Doctor insights on:
Signs Of Wound Healing Properly
Had a simple vulvectomy 5 wks ago-area of over-granulation tissue removed-no VIN. Wound healing well altho 1 stitch opened. Still have pain- normal?
Can happen but: Not common in all, will heal in couple of wks, and pain will go away once heals completely, don't worry you will be fine. ...Read more
Wound healing is a field of study in which a person looks at factors that helps wounds heal and factors that are harmful to wounds trying to heal, in order to find the best treatment for each wound. Wounds can be from infections, surgeries, accidents, etc... Poorly healing wounds can occur where there is inadequate blood circulation, such ...Read more
Complicated process: Multiple factors involved. White blood cells and platelets travel to the site for immune system and blood clotting. Collagen fibers heal across, and new blood vessels grow in. Collagen fibers remodel. Proper body protein level and appropriate vitamin levels help with healing. Poor nutrition, diabetes, cigarette smoking, infection, poor blood supply, Prednisone can delay or prevent proper healing. ...Read more
4 stages: Hemostasis, which means to stop bleeding, Inflammatory, which means a body response to remove damaged cells and prevent infection, proliferative, which occurs when cells make new proteins to heal the wound defect, and finally maturation, which is resolution of the inflammation (e.g. redness and swelling), and a contracture of the wound (decreasing size). Takes up to a year for all this to occur. ...Read more
Likely: I don't find any studies that address this question on a quick search. Smoking cigarettes definitely has a negative effect on healing and I would expect that Cannabis would have the same effect, to the degree that toxins are found in the smoke. Cannabis oil has anecdotal positive effects, but not confirmed with studies to my knowledge, and that is oil applied to the skin, not smoked. ...Read more
Numerous: Some barriers include poor nutrition, stress on the wound (pulling it open again or causing mechanical pressure), infection, poor blood flow, diabetes, smoking, anemia, immune suppression, drugs such as prednisone, some genetic diseases, age, condition of the skin prior to injury, large size, depth, chronic wounds ...Read more
Inhibit wound 2 heal: Infection, nicotine, lack of arterial flow, pressure or shearing on the wound and underlying bone, weeping from venous pressure and swelling, malnutrition and occasionally poor wound care are the inhibitors to wound healing. Okay to see your doc if your wound is not healing. Be well. ...Read more
Poor nutrition: Even a reasonably good diet usually is adequate for wound healing, there are no normal foods that will delay healing but certain dietary deficiencies, especially protein will. Deficient zinc or vitamin c may, diabetes has a negative effect even in ideal blood sugar control meaning elevated blood sugar is only part of the effect. ...Read more
Complete Wound Care: A wound center should provide a more comprehensive treatment for non- healing wounds. This would include nutritional, vascular and infectious disease management. The wound clinic would continue to evaluate and change treatments as needed. Surgical debridement is the removal of dead (necrotic) tissue. There are patient compliance issues addressed at home, as well as dressing changes and IV therapy. ...Read more
Needs a big textbook: Cytokines are released by lymphocytes and regulate other cells and parts or the immune system. Integrins directly "tell" immune cells what's going on in the "extracellular space" the immune system is the starting point for wound healing and these help regulate some of the cells involved as well as directly and indirectly affecting growth factors and matrix metaloproteinases needed to heal. ...Read more
See your doc: Unfortunately, you didn't describe your wound, much less how you got it and how it was repaired. It would also be helpful to understand why you consider it abnormal. Wounds that come apart need to be re-evaluated. Same if increase pain, redness, pus, etc. Scar is an known complication. Some will develop an intense scar reaction known as a keloid. Best to see doc who put you back together. ...Read more
Failure to rebuild.: An inability to restore structure and function to disrupted tissue by failure to progress through the normal stages of healing. ...Read more
My son has always healedvery well but recently he has developed slow wound healing. What could cause that?
Many Causes: There were many factors that affect wound healing. The term “slow” is difficult to define and therefore is really not important as long as the wound heals. Is he on a new medicine such as a NSAID? Is to located in an area that is getting a lot of activity? Keep the wound covered and minimize stress to the area, and change your dressing every other to every third day ...Read more
Not sure why resident used a term like poor wound healing then left. I really need to know what that means.?
Need more info: Likely this means that you have not had the expected outcome. Poor wound healing can be caused by many factors including infections, malnutrition, diabetes, renal failure, smoking, anemia, medications like steroids or chemotherapy, poor blood supply etc., not offloading appropriately, and occasionally poor surgical technique. Next time ask him exactly what he means. ...Read more
Pharmacologically, the influence of smoking on wound healing is complicated, and neither nicotine alone nor any other single component can explain all of the effects of smoking on wounds. What is certain is that smoking cessation leads to improved repair and reduces wound infection (sorensen et al., 2003; lauerman, 2008).
www. Ncbi. Nlm. Nih. Gov/pmc/articles/pmc2903966. ...Read more
Although psychological issues may complicate wound healing and aromatherapy may have therapeutic benefits, the actual use of this in organized wound care is unusual.
Many different aromatherapy compounds are used for a variety of conditions, but none that I know are specific for wound healing. ...Read more
Amount?: Wound healing is a complicated process that requires many factors including building blocks (proteins) and fuel (fats and carbohydrates) as well as cofactors (vitamins and minerals). These are interrelated and work together. Poor nutrition means poor healing and poor immune responses. A little alcohol will have little effect. If you consume it at the expense of good nutrition, then healing slows. ...Read more
Absolutely: Steroids negatively affect wound healing by inhibiting the inflammatory response needed to start the healing process. Additionally exogenous or external steroids (even topical) will cause the wound and patient to be susceptible to opportunistic bacteria that may increase the risk of infection. ...Read more
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