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Scratched burn wounds on my arm – possible infection?
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Skin & Hair Concerns
Question #19964
57 days ago
156

Scratched burn wounds on my arm – possible infection? - #19964

Emely

Hello, I have several burn wounds on my arm that I scratched recently. The wounds have been present for about 2–3 days. They were initially minor burns, but I accidentally scratched them, and now they are open in some areas. The affected skin is becoming increasingly red and swollen, and the wounds are painful. I am concerned because the redness seems to be spreading slightly, and the pain is gradually getting worse rather than better. There is no pus yet, but I am worried that an infection could develop. I have cleaned the wounds gently with water, and I have tried to keep them covered with clean bandages, but I do not have any antiseptic ointment at home. I do not have access to a doctor tonight, as it is late, and I cannot call anyone. I want to know if these wounds are dangerous and if I should seek urgent medical attention tonight, or if it is safe to wait until tomorrow to see a doctor. I am also worried about possible complications, such as worsening infection or fever. Please advise me on what steps I should take to care for my wounds safely, how to prevent infection, and whether I need to go to the hospital immediately. Any guidance would be greatly appreciated.

Age: 16
300 INR (~3.53 USD)
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Doctors' responses

Dr. Shayeque Reza
I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.
56 days ago
5

Based on your description, the scratched burn wounds are showing early warning signs of local inflammation and possible developing infection, such as increasing redness, swelling, pain, and slight spreading of redness, even though there is no pus yet. At this stage, the situation does not sound immediately life-threatening, and if you have no fever, chills, severe pain, or rapidly spreading redness, it is generally safe to wait until tomorrow to see a doctor. However, careful wound care is very important tonight to reduce the risk of infection. Continue gently cleaning the area with clean water, avoid further scratching, keep the wounds covered with a clean, dry dressing, and monitor closely for worsening symptoms. If you notice rapid spreading redness, severe swelling, pus, fever, red streaks moving up the arm, or increasing pain overnight, you should seek urgent medical care immediately. Otherwise, seeing a doctor as soon as possible tomorrow is advised to assess the wounds properly and start appropriate treatment if needed. If you need any treatment let me know.

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Dr. Arsha K Isac
I am a general dentist with 3+ years of working in real-world setups, and lemme say—every single patient teaches me something diff. It’s not just teeth honestly, it’s people… and how they feel walking into the chair. I try really hard to not make it just a “procedure thing.” I explain stuff in plain words—no confusing dental jargon, just straight talk—coz I feel like when ppl *get* what's going on, they feel safer n that makes all the difference. Worked with all ages—like, little kids who need that gentle nudge about brushing, to older folks who come in with long histories and sometimes just need someone to really sit n listen. It’s weirdly rewarding to see someone walk out lighter, not just 'coz their toothache's gone but coz they felt seen during the whole thing. A lot of ppl come in scared or just unsure, and I honestly take that seriously. I keep the vibe calm. Try to read their mood, don’t rush. I always tell myself—every smile’s got a story, even the broken ones. My thing is: comfort first, then precision. I want the outcome to last, not just look good for a week. Not tryna claim perfection or magic solutions—just consistent, clear, hands-on care where patients feel heard. I think dentistry should *fit* the person, not push them into a box. That's kinda been my philosophy from day one. And yeah, maybe sometimes I overexplain or spend a bit too long checking alignment again but hey, if it means someone eats pain-free or finally smiles wide in pics again? Worth it. Every time.
56 days ago
5

Hello,

If no emergency signs: keep clean tonight, see nearest doctor tomorrow (may need antibiotics).

Care tonight: gently rinse with clean water, pat dry; apply burn gel (antibiotic ointment if available); cover with clean non-stick dressing; don’t use harsh antiseptics/alcohol/toothpaste; avoid scratching; take paracetamol if needed.

Watch overnight: if fever or fast worsening redness/pain develops → go to hospital urgently.

Thank you

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Based on the symptoms you’re describing, there are a few things to consider. The redness, swelling, and increasing pain could indicate the early signs of an infection, especially since it seems to be getting worse. Normally, small burns can take time to heal, but when they are open and not healing properly—as you’ve described—the risk of infection does increase. The absence of pus is a good sign for now, but the spreading redness you’re experiencing could suggest something progressing.

