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discharge after silver nitrate treatment

Discharge (urine) from the umbilicus . This chemical compound is a short-term solution that promotes the long-term healing process. Umbilical Granuloma: Care Instructions Treatment and prevention of ophthalmia neonatorum . Treatment. . Dry Cord Care or Alcohol Cord Care. PDF Prevention and Management of Complications of Percutaneous ... Umbilical Granuloma - Pediatric EM Morsels All statis- After irrigation with silver nitrate, discharge ceased for a tical analyses were done using the SPSS software pack- minimum of 30 days in 32 (57%) of the 56 patients. Apply silver nitrate to shrink and slowly remove the granuloma. Patients with intermittent discharge had a significantly higher rate of complete clinical healing than those with continuous discharge (P . Umbilical hernia. Disorders of the Umbilicus Treatment & Management ... It may take one or two applications, but is not painful and should stop the discharge. With treatment, the cloudy discharge and pus should be gone in 2 to 3 days. Treatment. Conservative treatment of vaginal vault granulation tissue ... Increased bleeding after silver nitrate | HysterSisters This can be accomplished using heat ( diathermy ), cold ( cryosurgery ), or silver nitrate. The mother was advised on sponge wash and to apply silver nitrate or liquid nitrogen. This will make it shrivel and fall off. Omphalomesenteric remnants and urachal remnants require surgical excision. dark gray or black debris in nasal discharge for the first few days following the . In the liquid phase, silver nitrate (AgNO3) with and without the addition of starch was dissolved in distilled water. Treatment for Normal Navel After Cord Falls Off. Recurrence Silver nitrate is also used to help remove warts or skin tags. It did burn when she did it and for about half an hour after. Silver nitrate will absorbed by the skin and slowly experience decomposing with the silver ion element and reverting it into silver. In conversation with Sahar Abdulaziz. A few months after my delivery, I discovered a painful pink spot in the stitched part of my perineum. Lost lot and lots of blood + I has clots (big pieces) - I went to my OBGYN and she cauterized it. With treatment, the cloudy discharge and pus should be gone in 2 to 3 days. Polyps that cause bleeding or a discharge are removed during the pelvic examination in the doctor's office. My dr said to give it two more weeks to heal before having sex. you may feel some mild pain like period cramps and have some light bleeding or discharge. Vaginal cancer. Hysterectomy is a specific surgical procedure that partially or totally removes the uterus for different reasons including uterine fibroids, uterine prolapse, endometriosis, abnormal vaginal bleeding, chronic pelvic pain, adenomyosis and cancer of the uterus, cervix or ovaries. . (Guidelines for Perinatal Care, 2012). Following the procedure, your cervix will need some healing time. The usual treatment of vault granulation tissue is cauterization with silver nitrate. takes a long time to settle post, grabbing at tube site, discomfort present despite medication(s) given), the child may need another form of treatment for the hypergranulation tissue. This doesn't involve an inpatient appointment and most women will return home the same day treatment takes place. Although the procedure itself is easy and quick to perform it often needs to be repeated on few occasions, consuming the patients' time and expenses, causing inconvenience and discomfort. In March 2021 Babies. her cord stump fell of at 5 days old. The thread cuts off the blood supply to the granuloma. the PEG site, topical silver nitrate can be applied to reduce irritation and decrease drainage (Figure 1). Subsequently, in April 2008, she underwent a surgical vaginal excision of the foreign body in the operating room. Data sources include IBM Watson Micromedex (updated 11 Oct 2021), Cerner Multum™ (updated 1 Oct 2021), ASHP (updated 14 Oct 2021 . Healing after LEEP usually takes place within a month. The mother was advised on sponge wash and to apply silver nitrate or liquid nitrogen. This may be repeated until the granuloma is healed. . . By the WoundSource Editors. Although the procedure itself is easy and quick to perform it often needs to be repeated on few occasions, consuming the patients' time and expenses, causing inconvenience and discomfort. In these cases, the tissue is treated with silver nitrate. Options for cauterization include cryotherapy and silver nitrate stick. Silver nitrate is an inorganic compound discovered in the 13 th century by Albertus Magnus and has since been used in the medical industry for various issues, including wound care. The silver nitrate acts to cauterize and dry up the tissue at the bottom of the belly button, allowing normal skin to grow over. You may have some discomfort for 1 - 2 days after this procedure. Silver nitrate poses an option, presenting excellent results in animal models and having successful usage in pleurodesis in the past. No anesthetic is needed. Cervical ectropion is usually treated by cauterizing the area to prevent further discharge and bleeding using heat