Bedsores: Causes, Treatments, and Skin Care Tips

Q: Bedsores: Causes, Treatments, and Skin Care Tips

Hello： The red rash turning black indicates that the scabies mites have died, signifying successful treatment, leaving behind dark marks. <br>The main concern with long-term use of scabicide medications is the excessive irritation of the skin leading to dermatitis, so long-term u

Mustard gas issues

My father-in-law, who has been bedridden for a long time, has been experiencing issues with pressure ulcers.
He has been applying medicated ointment and taking sulfur baths.
Recently, the red rash has turned black, and we are unsure what this means.
Could this be related to the prolonged use of the medicated ointment or the sulfur baths? Is it safe to continue using sulfur baths? Are they effective? I would appreciate a doctor's response.
Thank you.

gug, 30~39 year old female. Ask Date: 2011/03/21

Dr. Huang Ruiyun reply Dermatology

Hello: The red rash turning black indicates that the scabies mites have died, signifying successful treatment, leaving behind dark marks.
The main concern with long-term use of scabicide medications is the excessive irritation of the skin leading to dermatitis, so long-term use is not recommended.
Wishing you safety.

Reply Date: 2011/03/21

More Info

Bedsores, also known as pressure ulcers or decubitus ulcers, are injuries to the skin and underlying tissue that result from prolonged pressure on the skin. They commonly occur in individuals who are bedridden or have limited mobility, such as your father-in-law. Understanding the causes, treatments, and proper skin care can significantly help in managing and preventing these sores.

Causes of Bedsores
The primary cause of bedsores is sustained pressure on the skin, which can restrict blood flow to the area. This lack of blood flow can lead to tissue damage and, eventually, ulceration. Other contributing factors include:
1. Friction and Shear: When the skin rubs against clothing or bedding, it can cause friction, leading to skin breakdown. Shear occurs when the skin moves in one direction while the underlying bone moves in another, which can also damage blood vessels.

2. Moisture: Excess moisture from sweat or incontinence can weaken the skin, making it more susceptible to breakdown.

3. Poor Nutrition: A diet lacking in essential nutrients can impair skin health and healing.

4. Medical Conditions: Conditions that affect blood flow, sensation, or mobility can increase the risk of developing bedsores.

Treatments for Bedsores
The treatment of bedsores involves several strategies aimed at promoting healing and preventing further damage:
1. Relieving Pressure: Regularly changing positions is crucial. For bedridden patients, it is recommended to shift weight every two hours. Specialized mattresses and cushions can also help distribute pressure more evenly.

2. Wound Care: Keeping the sore clean and covered is essential. Depending on the severity, dressings may need to be changed frequently. Topical treatments, such as medicated ointments, may be used to promote healing.

3. Moisturizing: While it is important to keep the skin hydrated, excessive moisture can lead to maceration. Using appropriate moisturizers can help maintain skin integrity.

4. Nutrition: Ensuring adequate protein and calorie intake can support skin health and healing. Supplements may be necessary in some cases.

5. Medical Intervention: In severe cases, surgical intervention may be required to remove dead tissue or repair the affected area.

Skin Care Tips
1. Regular Skin Assessment: Check the skin daily for any signs of redness, swelling, or breakdown, especially in high-risk areas like heels, elbows, and the tailbone.

2. Gentle Cleansing: Use mild soap and lukewarm water to cleanse the skin. Avoid harsh scrubbing, which can irritate the skin.

3. Use of Sulfur Baths: Sulfur baths can be beneficial for certain skin conditions, but they may not be suitable for everyone. If your father-in-law has developed a rash that has turned black, it is crucial to consult a healthcare provider. This change in color could indicate an infection or necrosis, which requires immediate medical attention.

4. Avoiding Irritants: Be cautious with topical treatments like the medicated ointment mentioned. While they may be effective for some conditions, they can also cause irritation or allergic reactions in others. If the ointment is causing adverse effects, it may need to be discontinued.

5. Consulting Healthcare Professionals: Regular follow-ups with a healthcare provider or a wound care specialist can help manage bedsores effectively. They can provide tailored advice and treatment options based on the specific condition of the skin.

In conclusion, managing bedsores requires a comprehensive approach that includes pressure relief, proper wound care, nutrition, and regular skin assessments. If your father-in-law's condition worsens or if there are any concerns about the treatments being used, it is essential to seek medical advice promptly.

Similar Q&A

Understanding Nighttime Itching: Causes and Solutions for Skin Discomfort

Hello Doctor: Sometimes when I lie in bed before sleeping, my skin becomes very itchy without any apparent pattern. This occurs in both summer and winter, regardless of whether I go to bed early or late (I have tested many variables but still cannot find a pattern). The affected ...

Dr. Wu Yuxin reply Dermatology
Without actually seeing the lesion, it is impossible to determine the issue. If it is causing significant distress, please seek medical attention as soon as possible. A proper examination is necessary to understand the problem and to determine the appropriate course of action.

Unexplained Skin Redness: Possible Causes and Solutions

Hello, I would like to ask if there are any reasons that could cause small red spots on the body with a tiny pustule in the center that are almost not itchy. My sister and I have been sleeping on the same bed, and about 1 to 2 months ago, we both started developing small red spot...

Dr. Li Yufen reply Dermatology
Hello: Generally, insect bites can cause mild allergic reactions, leading to itching. If the skin condition persists, it is advisable to consult a dermatologist for a direct examination of the lesions to confirm the diagnosis and treatment. Thank you!

Understanding Skin Lesions: Causes and Remedies for Persistent Sores

In the past two months, I have started to develop sores (referred to as "ding-a" in Taiwanese) on my hands, thighs, and buttocks. They are red, swollen, and produce pus and blood. I visited a clinic and received medication to apply, which healed the sores in about a wee...

Dr. Jin Lianchun reply Dermatology
Hello, young friend: Your symptoms are most likely due to a condition called folliculitis, which is caused by a bacterial infection of the skin and subcutaneous tissue. There are several potential causes for this infection: 1. Physical constitution: a. Individuals who sweat easil...

Understanding Sleep-Related Edema and Erythema: Causes and Insights

My brother has had generalized edema-type erythema (tentative name) for many years, affecting his entire body from head to toe. The smallest lesions are 1 cm, while the largest can be 20 cm. They mostly appear during insomnia or while sleeping. It manifests as large patches of re...

Dr. Jiang Zheen reply Dermatology
If the rash disappears within a few hours to a day, it is likely urticaria (hives). If it lasts more than a day, there may be other causes, and a skin biopsy may be necessary to determine the diagnosis. Wishing you well.