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Splinters

WHAT YOU SHOULD KNOW

A splinter stuck under the skin can be painful and may become infected, whether it's stuck just under the skin or deep beneath the surface. The problem is known medically as a soft tissue foreign body.

Causes

The trouble can be caused by a wood splinter, a sliver of metal or glass, a thorn, or any other small object that lodges beneath the skin.

Signs/Symptoms

There will be an opening in the skin where the object entered. The splinter itself may or may not be visible. The area may bleed, bruise, swell, or cause pain. It may remain sore for 2 to 3 days after the object is removed.

Care

The most important part of your care is to get the object out. If it is not visible, your doctor may order an x-ray to locate it. For a foreign body very deep under your skin, numbing medicine may have to be applied to the area before the object is removed. A deep cut may be required to reach the object; and you will need to care for this wound as outlined below. Your doctor may give you a tetanus shot if you have not had one in the past 5 to 10 years. You may also need to take antibiotic medicine to prevent infection in the wound.

WHAT YOU SHOULD DO

  • Keep the wound dry for 24 hours.
  • Keep the bandage covering the wound clean and dry. If the bandage gets wet and must be changed, unwrap it slowly and carefully. If it sticks or starts to hurt, use warm water to loosen it gently. Pat the area dry with a clean towel before putting on another bandage.
  • If possible, keep the injury raised during the first 1 to 2 days to reduce pain and swelling and promote healing.
  • Clean the wound gently 3 to 4 times a day:
    • Use soap and water or a cotton-tipped swab dipped in a mixture of half water and half hydrogen peroxide.
    • You may also keep the wound clean by soaking it 3 to 4 times a day in clean, warm water.
  • If your doctor puts small strips of tape across the wound, you'll be told when to remove them. It's all right if they fall off by themselves after a few days.
  • If you are given a tetanus shot, your arm may get swollen, red, and warm to the touch at the site of the shot. This is a normal response to the medicine.
  • If your doctor has prescribed antibiotics, keep taking them until they are all gone. If you stop taking them too soon, an infection could still develop.

Call Your Doctor If...

  • You have a high temperature.
  • More and more blood is coming from the wound.
  • You have any signs of infection (redness, swelling, pus, a bad smell, or red streaks leading from the wound).
  • You develop a rash, itching, or swelling after taking your antibiotic.
  • You have pain or numbness in the injured area that gets worse and won't go away.

Seek Care Immediately If...

  • You develop swelling, have trouble breathing, or feel as if your throat is closing after taking your medicine.

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