Dr. Atishay Bukharia
Dermatology
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Patient's Query
Hi doctor,
Four days ago, boiling water burnt my buttocks. I had pain only on the first day. I am using sterile gauze Silver sulfadiazine and Bacitracin antibiotic cream or spray. Today it started paining while changing the dressing. What is the level of burn? I have attached photo for your reference. What is the best treatment?
Hi,
Welcome to icliniq.com.
It is a first degree burn as you can see the eroded skin (attachment removed to protect patient identity). Systemic antibiotic is needed along with topical and daily dressing. Stop Bacitracin, as it can cause sensitization in many individuals. Continue Silver sulfadiazine thrice daily. Daily dressing and cleaning with Betadine lotion is a must. Certain injections should be taken: Injection Piperacillin/Tazobactam 4.5 g IV bd for 7 days, injection Metronidazole, 1 vial IV tid for 7 days, and injection Pantoprazole, 1 vial IV od for 7 days. Drink at least 1.32 gallons of water daily, otherwise you may need injectable fluid also. Take healthy proteinaceous diet and drink lot of coconut water as it contains minerals.
Patient's Query
Hi doctor,
Can I use Aquacel dressing?
Hi,
Welcome back to icliniq.com.
Yes, you can use. But, make sure to apply Betadine lotion right before dressing. Be careful as I am talking about Betadine lotion and not ointment.
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Dermatology
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