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Suggest Treatmentf For Skin Burn

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Posted on Mon, 21 Apr 2014
Question: Hi, My friend has chemical burns on his hand that caused his hands to be dry and peeling. He constantly wears cotton gloves and then clear plastic over them and then his work gloves to protect them from drying out. He finds that bag balm helps. do you have any suggestions?
doctor
Answered by Dr. Souvik Adhikari (21 minutes later)
Brief Answer: Ref: Chemical Burns Injury Detailed Answer: Hello, First of all let me introduce myself. I am a consultant plastic surgeon and attend to a huge number of burn cases every day. You have mentioned that your friend has chemical burns over his hands which has caused his hands to be dry and peeling. Actually, in chemical burn injury the chemical reacts with the skin protein to form an eschar which is tough and dry. The area under the eschar comprises of normal tissue. In order to promote healing in such a wound, it is advisable to use some soothing agents to make the eschar less dry so that it ultimately absorbs water and falls off. Your friend is using bag balm and you have mentioned that this helps. It is okay to use bag balm because this would act as a soothing agent and aid healing. However, one must also keep in mind that eschar might also lead to localized infection over the area of chemical burn injury therefore, it is also advisable that your frind apply some sort of antibacterial ointment over the eschar at least 2 times per day (eg. mupirocin). The areas of burn injury should be cleaned daily with soap and water and protection with clean gloves should be continued. Best wishes!
Above answer was peer-reviewed by : Dr. Raju A.T
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Follow up: Dr. Souvik Adhikari (3 hours later)
Yes, he has eschar build up that he has been cutting away with tiny nail scissors. He also has eschar on feet. The eschar build up is painful and he can no longer play the guitar. This makes him depressed.Is it advisable to cut the dry skin away? Thank you very much. You are very helpful.
doctor
Answered by Dr. Souvik Adhikari (4 hours later)
Brief Answer: Reply Detailed Answer: Hello, Yes, it is definitely helpful to cut off the eschar away and this also aids in wound healing. However, one must remember that the whole process of cutting the eschar away should be done with clean scissors/ blades and with liberal use of antiseptic solution so that there is no chance of infection emanating from the procedure. Have a nice day!
Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Yogesh D
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Answered by
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Dr. Souvik Adhikari

Cosmetic & Plastic Surgeon

Practicing since :2000

Answered : 249 Questions

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Suggest Treatmentf For Skin Burn

Brief Answer: Ref: Chemical Burns Injury Detailed Answer: Hello, First of all let me introduce myself. I am a consultant plastic surgeon and attend to a huge number of burn cases every day. You have mentioned that your friend has chemical burns over his hands which has caused his hands to be dry and peeling. Actually, in chemical burn injury the chemical reacts with the skin protein to form an eschar which is tough and dry. The area under the eschar comprises of normal tissue. In order to promote healing in such a wound, it is advisable to use some soothing agents to make the eschar less dry so that it ultimately absorbs water and falls off. Your friend is using bag balm and you have mentioned that this helps. It is okay to use bag balm because this would act as a soothing agent and aid healing. However, one must also keep in mind that eschar might also lead to localized infection over the area of chemical burn injury therefore, it is also advisable that your frind apply some sort of antibacterial ointment over the eschar at least 2 times per day (eg. mupirocin). The areas of burn injury should be cleaned daily with soap and water and protection with clean gloves should be continued. Best wishes!