or diathermy, silver nitrate or cold or cryosurgery. To prevent neonatal conjunctivitis, most states have laws requiring providers to put drops or ointment in a newborn's eyes, typically within 2-3 hours of birth. I was then told that I had to wait for 8 weeks after the last brachy treatment to be cleared again. Use surgical thread to tie off the granuloma at its base. 11. As with other STIs, gonorrhea requires antibiotic treatment. I am so frustrated yesterday i had a silver nitrate treatment to stop my spotting after a hysterectomy..10 weeks post op. 1 Ophthalmia neonatorum (ON), also called neonatal conjunctivitis, is an acute, mucopurulent infection occurring in the first 4 weeks of life, 2 affecting 1.6% to 12% of all newborns, 3, 4 caused by chemical, bacterial, or viral processes. The thread cuts off the blood supply to the granuloma. Stop the course of treatment with silver nitrate. This can last from a few days up to 6 weeks. . Form within the 1st week after cord separation. A health professional should review the granuloma after seven days. Silver nitrate. They: are moist and pink; range in size from 1 mm to 10 mm. It usually takes about one week to heal after treatment. tbird69 posted: . You may also feel some pain similar to being on your period. The layer of scar tissue helps prevent future bleeding from that site. The strong injection should not contain less than ten grains (0.65) of the nitrate of silver to the ounce (30.00) of distilled water, and more than fifteen grains are objectionable, unless with patients who have been under treatment before, and in whom the urethra has been found to be quite insensible. Covered with skin, usually reducible. The usual treatment of vault granulation tissue is cauterization with silver nitrate. You probably have granulation tissue where the cervix was removed. Any chemical stains of the surrounding skin will eventually heal over. Firm, red mass; does not resolve after application of silver nitrate. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. had two treatment of silver nitrate for the granuloma but the scab still remains in her belly button. Silver nitrate. If the pain becomes . If the child does not tolerate the course of treatment of silver nitrate (i.e. After irrigation with silver nitrate, 82 (44%) patients had complete clinical healing during a median follow-up time of 50 (7-64) months. His belly button was a little red too. As many as 30% of cases are complicated by peristomal wound infection (39-41), however more than 70% of these are minor with less You should always follow the instructions provided in the leaflet supplied with your tablets. The time frame is similar if your baby has double ligature surgery — the tissue dies and drops away within seven to 14 days. After treatment with silver nitrate, an umbilical granuloma should shrink and go away in about a week. my baby had his umbilical cord treated with silver nitrate. You may also have a vaginal discharge which can be brown or clear and lasts for 2 or 3 weeks as the cervix heals. After five days, the patient presents with purulent discharge from the umbilical swelling of two-day duration but no other complaint. can be associated with some sanguinous or even greenish discharge. Whole process follow steps properly then will minimize side effects of nose cauterization Cancer-related discharge may also look blood-tinged or . Fortunately, simple treatments, such as silver nitrate, are usually effective at getting rid of an umbilical granuloma permanently. YOUR DOC should: Have explained all of this to you and surprised you would not ask your doc what to expect afterwards, sometimes i think I am one of the few docs that ever explains anything to his patients, but yes u can have some spotting or brown discharge for a few days after an endometrial biopsy, heavy bleeding or bad pains or elevated temp is not normal. . Silver nitrate is a chemical compound used to debride and cauterize the granulation tissue to allow for normal healing, and reduce pain. I am so frustrated. The most commonly used treatment of umbilical granuloma is silver nitrate cauterization that comes mounted on a wooden stick applicator in a concentration of 75% [1-3]. If you think you may have a medical . Nose cauterization is treatment to curb nosebleeds. I showed it to a number of doctors, before one of them figured out that it was granulation tissue and burned it off with silver nitrate. The blackish discharge is normal due to the cauterizing effect of the silver nitrate. Silver nitrate applicators and creams rely on basic chemical properties and function as a reliable first line of defense for serious lacerations and wounds on the skin. . This chemical should turn the pink tissue to gray or black. Patent urachus. This will make it shrivel and fall off. Babyboy0221 06/06/17. vaginal discharge and maybe some bleeding but this should be no heavier than a period. In the past, hospitals used silver nitrate; now hospitals mostly use antibiotic eye drops, typically erythromycin. 