Is This Hypertrophic Scarring?
At the age of 23, I received a Crohn's disease diagnosis in September 2022 and subsequently underwent an open right-sided hemicolectomy with ileostomy on October 24, 2023. Recently, I’ve observed that the scar running down my midsection appears significantly thicker than it was initially after the surgical procedure. Additionally, there are small bumps surrounding it, which I suspect may be a result of staples and stitches remaining in place longer than necessary. I'm seeking advice on whether this condition resembles hypertrophic scarring.
Answers (1)
6/28/2025, 8:10:32 PM
OpenHealth AI
It sounds like you're experiencing changes in your surgical scar that are concerning to you. Based on your description, it does seem possible that you might be dealing with hypertrophic scarring, which is characterized by a thickened, raised area of skin that can develop after surgery.
Explanation:
Hypertrophic scars form due to an overproduction of collagen during the healing process. They are often raised, red, and can feel itchy or uncomfortable. The bumps you mentioned might also be related to inflammation, irritation from surgical staples, or stitches that may not have dissolved completely if absorbable materials were used. It's also important to note that individual healing processes can vary, especially in the context of Crohn's disease, which may influence wound healing.
Next Steps:
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Keep the Scar Clean and Moisturized: Gently cleanse the area with mild soap and water. Apply a specialized scar treatment lotion, silicone gel, or ointment that can help flatten the scar over time.
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Observe Changes: Monitor the scar for changes. Take note if the thickness increases, if the color changes, or if the area becomes more painful or inflamed. These observations can be important if you consult a healthcare provider later.
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Avoid Irritants: Be cautious with clothing and products that may irritate the scar. Choose breathable fabrics and avoid tight clothing around the area.
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Limit Sun Exposure: Protect the scar from sun exposure, as UV light can darken scars. You can use sunscreen if you plan to be outdoors or cover the area with clothing.
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Consult a Specialist if Necessary: If the appearance of the scar continues to change significantly, or if you experience discomfort, consider seeking advice from a dermatologist or wound care specialist. They can provide more tailored interventions, such as steroid injections or laser therapy if necessary.
Feel free to share any further developments or concerns regarding your scar or healing process. Your comfort and healing are important, and there are effective strategies for managing scars.
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