Packing a wound..when it hurts...

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frogeleita
Regular Member


Date Joined Jul 2009
Total Posts : 342
   Posted 10/21/2009 8:40 PM (GMT -7)   
Hi..i need some advice..i need to pack my own wound...and i have been doing so..but now that their is no draining..and pretty much no bleeding..the guaze is sticking to the wound...and hurting...and i don't mean a little..i mean alot...this is what i was told..take a 4 by 4 inch square..wet the edge..wring it out..and pack it..slowly pushing it into the wound..then put another guaze and use some tape...to hold it in place...what can i do? I am wearing pads..should i just gently use a guaze? I was told to do this to encourage it to heal from the inside out.. But it hurt alot and i had to soak it off..and it pulled off something that was healing in the wound..and OUCH! OMG..oh no..that hurt...thanks

 Crohn's anal fistula Lupus Hyperthyroid..Pentasa Remicade

 


MAG102886
Veteran Member


Date Joined Jul 2008
Total Posts : 674
   Posted 10/21/2009 8:51 PM (GMT -7)   
Ive been packing an abcsess/open wound that has since turned into a fistula for over a year now.  I completely soak the gauze then ring it out....I also don't use tap water I have some kinda solution that was prescribed (if your using tap water, call your doc asap and ask for a rx for something sterile).   you need to make sure its wet while its healing or else it will stick to the gauze and everytime you change it, it will pull and reopen a little.  I also in the begining changed it frequently (4 times a day) as to not allow the gauze to dry.  Also ask your doc to prescribe you Kerlix (not sure of the spelling) gauze, I found that much easier to pack in.  As for the pain I dont know what to tell you, it's going to the painfull...no way around that.  I don't have pain anymore but when I did I would take a vicodin about 30 mins before I changed the dressing...hopefully your doc gave you some pain meds after the surgery, if not ask for them.  Goodluck to you! I will be having a similar surgery to take down my abdominal fistula on Nov 13th!
Dianogsed with Crohns: At 16 years old. 22 years old now.
Surgeries:2 Bowel Resections, Gallbladder Removed, 3 Abscess Cleanings
Current Meds: Cimzia, Methorexate, Vitamin B12 (injections), Nexium.
Next Surgery: Sept 4, 2009 to Take Down Abdominal Fistula!!  (On hold until current flare is under control, boo!)
 

medchrt1
Veteran Member


Date Joined Sep 2005
Total Posts : 517
   Posted 10/21/2009 9:25 PM (GMT -7)   
take a sitz bath, salt bath if prescribed, and that will let the (previous) gauze get wet and will come out easier, get out of bath, pat dry i guess, and then put in new. Figure just couple days on the gauze till you dont see much blood on it anymore

randynoguts
Veteran Member


Date Joined Jan 2003
Total Posts : 6049
   Posted 10/22/2009 12:48 AM (GMT -7)   
you should be using a bottle of saline from the pharmacy. by removing the old dressing it supposedly encourages granulation tissue to form and helps healing the hole.. kinda like burn patients getting debreeded. takes off the old dead cells and encourages new growth.
randynoguts 



     http://www.geocities.com/randynogutsweb/


FallColors
Veteran Member


Date Joined May 2007
Total Posts : 1220
   Posted 10/22/2009 3:33 AM (GMT -7)   
I agree with everyone and with what Randy said about the debreeding. I was told that they actually want to take off the dead tissue. It hurt like blazes for a couple of days and then stopped. Hang in there! I soaked the guaze with sterile saline, which also promotes healing, squeezed out the excess and then packed it in gently. To remove it, I soaked it with the shower sprayer. I have complete respect for burn patients!!!
Diagnosed with Crohn's in early 2007.  Several peri-rectal abscesses and two fistulae with setons.  Allergic to Remicade and Humira.  Currently on 6MP, and vitamins D and B-12.


Nanners
Elite Member


Date Joined Apr 2005
Total Posts : 14995
   Posted 10/22/2009 6:24 AM (GMT -7)   
I think the gauze needs to be wetter than what you have been doing. I had to do wet/dry packings in my abdominal incision after a open resection, and they always had the guaze really moist. Hope that helps a little.
Gail*Nanners* Co-Moderator for Crohns Disease and Anxiety/Panic Forum
Crohn's Disease for over 33 years. Currently on Asacol, Prilosec, Estrace, Prinivil, Diltiazem, Percoset prn for pain, Zofran, Phenergan, Probiotics, Calcium  w/Vit D, and Xanax as needed. Resections in 2002 and 2005. Also diagnosed with Fibromyalgia, Osteoarthritis, and Anxiety. Currently my Crohns is in remission, but my joints are going crazy!
It's scary when you start making the same noises As your coffee maker.
*Every tomorrow has two handles.  We can take hold of it by the handle of anxiety, or by the handle of faith"*

frogeleita
Regular Member


Date Joined Jul 2009
Total Posts : 342
   Posted 10/22/2009 8:46 PM (GMT -7)   
Hi,
I emailed him and he told me its suppose to stick because its removing what shouldn't be there...and to soak it off..but it hurts around one edge where its inflammed...so i emailed him again to ask about packing it wet and what is considered sterile..i will see what he says...the shower sprayer was heaven today though lol :)

 Crohn's anal fistula Lupus Hyperthyroid..Pentasa Remicade

 


frogeleita
Regular Member


Date Joined Jul 2009
Total Posts : 342
   Posted 10/24/2009 12:19 AM (GMT -7)   
i got the nonstick pads...they are more comfortable..and only stick a tiny bit...i thought the other ones were able to absorb so much..it was like sham wow for the anus lol

 Crohn's Lupus Hyperthyroid..Pentasa Remicade Fistula removed..skin tag removed!

 

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