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Wounds And Bruises - How To Differentiate Them?

Dr. Tarun Jhamb 88% (20 ratings)
MD - Internal Medicine, MBBS
General Physician, Gurgaon
Wounds And Bruises - How To Differentiate Them?

Wounds and bruises are both injuries. However, they differ widely in terms of the causing factors, the nature of the injury, the pain they cause and the kind of treatment they require.

The following are a few of the myriad ways in which the two injuries differ from each other:

1. A wound causes quick damage - the skin tissue is cut or punctured while a bruise (also called a closed wound) is where the skin is not torn.
2. A wound is usually caused by a sharp object but bruises are the results of blunt force or trauma.
3. A wound almost certainly bleeds due to ruptured tissue and blood vessels. Blunt injury also damages the blood capillaries of the skin and causes blood to accumulate under the skin tissue, creating a dark patch of skin. Blood vessels can also break due to lifting of heavy objects or overexertion of muscles.
4. A wound carries the risk of infection because the skin is open but a bruise does not get infected.
5. A wound has a burning or stinging sensation but a bruise is characterized by swelling and a blunt throbbing pain.
6. A wound can be healed by antiseptic and antibiotic medication. Large wounds need to be closed by stitching them up to avoid severe infection. On the other hand, a bruise usually heals by itself. A cold compress and pain killers may be used to ease discomfort. Heat can be applied to the injured spot to normalize the blood flow and dissolve the blood clot.
7. A wound can lead to complications like bacterial infections or the healing might be delayed by chronic diseases like diabetes. In case of a bruise, it usually does not cause complications but if there's a blunt injury to sensitive areas like the head, the tailbone or the eyes, medical attention is advised.
8. Wounds and bruises can also be differentiated on the basis of their subtypes. The different types of wounds are:

a. Incision (sharp objects cutting the dermis layer of skin)
b. Abrasion (the epithelial tissue is scraped off)
c. Avulsion (a body structure is torn off)
d. Penetration (a sharp object causes an entry and an exit wound)
e. Puncture (only an entry wound caused by a sharp object)

The different types of bruises are:

a. Hematoma (blood pools under the skin)
b. Purpura(tiny spots of blood on the inside of the mouth)
c. Contusion (similar to hematoma and caused by external trauma)
d. Crush injury (caused due to a large amount of force on the body part for a long time)

5149 people found this helpful

Dr. My age is 32. 7 days ago I went dating with 4 ladies after I felt not good. suddenly I ate 2 doxycycline tablets every 7 days. If I have Gonorrhoea anything that I do? Please suggest to me.

Dr. S.K. Kaushik 97% (2050 ratings)
Sexologist, Gurgaon
Dr. My age is 32. 7 days ago I went dating with 4 ladies after I felt not good. suddenly I ate 2 doxycycline tablets ...
Hi, you required investigation then take medicine, idea logical don't take medicine, it's very harmful for your rbc and platelets, for treatment and consalt privately.
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Moxifloxion tablet 400 mg lene se peshab me jalan ho rahi hai. Please meri madad kijiye.

Dr. Arpit Choudhary 90% (91 ratings)
MA Science of Living & Yoga, Doctor of Yoga and Naturopathy
Yoga & Naturopathy Specialist, Udaipur
Moxifloxion tablet 400 mg lene se peshab me jalan ho rahi hai. Please meri madad kijiye.
Hello lybrate-user, first you should consult with the allopathy physician and tell about this, mean while you can try home remedies powder-fennel 50gm+mishri 20gm+dry coriander 50gm +geera 30gm+pumkin seed 20gm mis .make powder of above ingredients and take morning empty stomach 1tsf with lukewarm water. You can take twice a day if required.
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What is salmonella in blood. Which fruits can kill or prevent of these types of bacteria?

Dr. Jayvirsinh Chauhan 92% (29349 ratings)
MD - Homeopathy, BHMS
Homeopath, Vadodara
What is salmonella in blood. Which fruits can kill or prevent of these types of bacteria?
It is a kind of bacteria mostly found in cases of typhoid. Fruits does not kill bacteria. For that you have to take treatment.
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Treatment For Pilonidal Sinus!

MS Ayurveda
Ayurvedic Doctor, Jammu
Treatment For Pilonidal Sinus!

