Stitches, also known as sutures, are medical devices used to hold body tissues together after an injury or surgery. They support the healing process, reduce the risk of infection, and help minimize scarring.
Understanding Minor Bleeding
Some minimal bleeding or spotting around stitches is a normal part of the healing process. This is common shortly after the procedure or with minor movements. Normal bleeding appears as small, light pink or reddish amounts that do not flow continuously.
Capillaries, which are tiny blood vessels, can break as the skin around the wound adjusts or as new tissue forms. This is part of the initial inflammatory phase of wound healing.
Identifying Concerning Bleeding
While some minor bleeding is expected, certain signs indicate that bleeding from stitches is not normal and may signal a complication. Heavy or continuous bleeding that soaks through dressings is a concern. Bright red blood that flows steadily or pulsates also requires immediate attention.
Bleeding accompanied by other symptoms like increased swelling, warmth, or severe pain around the wound can suggest an underlying issue such as infection or wound dehiscence. Wound dehiscence, where a surgical incision reopens, can also cause bleeding, pain, and broken sutures. Pus or a foul odor from the wound, along with bleeding, are clear indicators of potential infection.
When to Seek Medical Attention
Contact a healthcare provider if any concerning signs of bleeding occur. Continuous or heavy bleeding that does not stop with direct pressure for 5 to 15 minutes warrants immediate medical consultation. Any bleeding accompanied by a fever of 100.4°F (38°C) or higher, chills, or increasing pain should also prompt a call to your doctor.
Other red flags that, while not directly about bleeding, signify a problem with the stitches or wound include increased redness or swelling around the wound, red streaks extending from the wound, or a foul-smelling discharge. If the wound edges separate or the stitches break or come out prematurely, medical attention is necessary to prevent further complications.
Essential Stitch Care
Proper care of stitches is important for optimal healing and to prevent complications, including those that might lead to excessive bleeding or infection. Keeping the wound clean and dry is a primary step; typically, the wound should be kept dry for the first 24 to 48 hours. After this initial period, gentle cleaning with mild soap and water, followed by patting the area dry with a clean cloth, is often recommended, but avoid scrubbing or soaking the wound.
It is also important to avoid strenuous activities that could strain the stitches, as tension on the wound can lead to complications like dehiscence. Dressings should be changed as instructed by your healthcare provider, ensuring the wound remains covered and protected from dirt and bacteria. Protecting the wound from injury and avoiding picking at the stitches or scabs further supports the healing process.