Exhaust pipe burn
Hello doctor, I have had a burn for almost two weeks now.
I initially went to a family medicine clinic, but later I went to the hospital for dressing changes.
The nurse removed some of the dead skin and I have had the wound dressed for a week.
The wound still feels a bit pus-filled, but there are small white bumps appearing on the wound.
Does this mean it is healing? If so, can I buy medication at the pharmacy to apply it myself? Thank you!
Ting, 10~19 year old female. Ask Date: 2014/06/29
Dr. Xu Kaixi reply Surgery
The wound from a burn that has developed blisters and has broken skin is classified as a second-degree burn.
When the blisters rupture and the overlying skin is removed, it will resemble an abrasion.
The appearance of small white granulation tissue on the wound is due to the regeneration of the epidermis from hair follicles, which will gradually fill in the wound along with the new epidermis growing inward from the surrounding area.
Eventually, the wound will heal.
During this stage, unless there are symptoms of infection such as redness, swelling, heat, or pain, which would require antibiotic treatment, it is sufficient to apply ointment daily.
If there are any concerns, it is advisable to visit a surgical outpatient clinic for an examination.
Reply Date: 2014/06/29
More Info
When dealing with burns, particularly those caused by exhaust pipes or other hot surfaces, it’s crucial to understand the healing process and the appropriate treatment options available. Based on your description, it sounds like you have sustained a second-degree burn, which typically involves damage to the epidermis and part of the dermis. This type of burn can be quite painful and may take several weeks to heal, depending on the severity and care provided.
From your account, it seems that you are nearing the two-week mark in your healing process. The presence of white, grainy tissue (often referred to as granulation tissue) is a positive sign, indicating that your body is healing. However, the fact that you are experiencing some purulent discharge suggests that there may still be an infection or that the wound is not fully healed yet. It’s essential to monitor this closely, as any signs of increased redness, swelling, or worsening pain could indicate a need for further medical evaluation.
In terms of treatment options, it is generally advisable to follow the guidance of your healthcare provider. Since you have already been seen by a nurse who has assessed your wound, it’s important to continue with the prescribed care regimen. If your wound is still producing discharge, it may not be the best time to switch to over-the-counter medications or ointments without consulting your doctor first.
Here are some general recommendations for managing your burn care:
1. Keep the Wound Clean: Continue to clean the wound gently with saline or mild soap and water. Avoid using harsh chemicals or scrubbing the area, as this can irritate the skin further.
2. Moisturize: Once the wound has begun to heal and there are no signs of infection, applying a non-irritating moisturizer can help keep the area hydrated. Products containing aloe vera or specific burn ointments may be beneficial, but ensure they are suitable for your specific type of burn.
3. Avoid Self-Medicating: While it may be tempting to purchase over-the-counter treatments, it’s best to consult with your healthcare provider before doing so. They can recommend appropriate treatments based on the current state of your wound.
4. Monitor for Infection: Keep an eye on the wound for any signs of infection, such as increased redness, swelling, warmth, or a foul odor. If you notice any of these symptoms, seek medical attention promptly.
5. Pain Management: If you are experiencing pain, over-the-counter pain relievers like ibuprofen or acetaminophen can be effective. However, consult your doctor for the best options for your situation.
6. Follow-Up Care: Regular follow-ups with your healthcare provider are essential, especially if the wound is not healing as expected. They can provide further interventions if necessary, such as debridement or prescription medications.
In conclusion, while the appearance of granulation tissue is a good sign, the presence of purulent discharge indicates that you should continue to seek professional medical advice. Healing from burns can be a complex process, and maintaining communication with your healthcare provider will ensure that you receive the best possible care tailored to your specific needs. Always prioritize professional guidance over self-treatment, especially in the case of burns, to prevent complications and promote optimal healing.
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