After a surgical incision, the body initiates a natural healing process to repair damaged tissues and restore their integrity. This complex process involves various cellular activities to mend the wound. During this healing journey, some individuals may experience “spitting stitches,” where the body pushes absorbable suture material out through the skin.
Understanding Spitting Stitches
Spitting stitches occur when the body, instead of completely dissolving absorbable sutures, pushes a portion of the stitch material out through the skin. The body perceives these sutures as foreign objects, and its immune response can lead to localized inflammation, causing the material to extrude. This reaction is common with absorbable sutures, which are designed to break down internally over time.
A spitting stitch might appear as a small bump or red spot, sometimes resembling a pimple, near the incision line. A tiny loop or thread of the suture material may become visible or protrude through the skin. There might also be some clear or slightly yellowish discharge. Spitting stitches are often a normal part of the body’s reaction to absorbable suture material.
Typical Healing Timelines
Spitting stitches can appear at varying times after surgery, depending on the suture material, incision location, and individual healing rate. They typically occur from a few weeks to several months post-procedure, as some absorbable sutures can take six months or more to break down.
Most wounds associated with spitting stitches usually heal within a few weeks once the suture material has been expelled or removed. The body’s inflammatory response causes the stitch to work its way to the surface. Increased movement or tension in the incision area can also influence when and where spitting stitches occur.
Home Care and Management
When a spitting stitch appears, proper home care supports healing and prevents complications. Keeping the area clean and dry is a fundamental step, often involving gentle washing with mild soap and water daily. Avoid picking at the stitch or attempting to pull it out forcefully. The body will typically expel the suture on its own, or a healthcare provider can safely remove it.
Applying a warm, moist compress can help encourage the suture to surface. Once exposed, a doctor can trim or remove it. After removal, cleaning the area with rubbing alcohol and applying an antibiotic ointment, if recommended by your surgeon. Always follow your surgeon’s specific post-operative care instructions for optimal healing.
When to Consult a Doctor
While spitting stitches are a normal part of the healing process, certain signs indicate a need for medical consultation. Contact your doctor if you notice increasing pain, swelling, or redness around the incision site. The presence of pus, foul odor, or significant discharge from the wound also requires prompt medical evaluation, as these can indicate an infection.
Fever or chills also warrant immediate medical attention. If the incision site is not healing as expected or if the wound appears to be reopening, seek professional advice. If the spitting stitch does not resolve on its own after an extended period, or if you have any significant concerns, contact your surgeon or healthcare provider.