Skin Wounds: Care Tips and Healing Time - Internal Medicine

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Please consult a doctor regarding the wound?


Hello Doctor, I am currently abroad with my family for a week.
Two days ago, I noticed some itching on the side of my left foot.
After rubbing it, some skin flakes came off, and it seems like there was already a small area of broken skin that has now developed into what looks like an open wound.
I have been cleaning it with saline solution and applying iodine, and I also have some ointment for cuts that I brought with me.

I would like to ask if this is considered an open wound, or if it has become serious.
I am concerned about the possibility of cellulitis or some other unusual condition.
This morning, it looked relatively okay, but after being out all day and removing the bandage, it appeared redder.
I have been trying to avoid getting it wet while showering, but it does sting slightly when it comes into contact with water, which makes me think the wound is still present.

How should I care for this type of wound? Is it normal for it to take 2-3 days without complete healing? I plan to see a doctor when I return to Taiwan next week, but I am a bit worried here and would like to get your opinion first.
Thank you, Doctor.

Leo, 10~19 year old female. Ask Date: 2023/12/16

Dr. Lin Wufu reply Internal Medicine


Hello, the image link cannot be opened! Additionally, online consultations are not available here.
Based on your description, I recommend continuing with your current care methods and seeking medical attention as soon as possible.

Reply Date: 2023/12/16

More Info


When dealing with skin wounds, especially those that may have resulted from minor injuries or abrasions, it is essential to understand the proper care and healing processes to prevent complications such as infections or delayed healing. Based on your description, it seems you have a superficial wound on the side of your left foot that has been treated with saline solution, iodine, and a topical antibiotic ointment. Here are some insights and recommendations for your situation.


Understanding Your Wound
From your description, it appears that you may have a superficial abrasion or a minor skin injury. The fact that you experienced itching and skin peeling suggests that the outer layer of skin was compromised. The redness and slight pain when the area is touched indicate that there may be some inflammation, which is a normal response of the body to injury. However, it is crucial to monitor the wound for any signs of infection, such as increased redness, swelling, warmth, or pus.


General Care Tips for Skin Wounds
1. Keep the Wound Clean: Continue to clean the wound gently with saline solution or mild soap and water. Avoid using alcohol or iodine directly on the wound after the initial cleaning, as these can irritate the tissue and delay healing.

2. Moisture Balance: It is essential to maintain a moist environment for optimal healing. While it is good to keep the wound covered with a sterile bandage or an artificial skin product, ensure that it is not overly wet. If you notice excessive moisture, consider changing the dressing more frequently to prevent maceration (softening and breaking down of skin due to prolonged exposure to moisture).

3. Avoid Picking or Scratching: It is vital not to pick at scabs or peeling skin, as this can lead to further injury and increase the risk of infection.

4. Monitor for Infection: Keep an eye on the wound for any signs of infection. If you notice increased redness, swelling, warmth, or pus, or if you develop a fever, seek medical attention promptly.

5. Pain Management: If you experience discomfort, over-the-counter pain relievers such as ibuprofen or acetaminophen can help manage pain and inflammation.


Healing Time
The healing time for superficial wounds can vary based on several factors, including the depth of the injury, your overall health, and how well you care for the wound. Generally, minor abrasions can take anywhere from a few days to two weeks to heal completely. If your wound has not shown significant improvement after 2-3 days, it is advisable to consult a healthcare professional, especially since you are currently abroad and may not have access to your usual healthcare providers.


Precautions While Traveling
Since you are traveling, it is essential to take extra precautions. Avoid exposing the wound to dirty water (like in pools or hot tubs) and try to keep it covered when in public places to minimize the risk of infection. If you are wearing shoes, ensure they are clean and do not irritate the wound.


Conclusion
In summary, it seems that your wound is not severe but requires proper care to ensure it heals without complications. Continue to monitor the wound closely, keep it clean and covered, and avoid any irritants. If you have any concerns about the wound's appearance or if it worsens, do not hesitate to seek medical attention. Once you return to Taiwan, a visit to a healthcare provider will help ensure that your wound is healing properly and to address any lingering concerns. Safe travels, and take care of your wound!

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