What should I do if it swells after being scalded by boiling water?

Written by Wang Xiang Li
Emergency Medicine
Updated on March 13, 2025
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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 Li Xiao Lin
Emergency Department
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Why do burns on fingers blister?

After a finger is scalded, the high local temperature causes some damage underneath the skin, resulting in the skin oozing fluid. This fluid accumulates and forms blisters, so after a scald, the finger may develop a blister or several blisters. Once a blister has formed, try not to puncture it. It can be disinfected with iodine and allowed to absorb slowly on its own. Puncturing the blister might lead to infection, worsening the condition. Generally, after a finger is scalded and a blister forms, it suffices to disinfect the area. Of course, it is crucial to cool the finger quickly after the scald to minimize further damage.

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Written by Li Xiao Lin
Emergency Department
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Scalding that causes the skin to peel off is classified as a second-degree burn.

Burns that result in skin peeling must be examined case by case, as it is impossible to generalize. The classification depends on the size of the burn and the severity of the injury. If the burn only results in peeling skin, indicating damage to the epidermis, it is considered a superficial second-degree burn. If the damage extends below the dermis, it is considered a deep second-degree burn. If there is damage to deeper tissues, it could potentially be a third-degree burn. Furthermore, if the area of skin peeling due to the burn is extensive, it may be considered deep second-degree or more severe. Therefore, immediate actions should be taken following a burn, such as rinsing with cold water for at least 30 minutes or until the pain subsides. Then, thoroughly disinfect the area with iodine to prevent infection. Applying burn ointment on the surface may help in the recovery of the burn. If necessary, cover it with a sterile gauze to prevent contact infections that could lead to skin infection. Attention should also be paid to diet; drink plenty of water, eat fresh vegetables and fruits, consume high-protein and high-nutrient foods, supplement with vitamins, and avoid spicy and stimulating foods.

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Written by Li Xiao Lin
Emergency Department
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Do you need to disinfect every day after a burn?

Whether daily disinfection is necessary after a burn depends on the condition of the burn. If it is a minor burn with only superficial reddening, it is not necessary to disinfect daily after the initial treatment on the first day. If the burn is more severe and blisters have formed, it is recommended to disinfect daily, apply burn ointment, and cover with a dressing to prevent infection. Additionally, it is advised to drink plenty of water, eat fresh vegetables and fruits, consume high-protein and nutritious foods to promote healing of the burn, and avoid spicy and irritating foods.

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Written by Li Xiao Lin
Emergency Department
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How long will it take for the swelling to go down after a burn?

This question is answered by the Deputy Chief Physician Li Xiaolin from the Emergency Department at Ganzhou People's Hospital, contracted through PureHealth. How long does it take for swelling to subside after a burn? The duration depends on individual constitution and the measures taken after the burn. It also greatly relates to usual diet and other factors. If the burn is mild and not very obvious, it can be resolved relatively quickly with standard treatment. However, if the burn is severe and covers a large area, and if swelling is also significant, the swelling is relatively difficult to reduce and will take a longer time to subside. Inappropriate treatment can lead to worsening of the condition and further complications. Therefore, immediate measures should be taken when a burn occurs: - Rinse with cold water for at least half an hour or until the pain subsides mainly. - Thoroughly disinfect with iodine to alleviate symptoms and slow the progression of the condition. Additionally, be cautious with your diet by avoiding spicy and stimulating foods, seafood, and inflammatory foods. For free expert consultation, please search PureHealth.

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Written by Wang Xiang Li
Emergency Medicine
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How to treat burns from hot oil

After being scalded by hot oil, the first step is to remove yourself from the scalding environment and immediately rinse or soak the affected area with cold water for at least 20-30 minutes to reduce temperature and pain. Afterwards, disinfect with iodophor. Scald ointments, such as safflower oil, can be applied to the affected area. For blisters formed after a scald, use a sterile needle to puncture and drain the blister fluid, then apply medication and wrap it with sterile gauze. If the scald covers a large area or is a third-degree burn, it is generally not manageable on your own and requires prompt medical attention to avoid delaying treatment. (Please follow medical advice when using medication.)