Quadriplegic & Paraplegic Spinal Cord Injuries: Is this a pressure sore - Quadriplegic & Paraplegic Spinal Cord Injuries

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#1 User is offline   coolparaguy 

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Posted 30 September 2006 - 03:58 AM

Hi everyone,


A couple of weeks ago, I noticed a bump on my butt, near my anus. I thought it might be a big pimple or a bug bite. It has not healed since then and it is kind of hard to the touch. The other day I tried squeezing it and a large amount of blood came out. Now it's not as hard as it used to be, but it's bleeding on an off as I can see small amount of blood on my boxer. Is this a pressure sore? I've never had one before and I've been on the wheechair for over 12 yrs. Does a pressure sore bleed? I'm so worried :mfromg: . I don't want to be tied to the bed for months. I need to finish collegel. Please advise!
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#2 User is offline   bigsmiles 

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Posted 30 September 2006 - 07:04 AM

View Postcoolparaguy, on Sep 30 2006, 04:58 AM, said:

Hi everyone,


A couple of weeks ago, I noticed a bump on my butt, near my anus. I thought it might be a big pimple or a bug bite. It has not healed since then and it is kind of hard to the touch. The other day I tried squeezing it and a large amount of blood came out. Now it's not as hard as it used to be, but it's bleeding on an off as I can see small amount of blood on my boxer. Is this a pressure sore? I've never had one before and I've been on the wheechair for over 12 yrs. Does a pressure sore bleed? I'm so worried :yikes: . I don't want to be tied to the bed for months. I need to finish collegel. Please advise!

:( Sure sounds like the start of one. Read up on the Pressure sores , theres a page on on here and its very good...keep a close eye on it and note any changes...use a hand mirror if you have problems seeing it....all the best :mfromg:
Nobody can make you feel inferior without your consent....Eleanor Roosevelt.
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#3 User is offline   Mellowcanuck 

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Posted 30 September 2006 - 12:07 PM

Its an ulcer. Stay off it this instant. I was in bed ALL summer because of one. I had to quit my job. I had the skip every plan I had made. Get off it right now. Do not mess around.

Start taking big doses of Vit C. It promotes skin growth. Like 1000-2000mgs a day. Get something called duoderm its a plastic gel based bandage. Half way through I started rotating from leaving it uncovered , and cleaned ,dab it clean dont rub. And uncovered with polysporin anti bacterial . If I had been more careful and taken it more serious then I did I would have been in bed a month.

Check your cushion. You may need to change. If its a Jay active gel then you are most likely bottoming out and not shifting enough. You need to get a pressure map done.

I shouldnt be telling you this but I'll tell ya since you are in school. If it isnt to bad you might be able to carry on but only if you are extremely careful. Use the duoderm the vit C and polysporin. And stay in bed as much as you can, right off the area with the sore. Try to take as much pressure off it as you can when you are up in your chair. The duo derm doesnt like the polysporin much so put the poly on the sore, give it a while to work into the skin and dry up a little. Then put the duoderm on. Keep track of it. If it looks like it is closing up and healing keep at it. But thesecond your gut tells you it isnt working...go drastic and stay in bed and off it 24 hours a day.

The kind you want is disk shaped. It has a foam side and a sticky side with a gel center. These are worth the huge bucks they cost. Mine were like 12 bucks each. But they work. And they can last a few days each. Even if it feels like it, they arent extra padding so you have to stay off as much as possible still.



Ive been in a chair for 13 years and it just happend this summer. I swear it almost broke me. Being confined to a bed ALL the time becomes its own torture. You end up like huey off Boondocks when he watched nothing but BET.

And stop squeezing it!

You have to take this very seriously. Oh I guess you should run to the doctors eh?

Good luck hope you dont end up in bed. And sorry if I just scared you shitless...
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#4 User is offline   coolparaguy 

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Posted 30 September 2006 - 02:49 PM

View PostMellowcanuck, on Sep 30 2006, 05:07 AM, said:

Its an ulcer. Stay off it this instant. I was in bed ALL summer because of one. I had to quit my job. I had the skip every plan I had made. Get off it right now. Do not mess around.

Start taking big doses of Vit C. It promotes skin growth. Like 1000-2000mgs a day. Get something called duoderm its a plastic gel based bandage. Half way through I started rotating from leaving it uncovered , and cleaned ,dab it clean dont rub. And uncovered with polysporin anti bacterial . If I had been more careful and taken it more serious then I did I would have been in bed a month.

