How to relieve pain after a burn or scald

Written by Wang Xiang Li
Emergency Medicine
Updated on October 29, 2024
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Cold therapy is the best way to alleviate pain after a burn. Firstly, you should use running tap water or cold water to soak the affected area for more than half an hour. This can prevent heat from continuing to affect the wound and can dull the peripheral nerves in the area, reducing pain, exudation, and swelling. Secondly, you can apply some dilute saltwater to the wound to relieve pain and reduce inflammation, and then apply burn ointment to the burned area. In severe cases, oral pain relievers such as ibuprofen can be taken, and if necessary, pain medication can be administered via muscle injection. If the burned area is large, it is necessary to go to the hospital for formal treatment in a timely manner.

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Written by Li Xiao Lin
Emergency Department
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What should I do if it itches unbearably after a burn?

After experiencing significant itching following a burn, the first consideration should be whether there is an infection or an allergic reaction. Observe the condition of the wound, thoroughly disinfect it with iodine to prevent infection, then apply mupirocin ointment or erythromycin ointment to the surface to treat the infection. Wrap with sterile gauze, and if necessary, apply ice packs to help relieve itching. Then take oral antibiotics, such as cefuroxime axetil capsules or levofloxacin capsules, for infection treatment, and take cetirizine or loratadine orally to manage allergies and alleviate symptoms. Additionally, maintain good hygiene, try to avoid exposure to air and raw water to prevent infections, and pay attention to diet. Avoid spicy and irritating foods, drink plenty of water, eat fresh vegetables and fruits to supplement vitamins, and consume high-protein, nutritious food to help improve the condition. (Medication should be used under the guidance of a physician.)

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Written by Huang Ling Juan
Dermatology
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How to deal with a skin scald that has broken the skin?

After a skin burn breaks the skin, if the area is relatively small and there is no obvious swelling, a moisturizing burn ointment can be applied. If the area is larger and accompanied by some exudation and swelling, it is necessary to go to the hospital for timely treatment. Under the guidance of a doctor, antibiotic ointment should be applied, and oral antibiotics should be taken. Common choices include Cefalexin, Cefradine dispersible tablets, and erythromycin for anti-infection treatment. Antibiotics can be used if there is no allergic reaction to them. If severe burn symptoms occur, combined with serious infections, swelling, and significant exudation, it is crucial to go to the hospital for medical treatment immediately. Severe cases may require hospitalization. Do not scratch the skin yourself, and avoid spicy and irritating food.

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Written by Wang Xiang Li
Emergency Medicine
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What should I do if it swells after being scalded by boiling water?

After a scalding injury with boiling water that causes swelling, it is essential to first soak the affected area in running tap water or cold water for at least half an hour to reduce the skin temperature. If the burn is severe, not only showing swelling but also skin rupture, one should apply some ointment and then wrap it with gauze to keep the dressing clean and prevent infection, which can promote healing of the wound surface and reduce swelling more quickly. After a scald, the permeability of capillaries in the tissues notably increases, causing fluid from the vessels to seep into the interstitial space or outside the body, leading to tissue edema. It is beneficial to elevate the affected limb to increase the blood flow returning to the circulation, thereby alleviating the severity of the swelling. If the burn is severe enough to require surgery, skin grafting or flap surgery might be necessary.

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Written by Huang Ling Juan
Dermatology
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How to remove burn scars

Scars from burns, if relatively fresh, can be treated with scar removal creams such as silicone gel dressings. It is necessary to consistently use these creams for about three months, and using them in conjunction with scar patches can enhance the effects. During the use of scar creams, the diet should also be light, avoiding spicy and irritating foods, and consuming more fresh vegetables and fruits that are rich in Vitamin C, and foods high in vitamins. At the same time, avoid intense exercise and scratching the affected area to prevent worsening of the scar hyperplasia. For older burn scars, fractional laser treatment can be considered. Depending on the degree of scar elevation, typically three to five treatments are needed. (Use medication under the guidance of a doctor)

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Written by Wang Xiang Li
Emergency Medicine
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How to relieve pain after a burn or scald

Cold therapy is the best way to alleviate pain after a burn. Firstly, you should use running tap water or cold water to soak the affected area for more than half an hour. This can prevent heat from continuing to affect the wound and can dull the peripheral nerves in the area, reducing pain, exudation, and swelling. Secondly, you can apply some dilute saltwater to the wound to relieve pain and reduce inflammation, and then apply burn ointment to the burned area. In severe cases, oral pain relievers such as ibuprofen can be taken, and if necessary, pain medication can be administered via muscle injection. If the burned area is large, it is necessary to go to the hospital for formal treatment in a timely manner.