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Suggest Treatment For An Open Infected Wound

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Posted on Mon, 23 Jun 2014
Question: As per my previous post and answer I called my pharmacist who gave my mom a list if things to do such as flush the wound which mom said one side looked fine but she said the other side towards the outside of my knee was starting to look a little reddish pink and angry she flushed them with warm water used Spero-strips to seal the wounds put neosporian over them then babe he it and wrap in a ace bandage however the wound on the outside is burning and itching and aching I've taken two 5mm Norco but it's not doing much in terms of the pain I have an appt with my Dr set for Wed afternoon but the pain is just awful, what can I do?
doctor
Answered by Dr. Shoaib Khan (4 days later)
Brief Answer:
Strongly advise antibiotics, not pain killers

Detailed Answer:
Hello ma'am and welome.

Thank you for writing to us.

I have gone through your query and have also seen the images you have attached, although they were not very clear I could still tell that the wound is open and surely requires medical attention or else it will surely get infected.

First of all, that doctors appointment is a mandate, please make sure that is scheduled and is followed up.

Now for the wound, please make sure you clean it well enough with an antiseptic solution like betadine. Please also buy some sterile bandage, cotton and pads. Once the wound has been cleaned with betadine, clean it with the sterile cotton and add some neosporin on the sterile pad and place it directly on top of the wound. Once this has been done, apply the sterile bandage on top of the pad. Make sure you keep the region clean and dry. This bandage will require changing once a day.

But, the most important aspect of your treatment regimen is an oral antibiotic. This is the one most important aspect which will promote healing and prevent infections. Please make sure you request for the same at the earliest from your doctor.

As for the pain, I would strongly recommend against the use of strong antibiotics ma'am. They only do more harm than good. I understand the pain is quite severe and is affecting your quality of life, but the main treatment that would reduce the pain and help improve your wound is the antibiotic coverage, so you need to initiate the same at the earliest. For now, use whatever pain medication you can get your hands on ma'am.

I hope you understand why I strongly advise against the pain killers ma'am. Please feel free to write back to me for any further clarifications, I would be more than happy to help.

Best wishes.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Shoaib Khan (38 minutes later)
I went to my Dr who gave me 500mg of keflex three times a day and told me to keep the wound clean and dry . He also gave me plenty of Norco 7.5/325 to Help with pain is there any thing else I should be doing or not doing thank you for your valuable time and consideration. They decided not to stitch it back up was that the right move?
doctor
Answered by Dr. Shoaib Khan (21 minutes later)
Brief Answer:
Continue same, hot pack, no sutures are fine

Detailed Answer:
Hello once again ma;am.

It is greatly reassuring to know that you are on antibiotic coverage, this will promote wound healing and also reduce all symptoms gradually.

Usually, if the wound is small, sutures are not required. Doctors decide against sutures as this is more convenient for the patient, who would otherwise have to make several doctors visits to check on the sutures, dressing, and then finally removal of the sutures. But if the wound was a deep seated one, sutures are a mandate to avoid infections.

From the given image, your wound does not look like a deep seated one, but I cannot be too sure because your images are not very clear.

As for the pain, in your best interest I would strongly advise against the use of any more pain management medication. Norco 7.5/325 is strong enough for a wound the size of yours. If at all you wish, you could initiate a hot/warm application on the affected region which will promote blood circulation and in turn promote healing and reduce pain.

I hope I have helped you with the information you were seeking. Please do not hesitate to write back to me for any further assistance, it would be my pleasure entirely.

Best wishes.
Note: Revert back with your health reports to get further guidance on your gastric problems. Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Shoaib Khan

General & Family Physician

Practicing since :2009

Answered : 9409 Questions

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Suggest Treatment For An Open Infected Wound

Brief Answer: Strongly advise antibiotics, not pain killers Detailed Answer: Hello ma'am and welome. Thank you for writing to us. I have gone through your query and have also seen the images you have attached, although they were not very clear I could still tell that the wound is open and surely requires medical attention or else it will surely get infected. First of all, that doctors appointment is a mandate, please make sure that is scheduled and is followed up. Now for the wound, please make sure you clean it well enough with an antiseptic solution like betadine. Please also buy some sterile bandage, cotton and pads. Once the wound has been cleaned with betadine, clean it with the sterile cotton and add some neosporin on the sterile pad and place it directly on top of the wound. Once this has been done, apply the sterile bandage on top of the pad. Make sure you keep the region clean and dry. This bandage will require changing once a day. But, the most important aspect of your treatment regimen is an oral antibiotic. This is the one most important aspect which will promote healing and prevent infections. Please make sure you request for the same at the earliest from your doctor. As for the pain, I would strongly recommend against the use of strong antibiotics ma'am. They only do more harm than good. I understand the pain is quite severe and is affecting your quality of life, but the main treatment that would reduce the pain and help improve your wound is the antibiotic coverage, so you need to initiate the same at the earliest. For now, use whatever pain medication you can get your hands on ma'am. I hope you understand why I strongly advise against the pain killers ma'am. Please feel free to write back to me for any further clarifications, I would be more than happy to help. Best wishes.