How can I treat a painful red sore on my C-section scar?

Hello,

Welcome to icliniq.com.

Thank you so much for sharing your concern with me.

Based on your description, the most likely diagnosis is suture granuloma. This occurs when a small piece of surgical thread (suture) from a previous surgery remains under the skin. The body can react to this thread, which may cause a tiny sore or opening on the scar, a visible thread coming out, redness, and occasional pain. This can appear months or even years after surgery, including after a cesarean section.

Another possible diagnosis is a stitch abscess, which can occur if a retained stitch becomes mildly infected. This may cause redness around the scar, tenderness, a small sore with a visible thread, and sometimes a little discharge. In many cases, the body naturally pushes the stitch out through the skin, a process sometimes called “spitting sutures.”

A doctor can also easily remove the exposed thread, which usually resolves the problem. You should see a doctor or gynecologist if possible. They may clean the area, remove the exposed stitch, and prescribe a topical antibiotic if there is a mild infection. This is usually a quick clinic procedure and is not considered serious.

Until you see a doctor, keep the area clean and dry, wash it gently with mild soap and water, do not pull the thread yourself, and avoid tight clothing that may rub against the scar.

Seek medical care sooner if you notice increasing redness or swelling, pus or foul-smelling discharge, fever, or spreading pain.

Overall, your symptoms are most consistent with a suture granuloma from a retained stitch after your cesarean section.

I hope this helps you.

Thank you.