Why do burns on fingers blister?

Written by Li Xiao Lin
Emergency Department
Updated on September 27, 2024
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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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Are second-degree burns serious?

Second-degree burns are serious and are classified into superficial and deep second-degree burns. Superficial second-degree burns manifest as local redness, swelling, pain, and blister formation. Deep second-degree burns primarily affect the dermis, resulting in tissue necrosis and nerve damage, which are indicated by local pain and abnormal sensations. For both superficial and deep second-degree burns, it is necessary to immediately rinse the affected area with running cold water for at least half an hour, or until the pain eases. Afterward, it is essential to go to a hospital for thorough disinfection with iodophor to prevent infection. For deep second-degree burns, debridement is also necessary, and skin grafting may be required to facilitate tissue recovery. However, certain sequelae may remain, so it is crucial to follow the doctor's instructions to change dressings regularly. Additionally, attention should be paid to diet; avoid spicy, stimulating, and fermenting foods. Drinking more water and consuming fresh vegetables and fruits to supplement vitamins, as well as high-protein and high-nutrient foods, are beneficial for recovery.

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Written by Chen Xiao Jun
Emergency Department
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How many days will it take for a burn on the finger to heal?

The relief from a finger burn can take days, depending on the severity of the burn and the extent of damage to the skin, soft tissues, and muscles. For mild burns, only the epidermal layer is damaged, and in general, such cases will gradually heal within about a week. On the other hand, if the burn affects the skin, soft tissues, and muscles, recovery can take a very long time, especially if complications such as infections occur, which will extend the treatment period. After burning a finger, do not blindly treat it at home; instead, seek analysis and a subsequent treatment plan from a professional doctor.

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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 Chen Xiao Jun
Emergency Department
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How to deal with a burn on the finger that has not broken the skin

After accidentally burning a finger, even if the skin isn't broken, it should be treated quickly to prevent further absorption of heat and further damage to the skin, soft tissue, and muscles. Many skin and soft tissue burns can appear after a period of time. The burned finger should be immediately rinsed with ice water or cold water, for about 20-30 minutes. If there are ice cubes available at home, they can be used to locally apply ice. This can quickly and effectively reduce the heat damage to the skin and soft tissues, improve the prognosis, shorten the course of treatment, and at the same time, attention should be paid to prevent infection.

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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.