Pilonidal Sinus is the small channel in your skin near the tailbone that may sometimes be filled with pus or fluid. This accumulated pus leads to the formation of abscess or cyst. Pilonidal cysts occur near the coccyx or tailbone, right at the top of the buttock crease. Pilonidal sinus consists of dirt, hair and debris that penetrates your skin, becomes embedded and thereby causes infection. Once the cyst gets infected, you may see blood or pus oozing out of the channel, which causes severe pain.
Pilonidal sinus usually affects men and young adults (after puberty). This type of skin disease is mostly observed in people who sit for a prolonged period, such as desk-job workers, truck drivers etc.

What are the causes and symptoms? 
Doctors suggest pilonidal sinus or cysts is caused due to factors such as - hormonal changes during puberty, friction resulting from wearing tight clothes, prolonged sitting, hair growth etc. The hair growing in the region is forced to burrow back beneath your skin. In certain cases, the patient may develop multiple sinuses which connect under the skin.

The signs and symptoms of pilonidal sinus include-

• Pain when standing or sitting for long
• Swelling of the cyst
• Redness and soreness around the affected skin
• Formation of multiple holes (sinus tracts) in the skin
• Foul odor
• Blood or pus oozing out of the abscess
• Hair sticking out of the lesion
Pilonidal sinus can be embarrassing and painful if left untreated for long.

What is the treatment for this condition?
Pilonidal sinus usually goes away on its own, without medical intervention. However, if the cyst becomes infected, it may have to be operated or drained. The commonly used treatment procedures are-

• Conservative treatment - if the condition is diagnosed at an early stage, your doctor will prescribe a broad-spectrum antibiotic to treat a broad range of bacterial infection. This will relieve you from the pain and discomfort resulting from infection.

• Lancing - this procedure involves using a scalpel to open the abscess. Your doctor will give you an anaesthetic prior to the operation. The channel is then cleaned properly to drain out blood, pus or hair. The wound is packed with a sterile dressing and left to heal. It usually takes about a month for the wound to heal, after which no further treatment is required.

• Phenol injections - for this procedure, first and foremost, your doctor will give you anaesthetic so that you don’t feel any pain. A chemical compound known as Phenol is injected into the cyst. Phenol acts as an antiseptic and is used to harden and eventually close the lesion. This procedure needs to be repeated multiple times to achieve the desired result.

Surgery - if the pilonidal sinus tends to recur, or if you develop multiple sinus tracts, the most preferred choice of treatment is surgery. The surgeon will open the lesion, remove the debris and pus, and then suture the wound. You will be given an anaesthetic prior to the surgery, and once the treatment is done, you will need to change the dressing more often.
If you suffer from pilonidal sinus, you will also need to maintain good hygiene. Make sure you clean and wash the area with a mild soap, and rinse properly. If your job requires you to sit for a prolonged period, take a break in between your work. Avoid wearing skin tight clothes. Adopting these measures will help prevent the occurrence of pilonidal sinus.

4996 people found this helpful

Prostate Gland - All You Should Be Knowing!

Dr. Pranav Chhajed 89% (188 ratings)
M. Ch. (Urology), MS General Surgery, MBBS Bachelor of Medicine and Bachelor of Surgery
Urologist, Nashik
Prostate Gland - All You Should Be Knowing!

The prostate gland is a male reproductive organ at the base of the urinary bladder and urethra is a thin tube that carries urine out of the penis. It runs through the prostate gland. A fluid produced by this gland helps to carry sperms produced by the testes outside during intercourse.

Cause of urinary problems in men:

Men experience urinary symptoms either due to inflammation of the prostate gland or prostatitis or symptoms may be the result of a blockage of the passage due to enlargement of the prostate gland.

Symptoms of urinary problems:

Urinary symptoms commonly experienced with prostate problems include;

  1. The need to urinate frequently during the night.
  2. Urinating more often during the day.
  3. Urinary urgency is the urge to urinate can be so strong and sudden that one may not reach the toilet in time.
  4. The urine stream is slow to start.
  5. Urine dribbling for some time after finishing urination.
  6. A sensation that the bladder is not fully emptied after urination.
  7. A lack of force to the urine flow, which makes directing the stream difficult.
  8. The sensation of needing to go again soon after urinating


  1. A long course of antibacterial medication (for bacterial prostatitis) is prescribed because infection is difficult to get rid of, the antibacterial medication will need to be taken for many weeks.
  2. Medication to improve urine flow and other symptoms (for obstruction caused by an enlarged prostate).
  3. Surgical procedures (for blockage caused by an enlarged prostate), such as Transurethral Resection of the prostate(TURP), Laser Resection of prostate, Transurethral Incision of the prostate(TUIP).
  4. Prostatic massage is also very effective in the management of chronic prostatitis.