Check your cushion. You may need to change. If its a Jay active gel then you are most likely bottoming out and not shifting enough. You need to get a pressure map done.

I shouldnt be telling you this but I'll tell ya since you are in school. If it isnt to bad you might be able to carry on but only if you are extremely careful. Use the duoderm the vit C and polysporin. And stay in bed as much as you can, right off the area with the sore. Try to take as much pressure off it as you can when you are up in your chair. The duo derm doesnt like the polysporin much so put the poly on the sore, give it a while to work into the skin and dry up a little. Then put the duoderm on. Keep track of it. If it looks like it is closing up and healing keep at it. But thesecond your gut tells you it isnt working...go drastic and stay in bed and off it 24 hours a day.

The kind you want is disk shaped. It has a foam side and a sticky side with a gel center. These are worth the huge bucks they cost. Mine were like 12 bucks each. But they work. And they can last a few days each. Even if it feels like it, they arent extra padding so you have to stay off as much as possible still.



Ive been in a chair for 13 years and it just happend this summer. I swear it almost broke me. Being confined to a bed ALL the time becomes its own torture. You end up like huey off Boondocks when he watched nothing but BET.

And stop squeezing it!

You have to take this very seriously. Oh I guess you should run to the doctors eh?

Good luck hope you dont end up in bed. And sorry if I just scared you shitless...



Thank you very much for the info. What's the difference between an ulcer and a sore? Also, where can I get the "duoderm" you mentioned. Oh man, I hope this goes away. I can't afford to be bedridden. Thanks again
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#5 User is offline   mrsE 

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Posted 30 September 2006 - 07:19 PM

If I was you I would see a spinal consultant (not a GP) straight away,because of the area it is in it could very easily become infected. Also, if it is just on the surface you may be able to treat it yourself but you have to be careful if it is any deeper - sometimes if it is deeper and looks like it is closing over the surface it may leave a tiny gap under the surface - and if there was any infection there it could start a sinus.

Sometimes these things occur due to a pulled hair and the tiny hole that the hair follicle was in becomes infected so be gentle when cleaning that area - don't rub.
Jackie x
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#6 User is offline   Mellowcanuck 

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Posted 30 September 2006 - 09:30 PM

Its one of those things that can turn out to be nothing or a huge deal. You do need to see a doc. The duo derm I got at a pharmacy. I think an ulcer is the start of a pressure sore it just shows different symptoms.
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#7 User is offline   juless 

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Posted 01 October 2006 - 07:55 AM

A sore is a sore like a grazed knee a cut.

An ulcer is a pressure area and what that means is that it comes from what we medical people call shearing force in other words your skin shearing up against a sheet a cushion anything you sit/lie on for a long time. They're in 4 stages

Stg 1 to Stg4 and if you email me privately I'll let you know what they are but basically st1 is no broken skin and st4 goes all the way to the bone past all your skin layers.

When you say anus I assume you mean anus hole and to me it sounds like a boil. You can not squeeze an ulcer. You can put your finger (sometimes hand yucky) in it and in it's like a hole. I haven't seen it :-) however it sound like a boil and infection of some type - I get them too (like you wanted to know) and I squeeze the daylights out of them (so medically wrong :-). It sounds more like a pimple type problem, you'll need some antibiotics (probablly oral) and STOP SQUEEZING IT!!!!!!!!!!!!!! Squeezing causes trauma to that area causing skin breakdown and as a para/quad you don't want that.

Sure stay off it stay off anything that's broken skin that's the general rule, do your homework in bed I know it's possible.:-)

Take care and yeah take the Vit C and go to the MD.

Juless
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#8 User is offline   coolparaguy 

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Posted 02 October 2006 - 01:27 AM

View Postjuless, on Oct 1 2006, 12:55 AM, said:

A sore is a sore like a grazed knee a cut.

An ulcer is a pressure area and what that means is that it comes from what we medical people call shearing force in other words your skin shearing up against a sheet a cushion anything you sit/lie on for a long time. They're in 4 stages

Stg 1 to Stg4 and if you email me privately I'll let you know what they are but basically st1 is no broken skin and st4 goes all the way to the bone past all your skin layers.

When you say anus I assume you mean anus hole and to me it sounds like a boil. You can not squeeze an ulcer. You can put your finger (sometimes hand yucky) in it and in it's like a hole. I haven't seen it :-) however it sound like a boil and infection of some type - I get them too (like you wanted to know) and I squeeze the daylights out of them (so medically wrong :-). It sounds more like a pimple type problem, you'll need some antibiotics (probablly oral) and STOP SQUEEZING IT!!!!!!!!!!!!!! Squeezing causes trauma to that area causing skin breakdown and as a para/quad you don't want that.

