Currently Using Santayl But Not A Lot Happening With The Black Areas

Posted on Wed, 18 Nov 2020

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Wed, 18 Nov 2020 Answered on

Mon, 28 Apr 2025 Last reviewed on

Question : I have a wound that is 1.5 cm and 1.5 cm on my inner buttcheek for the past 2 weeks and it won't heal. I'm in my wheelchair for work and then come home and lay down. At the top the black keeps spreading. It doesn't seem like eschar but dry blood. Some comes off with saline but the top right we can't get any off hardly. Currently using Santayl but not a lot happening with the black areas.

Answered by Dr. Olgeta Xhufka (1 hour later)

Brief Answer:
You may need to take antibiotics.

Detailed Answer:
Hello dear,

I see the photo you attached and the wound seems ulcerative and infected since it has a red rash around the wound and white material on it possibly pus.
Possibly it started as pimples but it got infected.
Staying in wheelchair and sitting may contribute to non healing.
Also being diabetic may have contributed to it.
I think you may need to take antibiotics orally and also on the wound.
Also visit a surgeon to check for possible fistula.

Hope I have answered the question.
Let me know if I can assist you further.

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Olgeta Xhufka (21 hours later)

but what does the people mean on the edge. Then I will get purple dots that are near the wound

Answered by Dr. Olgeta Xhufka (4 minutes later)

Brief Answer:
The redness is all around the ulcer

Detailed Answer:
Hello dear and thank you for asking again.

I believe it is infected since it has white pus on the middle, ulcerative wound, and redness all around the ulcers.

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Olgeta Xhufka (1 hour later)

I meant but what does the purple mean on the edge. Then I will get purple dots that are near the wound. The bruiseness means infection normally too?

Answered by Dr. Olgeta Xhufka (2 hours later)

Brief Answer:
Purple around wound is infection.

Detailed Answer:
Hello dear and thank you for asking again.
The purple around wound can be caused by infection. The bruiseness doesn't mean infection.
Let me know if I can assist you further.

Above answer was peer-reviewed by : Dr. Arnab Banerjee