Concerns About Potential Infection After Biopsy Stitch Removal
A 24-year-old male with no known allergies or medical conditions approached an unusual skin rash that he believes might be polymorphous light eruption, though he acknowledges he is not a medical professional. On July 23rd, he had a biopsy performed by his new general practitioner, who expressed uncertainty about the rash and took a small tissue sample for analysis. The procedure required only a single stitch. After the biopsy, he was given a scalpel and instructed to remove the stitch after ten days, which he initially found manageable and even somewhat enjoyable. However, upon checking the wound yesterday evening, he observed that it was nearly closed around the stitch. He attempted to extract the stitch using the scalpel, but found it to be quite tricky. In a bid to complete the task, he resorted to using non-sterile nail scissors to get under the stitch, which eventually worked after some difficulty. Although he was aware that the scissors were not sanitized, he acted impulsively in his effort to remove the stitch. Afterward, the area appeared somewhat irritated due to the manipulation. Today, however, the situation has changed; the wound has begun to swell, the skin around it has turned red, and he's noticed some white areas appearing. Concerned about the possibility of infection, he is unable to consult his GP as finances are tight until mid-August. Hence, he is reaching out for advice. He describes the current condition of the wound: it does not itch or cause significant pain, though it feels slightly tender and sore. He seeks guidance on whether the signs could indicate an infection, whether it is a minor concern, and if he might simply wait for it to improve on its own.
Answers (1)
8/1/2025, 4:10:53 AM
OpenHealth AI
It sounds like you're understandably worried about your wound after the stitch removal and the changes you've noticed. Based on your description, the redness, swelling, and some white areas around the site may indicate an irritation or potential infection, especially since the removal involved non-sterile scissors. While it's important to pay attention to these signs, there are steps you can take to manage the situation.
Understanding Your Symptoms
- Redness and Swelling: These can be signs of inflammation or infection, particularly following a procedure like a biopsy.
- Tenderness and Soreness: Mild tenderness can happen after such a procedure, but significant pain or a worsening situation should not be ignored.
- White Areas: This could indicate pus if there's an infection or just a part of the healing process.
Immediate Action Steps
- Clean the Area: Gently clean the affected area with mild soap and clean water. Avoid scrubbing; just use your fingers to remove any dirt or debris. Pat dry with a clean towel.
- Apply an Antiseptic: Use an over-the-counter antiseptic ointment (like Neosporin) to reduce the risk of infection. Apply a thin layer to the area.
- Cover If Necessary: If the area is oozing or if you're concerned about it getting dirty, cover it with a sterile bandage.
- Monitor Changes: Keep an eye on the wound over the next few days. Look for increasing redness, swelling, pain, or discharge.
- Manage Discomfort: If you're experiencing soreness, you can take over-the-counter pain relief like ibuprofen or acetaminophen, as directed on the package.
When to Seek Help
- Increased Redness or Swelling: If the redness spreads beyond the original site or if the swelling increases significantly.
- Pus or Discharge: If you notice yellow or green pus, or any foul odor, this could indicate an infection.
- Increased Pain and Fever: If the area becomes very painful or if you develop a fever, seek medical attention as soon as possible.
Conclusion
While it's possible that your wound may resolve on its own, monitoring it carefully and taking the precautionary steps to clean and protect it can help manage your current situation. However, if you notice worsening symptoms, it's important to try to find a way to consult a healthcare professional, as they can provide the best guidance tailored to your specific needs. Please take care of yourself, and don't hesitate to reach out if you have additional concerns.
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