Even though it’s late and seeing a doctor right now isn’t an option, it’s important to manage the wound carefully until you can get medical advice in person. Tonight, continue to gently clean the wounds with clean water. You might not have antiseptic ointment, but if you have access to any clean saline solution or even mild soap solutions, those can help as an interim measure. If you’re able to get to a pharmacy first thing, obtaining an over-the-counter antiseptic ointment could be beneficial to apply a thin layer to the wound. Cover the wounds again with clean sterile bandages to prevent further exposure to dirt or bacteria.

It sounds reasonable to wait till tomorrow to see a healthcare provider, as long as there is no immediate sign of a serious complication like a spreading red streak towards the body, high fever, or significant swelling beyond the wound area. If any of those symptoms develop, you should seek urgent care that night. Watch out for signs like increased redness radiating far from the wound or systemic signs like fever or chills, which may require earlier medical intervention. Keeping the area clean and closely monitoring the symptoms is key. By doing this, you can act quickly if anything worsens. The doctor will be able to assess the wound better and could prescribe oral antibiotics if necessary, and having an early intervention often averts escalation.

For now, focus on simplifying your immediate treatment and, if in doubt, don’t hesitate to reach out to emergency services or an urgent care center.

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Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
56 days ago
5

Hello dear See you can apply topical medication for immediate relief Silver nitrate solution twice a day for 15 days Donot apply directly cotton Fusidic acid topical application twice a day for 15 days Avoid application of phenols or chlorhexidine Since the burns are superficial so improvement will be there. In case of no improvement consult general physician medicine for better clarity Regards

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Dr. Prasannajeet Singh Shekhawat
I am a 2023 batch passout and working as a general physician right now, based in Hanumangarh, Rajasthan. Still kinda new in the bigger picture maybe, but honestly—every single day in this line teaches you more than textbooks ever could. I’ve had the chance to work under some pretty respected doctors during and after my graduation, not just for the clinical part but also to see how they handle people, real people, in pain, in panic, and sometimes just confused about their own health. General medicine covers a lot, right? Like from the smallest complaints to those random, vague symptoms that no one really understands at first—those are kinda my zone now. I don’t really rush to label things, I try to spend time actually listening. Feels weird to say it but ya, I do take that part seriously. Some patients just need someone to hear the whole story instead of jumping to prescription pads after 30 seconds. Right now, my practice includes everything from managing common infections, blood pressure issues, sugar problems to more layered cases where symptoms overlap and you gotta just... piece things together. It's not glamorous all the time, but it's real. I’ve handled a bunch of seasonal disease waves too, like dengue surges and viral fevers that hit rural belts hard—Hanumangarh doesn’t get much spotlight but there’s plenty happening out here. Also, I do rely on basics—thorough history, solid clinical exam and yeah when needed, investigations. But not over-prescribing things just cz they’re there. One thing I picked up from the senior consultants I worked with—they used to say “don’t chase labs, chase the patient’s story”... stuck with me till now. Anyway, still learning every single day tbh. But I like that. Keeps me grounded and kind of obsessed with trying to get better.
56 days ago
5

Hello Emely You’re right to be cautious—burn wounds that become red, swollen, more painful, and start spreading can be at risk for infection, especially after scratching. The fact that the redness is spreading and pain is increasing is a sign your body is struggling to heal, and infection is a real possibility.

Here’s what you should do tonight: - Keep the wounds clean: Rinse gently with clean water, avoid scrubbing. - Cover with a clean, non-stick bandage or sterile gauze. - If you have paracetamol, you can take it for pain (as per package instructions, unless you have allergies or other reasons not to). - Avoid touching or scratching the wounds further. - ointment - povidene iodine cream

Seek urgent medical attention tonight if you notice: - Redness spreading rapidly or streaking up your arm - Severe pain, swelling, or warmth - Fever, chills, or feeling unwell - Pus or foul smell from the wounds - Numbness or difficulty moving your arm

If none of these severe symptoms are present, it’s generally okay to wait until morning to see a doctor, but keep a close eye on the wounds overnight. If you notice any of the warning signs above, don’t wait—go to the emergency room.

Thank you

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