Natural Healing for Breast Scratches: When to Seek Medical Advice - Surgery

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Chest scratch injury


Hello, I am a breastfeeding mother and I got scratched on my breast by my baby while nursing.
I am concerned about giving medication to my baby, so I want to let it heal naturally.
However, the wound is very itchy and just when I feel it’s almost healed, it starts itching again after a few days.
I’m not sure what ointment to apply.
Should I see a surgeon or a dermatologist? Thank you.

mimi, 30~39 year old female. Ask Date: 2016/03/17

Dr. Li Zhonghuai reply Surgery


Hello! The safest method is to use a sterilized breast pump to express milk from the affected side.
Otherwise, milk accumulation in the breast may lead to mastitis.
The blood circulation in the breast is good, and the wound will heal quickly.
As for itching after scabbing, if you're concerned about the baby ingesting medication, it's advisable not to take any drugs for now.
If necessary, you may apply a small amount of steroid cream.
If there's still no improvement, please consult a breast surgeon.
Wishing you a speedy recovery from Changhua Hospital!

Reply Date: 2016/03/17

More Info


When it comes to caring for scratches on the breast, especially those caused by breastfeeding, it's important to approach the situation with caution and awareness of both healing and potential complications. Here’s a comprehensive guide on how to manage such injuries and when to seek medical advice.


Natural Healing Process
1. Keep the Area Clean: The first step in natural healing is to ensure that the scratched area is kept clean. Use mild soap and water to gently cleanse the area. Avoid using harsh soaps or scrubbing the wound, as this can lead to irritation.

2. Avoid Irritants: Since the area is sensitive, it’s crucial to avoid any products that may irritate the skin, including scented lotions or creams. If you are using any topical products, ensure they are fragrance-free and suitable for sensitive skin.

3. Moisturization: Keeping the area moisturized can help with the healing process. You might consider using a gentle, hypoallergenic moisturizer or a natural oil like coconut oil, which has antibacterial properties and can soothe the skin.

4. Avoid Scratching: While it may be tempting to scratch due to itching, this can lead to further irritation or even infection. If the itching is severe, consider wearing a soft, breathable fabric over the area to minimize contact and irritation.

5. Monitor for Signs of Infection: Watch for any signs of infection, such as increased redness, swelling, warmth, or discharge from the wound. If you notice any of these symptoms, it’s important to seek medical attention promptly.


When to Seek Medical Advice
1. Persistent Symptoms: If the itching and discomfort persist beyond a few days or worsen, it may be time to consult a healthcare professional. Persistent symptoms can indicate that the wound is not healing properly or that there may be an underlying issue.

2. Signs of Infection: If you observe any signs of infection, such as pus, increased pain, or fever, you should seek medical advice immediately. Infections can escalate quickly, and timely intervention is crucial.

3. Allergic Reactions: If you decide to use any topical medications or creams and notice any adverse reactions, such as increased redness, swelling, or rash, discontinue use and consult a healthcare provider.

4. Specialized Care: If the scratch is deep, or if you have concerns about scarring or skin integrity, it may be beneficial to see a dermatologist. They can provide specialized care and recommend appropriate treatments, including topical medications that are safe for breastfeeding mothers.

5. Breastfeeding Concerns: If you are worried about the impact of any treatment on breastfeeding, it’s essential to discuss this with your healthcare provider. They can recommend safe options that won’t affect your baby.


Conclusion
In summary, while many minor scratches can heal naturally with proper care, it’s essential to monitor the wound closely for any signs of complications. Keeping the area clean, moisturized, and free from irritants is key to promoting healing. If symptoms persist or worsen, or if you notice signs of infection, do not hesitate to seek medical advice. Consulting with a healthcare provider, whether a general practitioner or a dermatologist, can provide you with the best course of action tailored to your specific situation. Remember, your health and the health of your baby are paramount, so prioritize seeking professional guidance when in doubt.

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