Assessing My Wound: Am I Healing or Facing an Infection?
Greetings! As someone who tends to worry about health issues, I would greatly appreciate an evaluation of my wound from a medical perspective. To provide some background, I am a 26-year-old woman who sustained a significant puncture from a piece of rusty chicken wire near a drainage area. For the past week, I've been on co-amoxiclav antibiotics, taking two doses daily. Additionally, I've been treating the wound with chlorhexidine spray and applying mupirocin ointment, as well as taking mefenamic acid three times a day. I also received both my tetanus booster and the first dose of immunoglobulin. My main worry is that, despite the wound appearing to close well on the second day, my foot has become quite swollen and inflamed, having undergone significant swelling for the last day. What signs should I look for to determine if my wound is healing properly or if there’s an infection present? Thank you for your assistance!
Answers (1)

7/26/2025, 11:20:40 AM
OpenHealth AI
It's understandable to be concerned about your wound and potential infection, especially given its nature and the treatments you've been receiving. Let’s break down the key points regarding wound healing and signs of infection.
Main Points:
- Healing Signs vs. Infection Signs: Monitoring specific changes in your wound can help assess healing and detect infection.
- Current Treatments: Your use of antibiotics, wound care products, and pain management is appropriate.
- Next Steps: We will outline clear indicators of healing versus infection, and specific actions to take.
Explanation:
When you sustain a puncture wound, especially from something like rusty metal, it's crucial to keep a close eye on the wound's condition. Healing generally involves gradual improvements in swelling, pain, and appearance. Infections, on the other hand, can cause worsening symptoms.
Signs of Healing:
- Decreased pain and swelling around the wound
- Reduction in redness and warmth as time goes on
- Formation of new skin or scabbing over the wound
- Clear or slightly cloudy drainage (not pus) is normal initially
Signs of Infection:
- Increasing redness spreading away from the wound
- Persistent or increasing swelling in your foot or leg
- Warmth around the wound that does not improve
- Pus or unusual discharge (yellow or green)
- Fever or chills
- Increasing pain instead of improvement
Next Steps:
-
Monitor Changes: Keep a close eye on the wound. Take note of any worsening symptoms—if swelling or redness increases significantly, or if you experience fever.
-
Continue Treatment: Stay consistent with your antibiotic regimen and wound care as prescribed. Ensure you're applying the mupirocin ointment regularly.
-
Rest and Elevate: To help with swelling, try to rest the foot and keep it elevated to reduce swelling. Apply ice packs wrapped in a cloth for about 15-20 minutes at a time, several times a day.
-
Document Findings: Keep a daily log of what you observe around your wound. This includes changes in size, color, swelling, and any pain.
-
Seek Further Help If Needed: If you notice any signs of infection mentioned above or feel very concerned about the swelling and inflammation, it's important to follow up with a healthcare professional as soon as possible.
Remember, while some swelling can be normal, especially with puncture wounds, significant or worsening symptoms should not be ignored. You’re doing well to care for your wound, and staying vigilant will aid in your recovery. If you have any further concerns, don’t hesitate to reach out for more guidance.
Related Questions
Dealing with Dizziness and Health Challenges
Hello everyone, I’m a stage 4 cancer fighter standing at 5'6" and weighing 92.3 kg. Recently, I had a blood transfusion because my hemoglobin levels had plummeted to 7.4 three weeks prior. I went in for chemotherapy last week, but my neutrophil count was dreadfully low at .36, which meant I couldn’t proceed with the treatment. We’re now scheduled to try again this Wednesday, with hopes for a treatment session on Thursday. Yesterday, I experienced frequent bouts of lightheadedness whenever I moved my head, and today has been somewhat similar. Earlier, I felt quite nauseous but, unfortunately, I didn’t have any anti-nausea medication on hand. Later in the afternoon, my nausea returned, and I ended up vomiting before I could take Zofran. My current regimen, apart from the chemotherapy, includes a multivitamin, calcium with vitamin D, senna, a zinc supplement to address a deficiency, 175 mcg of Levothyroxine daily, 10 mg of Eliquis each day, 40 mg of Pantoprazole twice daily, a .075 mg Estradiol Transdermal System per day, and 200 mg of Progesterone daily. Additionally, I take 60 mg of Duloxetine daily for pain management due to a fractured femur, use a Butrans patch delivering 20 mcg per hour for pain control, and take Olanzapine 5 mg to help me sleep. I also take Pepcid before bedtime. A friend of mine is worried that my hemoglobin may have dropped again and thinks I shouldn’t wait until Wednesday to monitor my lab results. The nearest emergency department affiliated with my care team is quite far away—93 miles each way—and since I can’t drive due to my femur injury, I would rely on someone else for transportation. Additionally, driving while feeling dizzy is not ideal. If any medical professionals have advice or insights, I would greatly appreciate your input. I’m truly thankful for the support I’ve received throughout this difficult journey, and I aspire to pursue a career in medicine after overcoming this relentless cancer. I’m considered treatable but not curable, and I’m currently on my last treatment option for esophageal cancer. I cherish all the wonderful people I’ve met during this process, including nurses and doctors who feel like family. So, even on your hardest days, know that there are patients like me who find inspiration in your dedication to helping us! ❤️
