Do not pull at your stitches or staples, or scabs covering the wound.Call your doctor if you have a fever or increasing redness and pain, purulent drainage like yellow or green pus, or bleeding at the site.Do not apply any creams or ointments to your stitches unless advised by your doctor.Change your dressing as directed by your doctor.Do not remove adhesive strips (Steri-Strips) that may be covering your stitches.Avoid strenuous activity that could cause the stitches to tear. After the first few days, you may clean gently around your stitches with cool water and mild soap one to two times per day.Keep your stitches dry for the first 24 to 48 hours.Here are some tips on caring for your stitches: Not all wound closures - like dissolving stitches or surgical glue - require removal. If you’ve had stitches to repair a traumatic wound or after surgery, your doctor should give you specific instructions on caring for your stitches, and when and how they will be removed. induration, or a hardening of the suture site.excess fluid buildup or draining at the incision site.necrotic or dead tissue at the base of the wound.Contact your doctor if you experience inflammation, redness, or oozing, which can be signs of: There are a few abnormal aspects of healing that could cause extra itching over your stitches. That’s when new nerve connections are joined to the old, creating a mechanical reaction that results in an itching sensation. As these new layers are pulled together in the final phase, fluid builds below the wound surface. Proliferation and repairĪs cells flock to the wound site to build new tissue in the proliferation phase of healing, they layer cells to create a matrix that’s filled in with various types of cells, creating a sensitive area of new growth. Itching is a major problem with complications that result in chronic wounds. When wounds don’t move past the inflammation stage, they are considered chronic wounds. In some unfortunate cases, wounds stop healing properly and become stuck in this phase. An infected wound will create additional itching, as inflammatory and immune cells work overtime to fight bacteria. Unfortunately, histamines are also a primary chemical cause of itching. Some of these cells, called histamines, help open the vessels around the wound for immune cells to begin cleanup. In this phase, inflammatory cells rush to the wound site to help clean the base of the wound and prepare for new cells. The next stage of wound healing is where the real pain and itching begin. The scab forms as fibrin and other substances dehydrate and form a protective covering over the healing wound. As blood clots on the edge of the wound, bits of fibrinogen proteins found in plasma form a natural wound closure commonly known as a scab. It works the same for an injury or a surgical incision. This seals off the vessels that supply blood to the affected area. In this first stage of wound healing, your body will shut off the blood supply to the wound through a process called vasoconstriction. To understand the cause of itching, you have to understand how a wound - even one closed with stitches - is rebuilt. Itchiness is a normal part of wound healing.
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