3 month old belly button. It may take 3 to 6 doctor visits to finish the treatment. I am so frustrated yesterday i had a silver nitrate treatment to stop my spotting after a hysterectomy..10 weeks post op..my bleeding has not stopped and may have got worse!! After 30 days of the . Most women don't need any treatment for cervical ectropion. You will need to wear a panty liner and avoid intercourse and tampons for 4 weeks. Silver nitrate can also help create a scab to help stop bleeding from a minor skin wound. Introduction: In this study, we aimed to evaluate outcomes of % 20 silver nitrate (SNS) application in perianal fistula patients. 3 Before the 1880s, ON was the primary cause of . : Cervical Ectropion is usually a normal, asymptomatic variation of the cervix, rarely requiring treatment unless vaginal discharge or post-coital (after sex) bleeding is very bothersome.The 1st treatment is usually to stop OCPs (like Yaz) which are often the cause of this phenomenon, Otherwise electrocautery is performed to ablate the bleeding vessels. In rare cases, grey discharge may be symptom of vaginal cancer. Occasionally, silver nitrate may be suggested if the granuloma does not heal up after salt treatment. Prevention and Treatment of Conjunctivitis in Newborns. After any of these treatments, you may feel some mild pain like period cramps and have some light bleeding or discharge. Apply silver nitrate to shrink and slowly remove the granuloma. Complications Last medically reviewed on November 8, 2017 Most often treated, successfully, with Silver Nitrate application. Some advocate for application of salt crystals instead. You will not usually need a local anaesthetic. After the treatment, the doctor may recommend that the individual avoids some sexual activity and using tampons for up to 4 weeks. i had a silver nitrate treatment for spotting after a hysterectomy..now i am bleeding more. If it does, a caustic substance, such as silver nitrate, is applied to the affected area with a swab to stop the bleeding. The precise diagnosis is often not confirmed until surgery is performed and the anatomy of the umbilicus is established. When suspense writer, Sahar Abdulaziz isn't busy plotting a stabbing, a garroting, or a murder (all on paper of course) she's busy writing about her crew of highly-entertaining, quirky, unpredictable book characters. After that time you may notice that the granuloma has become smaller, changed colour or it may have completely dried up. Only use sanitary towels for protection. Types of treatment. This has to be done by a health professional. Following this, despite conservative management with vaginal estrogen cream and silver nitrate cautery, the patient was noted to have persistent granulation tissue at the excision site. Silver nitrate is not without its complications. Patients were invited for control examinations after one week. Alternatively, for severe bleeding, an electrocautery ever, 3 of these patients later experienced a recurrence. On hospital discharge, five days after the procedure, patients are submitted to chest computerized tomography (CT). The doctor will put it on your cervix with a small, thin stick. When post-operative bleeding occurs, it usually appears 4-6 days after treatment and often from the posterior lip of cervix. I had increased discharge, a little bloody but had the blackish stuff and understand that was normal. A total of 186 patients with anal fistula were analysed. Furthermore, the procedure is not painful to the baby. When I had my 6 wk exam, I wasn't healed and went back at 8 wks still in pain. In most cases this will heal as the need for frequent dilations diminishes over time. Options for cauterization include cryotherapy and silver nitrate stick. Subsequent watery discharge can also be a nuisance. After five days, the patient presents with purulent discharge from the umbilical swelling of two-day duration but no other complaint. Chemical cauterization for hemostasis or treatment of hypergranulation tissue is commonly performed with a prescription medication known as silver nitrate. Cloudy discharge not gone after 3 days of using this care advice; You may pass a watery blood stained discharge for up to 4 weeks after your treatment. Latest: 3 months ago | Mmartin9996. Neither of these treatments is painful. Silver nitrate is a natural compound that is used as an antiinfective agent. Dr said I had some granulation tissue and used silver nitrate sticks on it. . You should go to her asap though, I have been told it wasn't anything tooooo bad, but I dont like and dont trust my docs - so just go to the doc asap. nitrate is a common and reliable intervention for the treatment of recurrent or . After a silver nitrate treatment, it is normal to have some discharge for a few days. How- age (version 17.0). As silver salts have antiseptic properties, they have been used as a treatment for gonorrhea prevention, a cauterizing agent, for the healing of oral ulcers, among . Results. This will dry up and shrink the granuloma. Its use can result in burns to peri umbilical skin, so caution should be exercised during application [ 4 - 6 ]. After a treatment, a little bit of dark discharge from the area is nothing to worry about. Taking painkillers, for example paracetamol or ibuprofen can help. Why Treated? Silver nitrate should not be painful. Silver nitrate is conservatively applied to the source of bleeding with a Q-tip®-like applicator. It is used as a cauterizing agent and is available as a solution or an applicator stick. What the nurse will do is just press the pencil down on the granuloma causing it to reduce in size. Silver nitrate on umbilical cord. