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What Is The Treatment For Burned Skin?

Posted on Thu, 3 Apr 2014

Question: hi , 8 days back i got burned by boiling water. While cleaning it in water some of the skin got removed. i am applying silverex continuously on the wound but it is still wet with some blood spot and yellow spot . what should i do next and how much time will it take to cure

Answered by Dr. Vaibhav Gandhi (28 minutes later)

Brief Answer: Healed within two to three weeks. Detailed Answer: Hello, Thanks for writing to us, I have studied your case with diligence. The aim of treatment is to remove non-viable tissue, control colonisation, manage exudates and achieve coverage of the wound as quickly as possible As it may take some time for the depth of the burn and the potential outcome to be fully realised. If the burn has not healed within two to three weeks then you need specialist management. The ideal burn dressing should:- Control colonisation;- Promote rapid granulation and epithelialisation Silver sulphadiazine cream At one time, silver sulphadiazine cream was seen as the ‘gold standard’ burn dressing. Now its use is being questioned as it discolours the wound (making assessment difficult), macerates healthy tissue and may cause kernicterus. Also, as silver may be absorbed into the body through an open burn it may have a cytotoxic effect on neutrophils and lymphocytes and contribute to local immune dysfunction After this the wound will be dressed with a non-adherent dressing designed to promote moist wound-healing. Follow-up once healing has occurred you can do massage the area with a non-irritating mild lubricating cream to help restore normal texture and prevent dryness. Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care.

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

Follow up: Dr. Vaibhav Gandhi (23 hours later)

i went to the market but the silver sulphadiazine cream is not available i got the 'bactigras chlorhexidine gauze' dressing and on it i am applying 'neomycin and Polymyxin B Sulfates Zinc Oilment USP'. I am also taking vitamin c tablet. will this cure the wound or i need to do something else

Answered by Dr. Vaibhav Gandhi (13 minutes later)

Brief Answer: Yes it will help. Detailed Answer: Hello again, Bactigras will help,but if you apply two on same area will help more[Use two layers] Use antibiotic till signs of infection are there,later on only bactigras. If scar persist after healing then you can send a clinical photo so that I can guide you further. Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care.

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

Follow up: Dr. Vaibhav Gandhi (2 days later)

can u prescribe any antibiotic tablet to accelerate the healing process.

Answered by Dr. Vaibhav Gandhi (2 hours later)

Brief Answer: Is it required? Detailed Answer: Hello again If it is required you can take augmentin 625 twice a day. Take tablet celin daily for one month. Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care.

Note: For further follow-up it is advisable to consult an emergency medicine specialist. Click here.

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