HomeAnswersplastic surgery-reconstructive and cosmetic surgeryburns

How is first-degree burn management done effectively?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

Four days ago, boiling water burnt my buttocks. I had pain only on the first day. I use sterile gauze, Silver sulfadiazine, and a bacterial antibiotic cream or spray.

Recently, it started hurting while changing the dressing. What is the level of burn? I have attached a photo for your reference. What is the best treatment? Please help.

Thank you.
Answered by Dr. Atishay Bukharia

Education:

MBBS

Professional Bio:

Dr. Atishay Bukharia is a skilled specialist in Dermatology, Venereology, and Leprosy, with expertise in treating skin, hair, and nail disorders, sexually transmitted infections, and leprosy-related conditions. He is proficient in advanced dermatological procedures, clinical diagnosis, and patient-focused care. Dr. Bukharia is committed to providing comprehensive, evidence-based treatments to promote healthy skin and improve patients' overall dermatological well-being.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Hi,

Welcome to icliniq.com.

I read your query and can understand your concern.

It is a first-degree burn, as you can see the eroded skin (attachment removed to protect patient identity). You will need a systemic antibiotic along with topical care and daily dressings. Please stop using Bacitracin, as it can cause skin sensitization in many people. Instead, continue applying Silver sulfadiazine cream three times a day.

Make sure you do daily wound cleaning and dressing with Betadine lotion. In addition, the following injections are advised:

  • Piperacillin or Tazobactam 4.5 g IV, twice daily for seven days.
  • Metronidazole IV, three times daily for seven days.
  • Pantoprazole IV, once daily for seven days.

It is very important to stay hydrated. Drink at least 1.32 gallons (5 liters) of water per day. If you are unable to maintain this, you may also require IV fluids.

Eat a high-protein diet to support healing, and add plenty of coconut water, as it is rich in essential minerals and helps with recovery.

I hope this helps.

Kindly revert so I can assist you further.

Thank you.

Patient's Query

Hi doctor,

Thank you for the reply.

Can I use Aquacel dressing?

Thank you.

Answered by Dr. Atishay Bukharia

Education:

MBBS

Professional Bio:

Dr. Atishay Bukharia is a skilled specialist in Dermatology, Venereology, and Leprosy, with expertise in treating skin, hair, and nail disorders, sexually transmitted infections, and leprosy-related conditions. He is proficient in advanced dermatological procedures, clinical diagnosis, and patient-focused care. Dr. Bukharia is committed to providing comprehensive, evidence-based treatments to promote healthy skin and improve patients' overall dermatological well-being.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Hi,

Welcome back to icliniq.com.

Yes, you can use it. But make sure to apply Betadine lotion right before dressing. Be careful, as I am talking about Betadine lotion, not ointment.

I hope this helps.

Kindly revert so I can assist you further.

Thank you.

Medically reviewed by Dr. Sneha Kannan
Published At February 4, 2016
Reviewed At October 8, 2025

Education:

MBBS

Professional Bio:

Dr. Atishay Bukharia is a skilled specialist in Dermatology, Venereology, and Leprosy, with expertise in treating skin, hair, and nail disorders, sexually transmitted infections, and leprosy-related conditions. He is proficient in advanced dermatological procedures, clinical diagnosis, and patient-focused care. Dr. Bukharia is committed to providing comprehensive, evidence-based treatments to promote healthy skin and improve patients' overall dermatological well-being.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Education:

BDS

Professional Bio:

Dr. Sneha Kannan is a skilled Dental Surgeon with expertise in providing general dental care, including scaling, fillings, and preventive treatments. She does oral surgery procedures such as extractions and minor surgical interventions. She does procedures in restorative dentistry, including crowns, bridges, and dentures. She is an expert in doing endodontic treatments such as root canal therapy. She is well-versed in doing procedures in cosmetic dentistry, including teeth whitening and smile correction. She can provide pediatric dental care for children’s oral health and preventive treatments. She promotes oral hygiene awareness and preventive dental practices.  

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Atishay Bukharia
Dr. Atishay Bukharia

Dermatology

Education:

MBBS

Professional Bio:

Dr. Atishay Bukharia is a skilled specialist in Dermatology, Venereology, and Leprosy, with expertise in treating skin, hair, and nail disorders, sexually transmitted infections, and leprosy-related conditions. He is proficient in advanced dermatological procedures, clinical diagnosis, and patient-focused care. Dr. Bukharia is committed to providing comprehensive, evidence-based treatments to promote healthy skin and improve patients' overall dermatological well-being.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
Listen to related tracks in our music library

Related Questions

Please suggest some ointment for burn injury.

I have a very lean body build. I want to increase my muscle mass. Give me a diet suggestion

Kindly suggest a diet plan to reduce fat in the stomach area.

What treatment can be done to cure sore throat?

What is the best treatment for burn?

How to prevent bleeding on brushing?

Comprehensive Second Opinion

Read answers about:

betadinemetronidazoleburns

Ask your health query to a doctor online

Plastic surgery Reconstructive and cosmetic surgery

*guaranteed answer within 4 hours

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.