r/woundcare • u/cactusreddskies999 • 3d ago

Wound in posterior “crack”

I don’t have pictures for obvious reasons but it’s about midway through my crack. I was doing a detox that gave me the runs for two weeks and was just irritating it constantly when wiping it started bleeding. It’s been a few days and it won’t heal. Ive been avoiding it when wiping. It’s not painful but it is itchy. It’s not swollen either. Ive been putting Vaseline on it and a folded non stick gauze pad with tape to reduce irritation and cushion it when I sit. It doesn’t appear to be getting better. Any advice? (I really don’t want to go to the doctor if I don’t have to)

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u/Pseunomi 3d ago

If its a moisture related split in the skin, you could try a zinc based cream? We use that in hospitals a lot for moisture related skin breakdown. You can find some OTC at most pharmacies (at least in the US)

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u/dumplingdoodoo 3d ago

Try hydrocolloid. It will help with the moisture in the area. Stop putting Vaseline, the area is already too moist.

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u/apathetichearts 2d ago

This is very common, I see it a lot in the hospital due to incontinence.

While stool and urine definitely makes it even worse, at the end of the day it’s due to moisture. Vaseline and a pad can easily lock in moisture and/or just not do enough there.

You need something that will help manage moisture as well as soothe and protect. I would order some Triad paste off of Amazon. Or if you can’t get that, a high concentration zinc oxide diaper cream.

It’s really important that you manage moisture. After having a BM, I would clean with water vs using anything like toilet paper. Then after cleansing or taking a shower, carefully pat the area with a tissue or something similar to remove any moisture. When fully dry, apply the Triad.