What should I do if it keeps burning after a scald?

Written by Li Xiao Lin
Emergency Department
Updated on February 27, 2025
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After a burn, if there is persistent burning pain, you can first rinse with running cold water until the pain eases. Then apply toothpaste, aloe, or camphor oil on the surface of the burn to cool and relieve pain, alleviating symptoms. If necessary, cover the burned area with a sterile gauze and then apply ice. This can help relieve pain. If needed, pain relief medication such as painkillers or celecoxib can be taken orally. If the pain is severe, you can also go to the hospital for an intramuscular injection of dexamethasone or butorphanol to relieve symptoms. Also, pay attention to diet; avoid spicy, stimulating foods and foods that cause inflammation. Drink plenty of water and eat fresh vegetables and fruits. (Medication should be used under the guidance of a physician.)

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How to deal with a skin scald that has broken the skin?

After a skin burn breaks the skin, if the area is relatively small and there is no obvious swelling, a moisturizing burn ointment can be applied. If the area is larger and accompanied by some exudation and swelling, it is necessary to go to the hospital for timely treatment. Under the guidance of a doctor, antibiotic ointment should be applied, and oral antibiotics should be taken. Common choices include Cefalexin, Cefradine dispersible tablets, and erythromycin for anti-infection treatment. Antibiotics can be used if there is no allergic reaction to them. If severe burn symptoms occur, combined with serious infections, swelling, and significant exudation, it is crucial to go to the hospital for medical treatment immediately. Severe cases may require hospitalization. Do not scratch the skin yourself, and avoid spicy and irritating food.

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How long does it take for a deep second-degree burn to heal?

Second-degree burns generally require three to four weeks to heal. The healing time for burn wounds depends on the depth of the burn. Second-degree burns include both superficial partial-thickness and deep partial-thickness burns. Superficial partial-thickness burns involve blistering of the upper dermis. The blisters are relatively full, and the base of the wound is red and moist with substantial exudation. There is significant swelling and severe pain. Under non-infected conditions, superficial partial-thickness burns generally heal within two weeks without scarring. Deep partial-thickness burns affect the deeper layer of the dermis. Blistering in this case tends to be relatively flat, and the base of the wound appears red and white, sometimes showing a net-like pattern of vessel thrombosis. These wounds have less elasticity and the pain is less intense. Deep partial-thickness burns generally take three to four weeks to heal and leave scars. Therefore, formal anti-scarring treatment is required after healing of a deep partial-thickness burn.

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How to relieve pain after a burn or scald

Cold therapy is the best way to alleviate pain after a burn. Firstly, you should use running tap water or cold water to soak the affected area for more than half an hour. This can prevent heat from continuing to affect the wound and can dull the peripheral nerves in the area, reducing pain, exudation, and swelling. Secondly, you can apply some dilute saltwater to the wound to relieve pain and reduce inflammation, and then apply burn ointment to the burned area. In severe cases, oral pain relievers such as ibuprofen can be taken, and if necessary, pain medication can be administered via muscle injection. If the burned area is large, it is necessary to go to the hospital for formal treatment in a timely manner.

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What should I do if the circulation is poor after a finger scald?

After a finger is scalded and circulation is poor, it is necessary to improve this by constantly changing the dressing. Poor circulation after scalding affects the recovery of finger skin and the formation of new skin. If poor circulation is observed after a scald, it is crucial to intensify dressing changes, even remove necrotic tissue, and promote the growth of granulation tissue. When necessary, relevant medications can be used to remove decay and generate new muscle, improve microcirculation, and promote the regeneration of skin and muscle.

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What should I do if I don't have burn ointment after a burn?

After getting burned and if there is no burn ointment at hand, you should first remove the clothes around the burn, and then rinse or soak the wound in cold water for more than half an hour, and then apply vegetable oil to the wound. If there is noticeable redness, swelling, and pain, as well as blisters of various sizes, you can use a sterilized needle to puncture the blisters from the bottom, and squeeze out the blister fluid from top to bottom, but do not tear off the blister skin. Then disinfect with iodine and wrap the wound with a clean cloth, and promptly go to the hospital for further treatment. The patient should avoid spicy and irritating foods to reduce congestion and swelling at the burned area, thereby reducing local pain and itching.