Understanding Arachnoid Cysts: My Experience
I am a 29-year-old woman living in the southern region of the United States. I occasionally indulge in vaping and consume alcohol. In January 2021, I was involved in a car accident, during which doctors discovered an arachnoid cyst measuring 3.5cm by 2.2cm by 2.4cm. Six months post-accident, I underwent an MRI scan that revealed the cyst had slightly increased in size to 3.6cm by 2.4cm by 2.8cm. The medical professionals reassured me that this was not a cause for alarm. However, just yesterday, I found myself at the emergency room of a different hospital due to numbness and heaviness in my left arm. Initially, the medical team suspected it might be a stroke, leading to a series of tests. Ultimately, they determined that I was experiencing hyperventilation and released me a few hours later, though they noted the presence of an arachnoid cyst. Upon reviewing my medical report, I saw that the cyst had now increased to 4.4cm by 3.2cm. Comparing it to my earlier findings (I do not have past imaging), it appears that the cyst is accumulating more fluid. The hospital I visited referred me to a neurologist, and I plan to make the call on Monday. I had always believed that arachnoid cysts were generally stable and did not enlarge. Should I be worried about this development?
Tingling Sensation in Left Leg
Hello everyone, I’m a 21-year-old male, standing at 6 feet 2 inches tall and weighing 175 pounds. My alcohol consumption includes around six beers weekly, plus infrequent use of nicotine (Zyn). Lately, I’ve been experiencing a tingling sensation, similar to pins and needles, in my left leg—specifically in the back of my thigh and calf area. This has been ongoing for the past week or two. Fortunately, it's not causing me any pain, but I find it concerning. The sensation is intermittent; it doesn’t occur constantly and appears to happen sporadically without any clear pattern. I haven’t noticed any weakness in my leg, and it doesn't feel numb. Instead, it’s akin to an internal itch that I can’t alleviate. I transitioned off Zoloft recently, and the tingling sensations began after I started that medication. I also experienced severe nausea during its use, which has since subsided. Due to my significant health anxiety, I’m worried that I could be facing a serious neurological disorder. I've been attending therapy to help manage my anxiety surrounding health issues. I am scheduled to consult with both my psychiatrist and primary care physician soon, but I would appreciate any initial insights or guidance that anyone might have regarding these symptoms.
Bright Red Blood on Stool Surface
Hello, I'm a 20-year-old male, and I've recently noticed bright red blood appearing on one side of my stool. Additionally, I've been experiencing some constipation during my bowel movements. There are no other symptoms accompanying this issue. What steps should I take?
Haunted by a Past Incident: A Reflection from My Youth
As a 25-year-old woman, I often find my mind drifting back to a troubling event from my adolescence. When I was just 14, I was staying at my aunt's house. One afternoon, she left me in charge of her infant son, who was merely four months old. Despite my efforts, he wouldn't stop crying. Surrounded by friends, I held him close, but overwhelmed by the noise and chaos, I unintentionally squeezed him against my chest. Although the crying persisted initially, he eventually settled down and appeared to be happy and playful. However, six hours later, when my aunt returned, she began feeding him bananas — a milestone, as it was his first experience with solid food. After a brief breastfeeding session, she laid him down to sleep. But shortly after, he woke up, letting out an excruciatingly intense cry that seemed to go on forever. My aunt and uncle, alarmed, hurried him to the hospital, where tragically, he passed away before receiving any medical attention. The following year, my aunt welcomed another baby into the family. One day, she expressed her concern, questioning why her husband was reluctant to leave me alone with their newborn. She bluntly asked, "What did you do to our son that led to his death?" At the time, I brushed off her inquiries, convinced I hadn’t harmed him at all. Yet now, more than five years later, I find myself consumed by anxiety regarding that incident. Did my embrace cause rib injuries? Was internal bleeding a factor? Could he have been unwell, which explained his cries? These thoughts swirl endlessly in my mind as I seek answers that remain just out of reach.