Sure stay off it stay off anything that's broken skin that's the general rule, do your homework in bed I know it's possible.:-)

Take care and yeah take the Vit C and go to the MD.

Juless


Thanks, Juless. I didn't know what a boil was, so I looked it up on google. The descriptions match. I'm pretty sure what I got is a boil, a big old pimple on my behind, and not a sore. Wow, what a big relief!! Thanks everyone for your inputs
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#9 User is offline   cvelusc 

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Posted 02 October 2006 - 02:38 AM

View Postcoolparaguy, on Oct 2 2006, 02:27 AM, said:

Thanks, Juless. I didn't know what a boil was, so I looked it up on google. The descriptions match. I'm pretty sure what I got is a boil, a big old pimple on my behind, and not a sore. Wow, what a big relief!! Thanks everyone for your inputs

Glad everything worked out for you! When I read your first post I was hoping that everything would end up fine. I myself found a silverdollar-sized pressure sore on my ankle yesterday after taking a shower. Not totally 100% sure as today the sore appears more to be a bruise or burn mark. As I said, not really sure but the skin is healing. Let's hope for no more skin breakdown issues!
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#10 User is offline   Mellowcanuck 

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Posted 03 October 2006 - 06:59 AM

Thats how my ulcer started....as a boil. It wouldnt heal up. Keep up your skin checks.
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#11 User is offline   htwhlz97 

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Posted 04 October 2006 - 05:33 PM

The same thing happened to me just recently. I just came back to work. The dr told me to stay off of it and had insisted I stay off of work for 2 wks. I am a student also, and I know what the ramifications are by staying bedridden, it totally sucks. But it sure did make a difference.

It started like a chaffing or like a rug burn. I went to an amusement park and rode the coasters of course and I think the jarring scrapped my bottom. I noticed it as soon as I got it and was keeping a watchful eye. But being that I didnt keep it covered I may have infected it during my bowl program. So it got worse just when it was really starting to go away. It got twice the size and started leaving a hole or an indention and it definetly was infected. I literally freaked out and was devastating, I was depressed and soooo scared and just wanted to cry. And thought I was going to be in total need from my family of which I hate.

Dr gave my antibotics, oral and topical, and total bedrest. I couldnt even shower, he said the moisture is going to keep it from healing. He agreed that not covering it up made it worse. It cleared up in that time and now is down to its orginal size and started to scab up. As soon as I'm done with everything I have to do in the day I am off it. Good luck hope it helps.

This post has been edited by htwhlz97: 04 October 2006 - 05:38 PM

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#12 User is offline   russ1 

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Posted 05 October 2006 - 08:45 PM

Bloody hell - sounds like I was lucky. I got a boil (from an ingrowing hair the nurse thought). Wasn't under my sit bones so was told to keep off it as much as possibe but that I didn't need total bedrest so did 2 or 3 hours on 2 or 3 off for about 4 or 5 days and then went back to work making sure I did a lot more pressure relief than I normaly do (which is very little) - It healed up mostly in a week or 10 days and had disappeared completely in about 3 weeks. I'm not even sure if they put me on antibiotics, I don't recall that they did. I certainly didn't dress it but did take care to make sure it was kept clean.

Hope yours goes the same way as mine.

By the way I got my advice from the Spinal Unit (nurse's opinion confirmed by registrar) so was pretty confident in it but was told in no uncertain terms that if it got worse in any way to keep off it completely and to get back to them. Fortunately not necessary.

Scared the hell out of me for a day until I got seen though.
Russ - T2complete
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#13 User is offline   wheelie182 

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Posted 06 October 2006 - 08:31 AM

ahh, theres nothing quite like finding a red mark or a bump or or pressure areas :lol: :nopity:
That's what she said!
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#14 User is offline   jamesgirl 

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Posted 09 October 2006 - 11:59 PM

TO ME IT SOUNDS MORE LIKE A HEMROID DON'T THINK I SPELLED THAT RIGHT, BUT ANY TIME YOU HAVE A SORE, RED SPOT, BOIL, PIMPLE ETC. . . NEVER POP IT LIKE YOU DID. GO SEE YOU DR, KEEP THE AREA CLEAN AND DRY. TRY SITTING AN A DOUGHNUT AIR CUSHION ON TOP OF YOUR ROHO
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