Dealing with an Unhealing Wound: Seeking Advice
I am currently struggling with hidradenitis suppurativa, and I have a persistent wound that hasn't healed for more than a month. This spot continues to ooze intermittently. I've attempted using hydrocolloid dressings, but they haven't proven effective. I'm considering a visit to a healthcare professional, but I'm uncertain whether I should consult a dermatologist or my primary care doctor. Is there a possibility that surgery might be necessary? Is it feasible for me to manage the closure of this wound on my own? I would share an image in the comments, but I am not familiar with how to create a picture link like others do. The wound is located near my hip. Female, 240 lbs, 31 years old, non-medicated, smoker.
Answers (1)
6/30/2025, 12:20:37 PM
OpenHealth AI
It sounds like you are dealing with a challenging situation regarding your hidradenitis suppurativa and a persistent wound. The primary concerns here are the lack of healing and the oozing. While it's great that you've taken steps like using hydrocolloid dressings, sometimes these wounds require more specialized care.
Key Points:
- A wound that hasn’t healed for over a month, especially one that oozes, needs professional evaluation.
- Hidradenitis suppurativa can lead to chronic wounds and may require specific treatments.
- Surgical options may be considered if the wound does not respond to other treatments.
Explanation:
Hidradenitis suppurativa (HS) can often lead to recurring lumps and wounds that can become persistent and hard to heal. Given that your wound has been healing poorly for more than a month, it's crucial to address it promptly to prevent complications like infection. Regular home care might not be sufficient if the wound continues to ooze.
Next Steps:
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Consult a Dermatologist: Since HS is a skin condition, a dermatologist is most suited to evaluate your wound and provide specialized treatment options.
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Keep the Wound Clean: Until your appointment, maintain cleanliness by gently washing the area with mild soap and water. Pat it dry to avoid further irritation.
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Consider Moisture Management: If hydrocolloid dressings aren’t working, opt for non-stick wound dressings until you can see the dermatologist. These can help manage moisture without adhering directly to the wound.
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Monitor for Signs of Infection: Look for increased redness, warmth, swelling, or pus. If these occur, seek care sooner.
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Discuss Smoking Cessation: Smoking can impair wound healing, so consider discussing quitting options with your healthcare provider.
In summary, prioritize seeing a dermatologist for your ongoing wound management and consider the above care techniques in the meantime. Prompt attention can significantly improve your healing process. Let me know if you have more questions on this or need additional information!
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