steps by rinsing the wound with saline and applying an antiseptic solution. Now, let's discuss the current state of your wound and how to care for it moving forward.
Understanding Your Wound
From your description and the image you provided, it seems that you have a scrape that is healing but still shows signs of redness, particularly in the larger area of broken skin. The fact that the surrounding area is warm to the touch can be a normal part of the healing process, as increased blood flow to the area is necessary for healing. However, if the warmth is accompanied by increasing redness, swelling, or pus, it could indicate an infection, and you should seek medical attention.
Wound Care Instructions
1. Keep the Wound Clean: Continue to clean the wound gently with saline solution or mild soap and water. Avoid using harsh chemicals or alcohol, as they can irritate the wound and delay healing.
2. Apply an Antiseptic: After cleaning, apply a thin layer of an antiseptic ointment (like Neosporin) to help prevent infection. This can also keep the wound moist, which is beneficial for healing.
3. Cover the Wound: Use a sterile bandage or dressing to cover the wound. This protects it from dirt and bacteria. Change the dressing at least once a day or whenever it becomes wet or dirty.
4. Monitor for Signs of Infection: Keep an eye on the wound for any signs of infection, such as increased redness, warmth, swelling, or discharge. If you notice any of these symptoms, consult a healthcare professional.
5. Avoid Picking at Scabs: As the wound heals, scabs will form. It is essential not to pick at these scabs, as they protect the new skin underneath and help prevent scarring.
6. Pain Management: If you experience pain, over-the-counter pain relievers like acetaminophen or ibuprofen can help manage discomfort. Always follow the recommended dosage on the package.
7. Stay Hydrated and Nourished: Proper nutrition and hydration can support your body’s healing process. Ensure you are eating a balanced diet rich in vitamins and minerals, particularly vitamin C and zinc, which are known to aid in wound healing.
When to Seek Medical Attention
If the wound does not show signs of improvement within a few days, or if you experience any of the following, you should seek medical attention:
- Increased redness or swelling around the wound
- Pus or other unusual discharge
- Fever or chills
- Increased pain or discomfort
Conclusion
In summary, it sounds like you are on the right track with your wound care. Continue to keep the area clean, apply antiseptic, and monitor for any signs of infection. If you have any concerns about the healing process or if the wound worsens, do not hesitate to reach out to a healthcare professional for further evaluation. Remember, proper wound care is crucial for a speedy recovery and minimizing the risk of complications.
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