A burn on the proximal phalanx of the index finger near the palm, with surrounding wrinkling and the development of small blisters?
The inner side of the palm, near the proximal interphalangeal joint of the index finger, was burned by touching a hot iron pot.
It has been 13 days since the burn occurred, and the area no longer hurts when pressed.
The blister covering the burn appears to have some yellowish fluid inside, but it feels mostly filled with air when pressed.
I would like to know how the wound is healing.
The blister was drained on the third day.
Subsequently, the surrounding skin began to swell and became painful to the touch the next day.
Around day 10, it started to itch; while the swelling and pain decreased, many small blisters appeared densely.
Yesterday, I noticed new inflammation and swelling spreading into the folds between the index and middle fingers.
What could be happening? Do I need to buy medication to apply? I am currently abroad and find it difficult to seek medical care, so I am very worried.
Please provide advice.
Thank you.
Fion, 20~29 year old female. Ask Date: 2016/02/06
Dr. Wu Yuxin reply Dermatology
Without actually seeing the lesion, I cannot provide any advice.
If it is very concerning, you should seek medical attention.
Reply Date: 2016/02/06
More Info
When dealing with a burn injury, especially one that has resulted in blisters, it is essential to understand the healing process and how to manage the symptoms effectively. In your case, it sounds like you have experienced a second-degree burn, which typically involves damage to the outer layer of skin (epidermis) and part of the underlying layer (dermis). This type of burn can result in blisters, swelling, and pain, and it often requires careful management to promote healing and prevent infection.
Based on your description, it seems that you are in the recovery phase, but there are some concerns regarding the appearance of yellow fluid in the blister and the development of new symptoms such as itching and additional small blisters. Here are some recommendations and explanations regarding your situation:
1. Blister Management: If the blister has already been punctured, it is crucial to keep the area clean and protected. The yellow fluid you see may be a sign of serous fluid, which is normal in the healing process. However, if it appears cloudy or has a foul odor, this could indicate an infection, and you should seek medical attention as soon as possible.
2. Itching and Swelling: Itching is a common part of the healing process, especially as the skin begins to regenerate. However, the presence of new small blisters and swelling in the surrounding area could suggest that the burn site is becoming irritated or infected. The fact that you are experiencing pain and inflammation in the area between your index and middle fingers is concerning and may indicate that the burn has affected a larger area than initially thought.
3. Topical Treatments: If you are unable to see a healthcare provider immediately, consider using over-the-counter topical treatments that contain ingredients like hydrocortisone to reduce inflammation and itching. Additionally, antibiotic ointments may help prevent infection, but they should be used cautiously and only if there are no signs of infection already present.
4. Avoid Irritation: It is essential to avoid further irritation to the burn area. This means keeping the area clean, avoiding tight clothing or bandages that might rub against the skin, and refraining from scratching the itchy areas. If the blisters are intact, do not pop them, as this can increase the risk of infection.
5. Monitoring Symptoms: Keep a close eye on the burn site. If you notice increased redness, swelling, warmth, or pus, these are signs of infection, and you should seek medical attention as soon as possible. Additionally, if the pain returns or worsens, it's essential to consult a healthcare professional.
6. Hydration and Nutrition: Ensure you are staying well-hydrated and consuming a balanced diet rich in vitamins and minerals, particularly vitamin C and zinc, which are essential for skin healing.
7. Follow-Up Care: Once you are able to see a healthcare provider, they may recommend further evaluation and treatment, including possible debridement if there is dead tissue present or if the burn is not healing appropriately.
In conclusion, while it is encouraging that the initial pain has subsided, the new symptoms you are experiencing warrant careful monitoring. If you have access to a pharmacy, consider consulting with a pharmacist for advice on over-the-counter treatments suitable for your situation. If your symptoms worsen or you have any doubts about the healing process, it is crucial to seek medical attention as soon as possible, even if it requires finding a local healthcare provider. Your health and recovery are the top priority.
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