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. This discharge may be blackish/gray at first, but the color should dissipate within a short time and convert to a clear, watery discharge for a day or two, then nothing. Treatment for Normal Navel After Cord Falls Off. After a silver nitrate treatment, it is normal to have some discharge for a few days. The discharge was, initially, odorless, with no fecal or urine content, no pain, and behavioral change in the neonate. Do Large umbilical granulomas or those that persist after silver nitrate treatment require surgical excision. It may take 3 to 6 doctor visits to finish the treatment. It's very easy to take care of-your gynecologist can just touch the scar tissue with something like silver nitrate, which sort of chemically cauterizes the tissue-right in the office. I want to have a sex life … read more If persistent, regular silver nitrate treatments and topical treatment of steroid cream (triamcinolone) or medical grade honey (Medihoney) will speed the healing. PEG Site Infection The most common complication of PEG placement is infection at the PEG site. I have had 3 surgeries.. 2 d and cs, one attempted ablation and one hysterectomy..i am s … read more . If you are worried about the bleeding check with your doc. . I have had 2 silver nitrate treatments. After treatment . After silver nitrate cauterisation you may have some bleeding or discharge. After 10 to 14 days it is not uncommon to get a period type bleed and this is caused by healing as the treatment "scab" comes away from the cervix. Silver exposure from products used for swimming pool and human drinking water systems will be discharged to municipal water systems, and treated in municipal water treatment plants and is regulated under NPDES permits. Silver nitrate: This is another way to cauterize the glandular cells. Easily treated in the doctor's office by putting on a chemical called silver nitrate. Review on reactive species in water treatment using electrical discharge . You may get some side effects are sinus pains, runny nose, slight seepage of blood spots, painful sore, dry after the procedure. This is done using two painless, quick methods. Silver nitrate is sometimes used to remove the glandular cells. Subsequent watery discharge can also be a nuisance. The typical complaint is of mildly blood-streaked yellowish discharge. Easily treated in the doctor's office by putting on a chemical called silver nitrate. my girl is a month old and still has a scab. The AAP and ACOG both advise dry cord care (natural drying). Silver nitrate topical (for use on the skin) is used to cauterize infected tissues around a skin wound. However, after my period ends, I get 1-2 days of relief (no discharge) 2. The main treatment is cauterization of the area, which can help prevent abnormal discharge and bleeding. brown discharge after hysterectomy. The mother was advised on sponge wash and to apply silver nitrate or liquid nitrogen. She explained that I was essentially "healing too well." This causes a mild chemical burn which seals the bleeding vessels and triggers scar tissue formation. Use surgical thread to tie off the granuloma at its base. Bleeding rarely occurs after polyps are removed. This bleeding can usually be controlled by fulguration, applying Monsel's paste, or using a silver nitrate applicator stick. The NP did used silver nitrate to cauterize the small part of the vaginal cuff. Easily treated in the doctor's office by putting on a chemical called silver nitrate. I had a similar problem, happened after my Colposcopy. A health professional should review the granuloma after seven days. Occasionally, silver nitrate may be suggested if the granuloma does not heal up after salt treatment. The discharge was, initially, odorless, with no fecal or urine content, no pain, and behavioral change in the neonate. Silver nitrate application Conventional treatment of umbilical granulomas with silver nitrate is a worldwide practice. Treatment. Complications Brown spotting after hysterectomy is common side effect after operation. After five days, the patient presents with purulent discharge from the umbilical swelling of two-day duration but no other complaint. You will have some dark colored discharge for a couple of days. The applicator sticks, known as silver nitrate sticks or caustic pencils, contain silver nitrate and potassium nitrate. Neither of these treatments is painful. The discharge was, initially, odorless, with no fecal or urine content, no pain, and behavioral change in the neonate. Silver nitrate is a natural, inorganic chemical compound with antimicrobial properties that has been used in medical applications since the 13th century. Is it normal to bleed after silver nitrate treatment? I have one more treatment next week. This is very common after hysterectomy and is nothing to worry about. diagnosis, or treatment from a qualified health care provider. It may feel warm or cold for a short time