Doctor, may I ask about wound healing issues?
Two weeks ago, I had a skin abrasion that formed a scab for a while.
Due to taking baths, the scab came off.
Now, whenever the wound comes into contact with water, it turns white.
I researched online and found that this is related to tissue fluid.
I examined the area around the wound and noticed there is no redness or swelling, and the white area has not turned yellow or shown signs of pus or inflammation.
My question is, does the white area need to be removed? The scab has been gone for over a week, and the wound still turns white when it comes into contact with water.
I'm unsure how to handle this; I want to remove the white area after bathing, but I'm afraid it might lead to inflammation later.
Thank you, doctor.
Zai Zai, 30~39 year old female. Ask Date: 2024/01/01
Dr. Wu Yuxin reply Dermatology
There is no need to remove it specifically; it can fall off on its own.
Reply Date: 2024/01/01
More Info
When dealing with skin wounds, particularly those that have turned white after exposure to water, it is essential to understand the underlying mechanisms of wound healing and the appropriate care methods. The phenomenon you are experiencing, where the skin appears white after contact with water, is often due to the presence of tissue fluid or exudate. This is a common occurrence in healing wounds, especially when they are still in the early stages of recovery.
Firstly, it is important to note that the white appearance of the skin is typically not a cause for alarm, especially if there are no signs of infection such as redness, swelling, or pus. The white coloration is often a result of the skin being overly moist, which can happen when the wound is exposed to water for extended periods, such as during bathing. This moisture can cause the outer layer of the skin to swell, leading to a temporary change in color.
In your case, since the scab has fallen off and the wound is still healing, it is crucial to allow the new skin to breathe and dry out properly. Over-moisturizing the area can impede the healing process and may lead to complications. Here are some recommendations for managing your situation:
1. Avoid Excessive Moisture: While it is important to keep the wound clean, try to minimize prolonged exposure to water. When bathing, consider using a waterproof bandage to protect the area from direct contact with water.
2. Gentle Cleaning: If the area becomes dirty, gently clean it with mild soap and water. Avoid scrubbing the area, as this can irritate the new skin. Pat the area dry with a clean towel instead of rubbing it.
3. Moisture Control: After cleaning, you may apply a thin layer of a protective ointment, such as petroleum jelly (Vaseline), to keep the area moisturized without making it overly wet. This can help protect the new skin and prevent it from drying out too much.
4. Monitor for Infection: Keep an eye on the wound for any signs of infection, such as increased redness, swelling, warmth, or discharge. If you notice any of these symptoms, it is important to seek medical attention promptly.
5. Sun Protection: Once the wound has healed sufficiently, protecting the area from sun exposure is crucial. New skin is more susceptible to sun damage, which can lead to hyperpigmentation. Use a broad-spectrum sunscreen with an SPF of at least 30 when exposed to sunlight.
6. Patience in Healing: Understand that the healing process can take time. The pink or white appearance of the skin will gradually fade as the skin continues to heal. It may take several weeks to months for the color to return to normal, depending on the severity of the injury and individual healing rates.
In conclusion, while the white appearance of your skin after water exposure is likely a normal part of the healing process, it is essential to manage the wound carefully to promote optimal healing. Avoid excessive moisture, monitor for signs of infection, and protect the area from sun exposure. If you have any concerns or if the condition worsens, do not hesitate to consult a healthcare professional for further evaluation and guidance.
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