Burn Treatment: Healing and When to See a Doctor

Burns

Hello, doctor.
A few days ago, I burned my arm with hot water, about the size of a 10 NT dollar coin.
I applied a thick layer of salt on it, but I’m not sure if that was the right thing to do.
After that, it stopped hurting.
A few days later, the area on my arm turned dark and feels like it can't be cleaned properly.
Is it undergoing skin regeneration, and will it return to its original color? Or should I see a doctor for medication? Thank you for your response.

Ji Wa Wa, 10~19 year old female. Ask Date: 2004/11/21

Dr. Huang Ruiyun reply Dermatology

If there is scabbing and peeling that is not visible, it is difficult to provide an answer.
For burns, it is important to immediately cool the affected area with cold water for at least 15 minutes, or ideally 30 minutes.
As long as it is not a deep second-degree or third-degree burn and there is no secondary bacterial infection, a burn area about the size of a ten NT dollar coin will heal on its own.

Reply Date: 2004/11/21

More Info

Burn treatment is a critical aspect of medical care, especially when dealing with burns caused by hot liquids, such as your recent injury from boiling water. Understanding the healing process and knowing when to seek medical attention can significantly impact recovery and minimize complications.

Firstly, it’s essential to recognize the severity of your burn. Burns are classified into three degrees:
1. First-degree burns affect only the outer layer of skin (epidermis) and typically result in redness and minor pain. These usually heal within a week without scarring.

2. Second-degree burns penetrate deeper, affecting both the epidermis and the second layer of skin (dermis). They can cause blisters, swelling, and significant pain. Healing can take several weeks, and there may be some scarring.

3. Third-degree burns extend through the dermis and affect deeper tissues. They may appear white, charred, or leathery and can be painless due to nerve damage. These burns often require surgical intervention, such as skin grafting.

In your case, you mentioned that the burn area has turned black and feels like it cannot be cleaned. This discoloration could indicate that the skin is undergoing a healing process, possibly forming a scab or eschar, which is a natural part of healing for deeper burns. However, it is crucial to monitor the area closely. If the blackened skin is due to necrosis (tissue death), it may require medical intervention.

Applying salt to a burn is not recommended. While salt has antiseptic properties, it can irritate the wound and delay healing. The best immediate treatment for burns includes:
1. Cooling the burn: Immediately run cool (not cold) water over the burn for at least 10-20 minutes. This helps reduce pain and swelling.

2. Covering the burn: Use a sterile, non-adhesive bandage to protect the area. Avoid using materials that can stick to the burn.

3. Pain management: Over-the-counter pain relievers like ibuprofen or acetaminophen can help alleviate pain.

4. Avoiding home remedies: Do not apply ice, butter, or any other home remedies to the burn, as these can worsen the injury.

Given that your burn area has changed color and you are experiencing concerns about its healing, it is advisable to see a healthcare professional. A doctor can assess the burn's severity, determine if it is healing properly, and provide appropriate treatment, such as topical antibiotics or dressings. If the burn is deep or shows signs of infection (increased redness, swelling, pus, or fever), prompt medical attention is crucial.

In summary, while some burns can heal on their own, the changes you are observing warrant a medical evaluation. A healthcare provider can offer the best guidance on how to care for your burn and ensure that it heals correctly, minimizing the risk of complications or scarring. Always err on the side of caution when it comes to burn injuries, as proper treatment can significantly affect the outcome.

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