The removal of dead and infected tissue from an open wound is called wound debridement. By removing the dead tissue and bacteria, the risk of infection is reduced, which also promotes healing.
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Will the cut in my thumb with exposed bone heal?
Query: Hi doctor, The tip of my thumb got cut, and a little amount of bone was exposed, but not damaged. We used a clotting powder, and it formed a huge scab. Will it heal? Read Full »
Answer: Hi, Welcome to icliniq.com. It looks like you have a deep soft tissue injury. You need to take care of the following three things. Keep the area clean to avoid infection. Remove all dead or non-viable tissues. Avoid applying any inert substances, as it may slow healing. I hope it is... Read Full »
Can nontuberculous mycobacteria infection be treated only by surgery?
Query: Hello doctor,I am 30 years old and married for the last 3.5 years. One and a half years back, I had a surgery to remove ovarian cyst and fibroid tumor from uterus by laparoscopy. But, somehow one incision area got infected and I was under antibiotic for almost five months. Meantime, I relocated and ... Read Full »
Answer: Hi, Welcome to icliniq.com. It is unfortunate that you have to undergo repeated surgeries due to the infection. A combined therapeutic approach including surgical drainage, debridement, and prolonged treatment (more than three months) with combined antimicrobial agents, has been used in managing c... Read Full »
A white-tailed spider bit me, and my condition did not improve after debridement. What should I do next?
Query: Hello doctor,I was bitten by a white tail spider about six weeks ago on my leg. I have been to the doctor every day for dressing. About three weeks ago, I was hospitalized, and they removed the dead skin and cleaned it. I still go to the doctor every second day for dressing, but the condition is not... Read Full »
Answer: Hello, Welcome to icliniq.com. White-tail spider bites may not cause necrosis. It may cause erythema or rash and subside in two to three weeks. Few studies have shown that white-tail spider bites or necrotic arachnidism were found to have alternative diagnoses with appropriate investigations. This... Read Full »
I had a third-degree burn due to motorcycle silencer. Why is it not improving?
Query: Hello doctor, I am a 24 year old male. I had a third-degree burn on my right feet because of motorcycle silencer. I got it treated with dressing for two weeks. They said the dead skin needs to be debrided. Then, they said there is infection and bone exposed. Now, I am using NPWT machine for two week... Read Full »
Answer: Hello, Welcome to icliniq.com. Silencer burn is a contact burn which is usually superficial and proper dressing and management would not have let the burns go so deep. In the pictures (attachment removed to protect patient identity), it is clear that the bone is exposed and is a bit infected and i... Read Full »
I think I have skin necrosis after a cyst removal surgery. Or is it just infection?
Query: Hello doctor, I got a cyst removed from my breast and now I think I have skin necrosis. It seemed to be healing fine but I thought the stitches dissolved a bit soon. First, I had a huge bruise, then I got a scab off to the side of the incision. The scab went away within a couple days and skin seems ... Read Full »
Answer: Hello, Welcome to icliniq.com. I have noted your concern and I have viewed the image (attachment removed to protect patient identity). It seems like the wound has got infected. I would suggest a course of an oral antibiotic either Amoxicillin or Cephalexin for a week or 10 days. Consult your spec... Read Full »
I have a thorn deep inside my finger. How can I remove it?
Query: Hi doctor, I have a thorn deep in my finger. I can hardly see the tip of it. I have tried using tweezers and baking soda and water mix. It has started to become infected. Please help. Read Full »
Answer: Hi, Welcome to icliniq.com. Sorry to hear about your mishap. The most significant concern regarding thorns, splinters, etc., in the tissue, is not really the foreign object itself, but rather the open communicating tract that it forms. This allows microbial pathogens to bypass the protective skin la... Read Full »
Is the pink area around a wound with burning sensation indicative of infection?
Query: Hi doctor, I obtained this injury this past Sunday. I am worried it may be infected. My PCP put on the antibiotic Doxycycline Monday twice a day for ten days. Will that take care of the infection if there is one, or do I need to have it looked at? It is burning around the pink area. Kindly give you... Read Full »
Answer: Hi, Welcome to icliniq.com. Calamine lotion three times daily for soothing of lesions (if burning) for 20 days. I suggest taking tablet Emanzen D (Diclofenac and Serratiopeptidase) twice daily for three days (if tender or painful), tablet Roxid 150 mg (Roxithromycin and Ambroxol) twice daily after... Read Full »
Why is my mother's leg wound, not healing for months?
Query: Hi doctor,I need an opinion from a general surgeon regarding my mother's wound. My mother is 81 years and she has wound for a year. She has consulted three doctors and done some laboratory tests. Based on her reports, the first doctor suggested her to use Mupirocin ointment and Mefenamic acid. It ha... Read Full »
Answer: Hi, Welcome to icliniq.com. I have gone through the image and laboratory reports of your mother (attachment removed to protect patient identity). She has an ulcer in her leg on the medial aspect. It seems to be a chronic non-healing ulcer as the margins are sharp and the base is filled with yellow... Read Full »
Does my wife need any more surgery?
Query: Hi doctor, I have doubts on behalf of my wife. Three days back, she met with an accident and got her foot injured. Her heel got severe damage and after diagnosis doctor said the following. Left heel pad avulsion injury, communicated fracture calcaneum left foot and medial malleolus fracture o... Read Full »
Answer: Hello, Welcome to icliniq.com. You have mentioned that your wife sustained an injury to her left limb with extensive injury of the heel region and around the ankle. I presume an external fixator has been applied along with debridement and suturing the wound. It is an understatement to say that it i... Read Full »
What is the reason for the pain at the bottom side of the back in a geriatric patient?
Query: Hi doctor, My mother, who is 84 years old, was admitted to the hospital for six days (discharge summary attached). In an intervening period of two days, she was admitted to another hospital (discharge card attached) for dialysis and brought back to the same hospital. She was shifted from the previo... Read Full »
Answer: Hello, Welcome to icliniq.com. I have seen all reports (attachment removed to protect patient identity) and discharge summary. She is a known CKD (Chronic kidney disease) with diabetes, hypertension, and bedsores. As per investigation and report, blood pressure and diabetes are under control now... Read Full »