A number of other procedures that have been developed to reduce urinary symptoms.

Medication for urinary problems:

Various medications to help ease your urinary problems, including;

  1. Medications to reduce the tone of the muscles of the urethra and prostate to minimize any obstruction to urine flow caused when these muscles contract.
  2. Medication to reduce the size of the prostate gland. These drugs work by blocking the action of male hormones produced by the prostate gland.
  3. Medications to relax the bladder, making unwanted contractions less likely and reducing the symptoms of urgency and frequency of urination.
  4. Over-the-counter medicine 'Saw Palmetto' (Serenoa repens) is used sometimes. This may help some men, especially if frequent urination at night is a problem. However, recent reviews of the evidence for using Saw Palmetto as a treatment for mild or moderate urinary symptoms did not show any improvement compared to no treatment, in men with BPH.
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Is fucibet and nadoxin cream applied directly at same time to a bacterial infection wound?

Dr. Narasimhalu C.R.V.(Professor) 93% (61107 ratings)
Dermatologist, Chennai
Is fucibet and nadoxin cream applied directly at same time to a bacterial infection wound?
No. Contains steroid. Very dangerous. Alternate safe cream available. Do direct online consultation for prescription by sending a photo.
1 person found this helpful
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I am 27 years old girl. I have some doubts about a medicine. Duradox and biored l capsule is necessary for take two medicines? Or can I take only one, or duradox or biored?

Dr. Kb Khandelwal 92% (116 ratings)
Homeopath, Jaipur
I am 27 years old girl. I have some doubts about a medicine. Duradox and biored l capsule is necessary for take two m...
Please you don't use duradx and biored both haveing many side effects you use homeopathic medicine no side effect and better results.
1 person found this helpful
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I am currently taking cefixime 400 mg capsule for infection treatment and I was wondering if I can I take milk with it?

Dr. S.K. Tandon 96% (42906 ratings)
M.D. Consultant Pathologist, CCEBDM Diabetes, PGDS Sexology USA, CCMTD Thyroid, ACDMC Heart Disease, CCMH Hypertension, ECG
Sexologist, Sri Ganganagar
I am currently taking cefixime 400 mg capsule for infection treatment and I was wondering if I can I take milk with it?
Yes you can take milk at a gap of 10 mins of it. Taking milk with antibiotics may sometime upset gi system.
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Folliculitis - Know Signs Of It!

Dermatologist, Delhi
Folliculitis - Know Signs Of It!

Folliculitis is an ordinary dermatological condition which causes the hair follicles of the skin to be inflamed. This condition, which occurs due to both bacterial and fungal infection, causes small red or white pimples to form around the hair follicles. The infection, if left untreated, can spread and turn into rough, coarse sores which may take a long time to heal.

In some cases, folliculitis can be also caused by viruses and fungi which had perhaps penetrated the ingrown hairs causing subsequent inflammation. This condition is categorized and diagnosed as a superficial or deep infection depending on the amount of hair follicles involved. 

1. Causes:

-    Friction caused by shaving or tight - fitting clothes
-    Heat and sweat, due to prolonged exposure to the sun
-    Tightly wrapped bandages or dressings on the skin

2. Symptoms:

-    Clusters of tiny red or white bumps in and around the hair follicles
-    Reddened and inflamed skin
-    Itchy skin and rashes
-    Pus-filled blisters that may crust and later break
-    Swellings on the skin

3.Risk Factors:

Anyone, whether young or old, may develop folliculitis. But, there are certain factors that increases the risks of the condition. The following are some of them:
-    Conditions like HIV or AIDS that reduces the immunity in your body
-    Being obese
-    Medications and ointments with side effects
-    Improper shaving

Many a times, people ignore this condition, presuming that it will heal with time. But if left untreated, complications such as large itchy patches of skin, increased swelling and heightened inflammation of the hair follicles may occur. If the condition persists for too long, it is advisable that you consult a doctor.

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