What should I do if I have an esophageal burn?

Written by Wang Ji Zhong
Internal Medicine
Updated on September 20, 2024
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Esophageal burns are a common and frequently occurring condition caused by consuming food or for other reasons where the temperature is too high, which damages the mucous membrane of the esophagus. At that time, one should immediately stop eating to reduce harm to the body. For mild cases, one can orally take egg whites or milk to protect the injured esophageal mucosa. Severe cases need to go to the hospital for medical treatment, take gastric mucosal protectants to prevent the formation of esophageal mucosal scars, prevent esophageal stricture, and at the same time, receive intravenous fluids, enhance nutritional support, supplement necessary vitamins, and can also use some drugs that promote the recovery of the esophageal mucosa, minimizing the damage of esophageal burns to the body.

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Written by Wang Xiang Li
Emergency Medicine
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Do you need to bandage after a burn?

Whether bandaging is needed depends on the severity of the burn. Generally, if it's just simple redness, no bandaging is needed. After the local skin is scalded, if blisters form, it is considered a superficial second-degree burn. You can first rinse with cold water or soak in cold water for more than half an hour, or apply ice to reduce the pain. Before bandaging, clean the wound with hydrogen peroxide, then disinfect the wound surface with iodine, release the water inside the blister while keeping the blister skin, then apply burn ointment on the gauze, cover the wound surface, and then use multiple layers of dry gauze for bandaging. Generally, change the dressing every three days, and recovery can occur within two weeks, leaving no scars later. Patients should maintain a light diet, eat fresh vegetables and fruits, avoid spicy and stimulating food, and abstain from alcohol.

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Written by Li Xiao Lin
Emergency Department
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How to deal with blisters from a burn when there is no burn ointment available

After a burn causes blisters, it indicates that the burn is quite severe. If you don’t have burn ointment, there are two other methods that can be adopted. The first method is applicable if the blister is small and contains little fluid. You can protect the blister from infection by thoroughly disinfecting the area and then covering it with sterile gauze to wait for the blister to be absorbed. If the blister is large and filled with significant fluid, you can use a needle to drain it or make a small incision at its lowest point to let the fluid out. Then, thoroughly disinfect the area and cover it with a sterile gauze pad. You can wait for the fluid to be absorbed as much as possible while preventing infection. Avoid contacting the burn with water to protect the area and prevent secondary infection.

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Written by Wang Xiang Li
Emergency Medicine
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How to deal with burns that have broken the skin?

After a burn that breaks the skin, you can first assess the size of the burned area. For small burns, promptly rinse with cold water for about 20 minutes, or apply a cold compress to the affected area. Then, disinfect and clean the burn site with povidone-iodine, keeping the wound exposed to promote healing. If the burn is extensive, affecting the superficial dermis and reaching shallow second-degree or higher burns, after addressing the site, sterile dressings and treatments such as antibacterial and anti-inflammatory are necessary. Therefore, after the initial simple treatment, it’s crucial to seek professional medical treatment at a hospital promptly.

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Written by Li Xiao Lin
Emergency Department
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What will happen if a burn on the finger is not treated?

The treatment of burns depends on the severity of the burn and cannot be generalized. For minor burns, such as when a finger is slightly red, indicating a mild burn, simply rinsing with water is adequate, and no special treatment is necessary. However, if the burn is more severe and has reached the dermis, it requires prompt attention. First, the area should be thoroughly rinsed with cold water for at least half an hour to quickly cool the area and alleviate the worsening of the condition. Additionally, it is crucial to seek further treatment at a hospital, where disinfection, bandaging, and possibly other examinations will be performed. If the burn is severe, treatments such as intravenous fluids and anti-infection measures may be necessary.

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Emergency Medicine
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Can finger burns severely affect movement?

After a finger is scalded but can still move, aside from leaving scars, it generally heals well and is not particularly serious. If the patient feels significant pain, the first step is to soak the wound in cold water. If there are blisters that are not very large, do not break them, as they can protect the wound and prevent bacterial invasion. For some larger blisters whose skins have died, they should be cleaned promptly. Normally, disinfecting with iodine can prevent infection. If the burn is severe, a burn ointment can be applied, but be careful to keep it dry with no further treatment required; it will typically take about 10 days for the blistered area to heal completely.