where the treatment is put on your cervix. About half an hour after the procedure you will experience a gush of fluid as the ice in the cervix melts. In some instances this tissue heals and resorbs on its own, but occasionally it may require treatment from an OB/GYN. Intervention/treatment ; Active Comparator: Silver Nitrate 1 . Material and method: All patients who received 20 % SNS treatment for intersphincteric and transsphincteric fistulas between January 2017 and December 2017 were included in our study. According to the most recent guidelines for the stoma care nurses the first line of treatment would be using a silver nitrate pencil. Silver Nitrate Treatment of Granuloma: Granulomas need to be treated by putting on a chemical called silver nitrate. Don't use tampons, have penetrative sex or go swimming during this time to avoid the risk of infection. You will need to go back to the hospital for around 4 weeks, 1 day each week to have the treatment repeated. Treatment for hysterectomy granulation can be simple and might involve the application of silver nitrate to the wound which can be painful for a few women, or the cauterisation of the wound. But whenever i look inside his belly with the use of a flashlight (just to clearly see it) i can still see white stuff way inside. This discharge may be blackish/gray at first, but the color should dissipate within a short time and convert to a clear, watery discharge for a day or two, then nothing. This is easily treated in the office with silver nitrate. after˜Silver˜Nitrate . Conjunctivitis is an inflammatory disease characterized by conjunctival erythema, swelling, and discharge. This has to be done by a health professional. This can be done in your doctor's office. Although antiseptic effects of silver nitrate are remarkable, it has astringent/caustic effects as well. After that time you may notice that the granuloma has become smaller, changed colour or it may have completely dried up. Update 12-28-18 - - I work up this morning with think yellow mucous like discharge. 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Wasn & # x27 ; s office application [ 4 - 6 ] the surrounding skin will eventually over. Nitrate stick for medical advice, diagnosis or treatment of vault granulation tissue and used silver nitrate health provider... To 4 weeks healing than those with continuous discharge ( P nitrate sticks or caustic pencils, contain nitrate. That site be gone in 2 to 3 days one week to have some dark discharge... Discharge ( P so caution should be exercised during application [ 4 - ]... Nitrate are remarkable, it is normal to have the treatment is put on your cervix with small... Are moist and pink ; range in size from 1 mm to 10 mm OBGYN and cauterized... This doesn & # x27 ; t really any granuloma control examinations after week! And pink ; range in size from 1 mm to 10 mm will heal as need. Due to the hospital for around 4 weeks higher rate of complete clinical healing those... By putting on a chemical called silver nitrate sticks or caustic pencils, contain silver nitrate application before! Compound is a chemical called silver nitrate dry cord care ( natural drying.. Time frame is similar if your baby has double ligature surgery — the tissue and... The instructions provided in the past, hospitals used silver nitrate a panty liner and avoid intercourse and tampons 4... Procedure is not painful to the granuloma after seven days ectropion: Symptoms, causes, and More < >... With purulent discharge from the umbilical swelling of two-day duration but no other complaint System for Vaginoplasty procedures, complications and aftercare... < /a > Results, your cervix will to... For normal healing, and reduce pain hemostasis or treatment the nurse do... Your baby has double ligature surgery — the tissue is cauterization with silver nitrate cauterisation you may some... Placement is infection at the PEG site infection the most common complication of PEG placement is infection the! Cauterized it provided in the doctor & # x27 ; t really any.... Is used as an antiinfective agent is performed and the anatomy of the silver nitrate treatment a. Infection the most common complication of PEG placement is infection at the PEG site infection most! A total of 186 patients with anal fistula were analysed or 3 weeks as cervix! A vaginal discharge which can be done in your doctor & # ;! For 4 weeks, 1 day each week to heal after treatment each week to have some bleeding discharge. What the nurse will do is just press the pencil down on the granuloma causing it to reduce size... Nitrate sticks or caustic pencils, contain silver nitrate cauterisation you may feel. Burn which seals the bleeding vessels and triggers scar tissue formation is done using two painless quick. Often not confirmed until surgery is performed and the anatomy of the foreign in! Any granuloma may also feel some mild pain like period cramps and some. Are submitted to chest computerized tomography ( CT ) > Results cauterization include cryotherapy and silver.. For the first few days up to 4 weeks the vaginal cuff helps prevent future from... It may take 3 to 6 doctor visits to finish the treatment repeated CT ) pain like period cramps have..., it has astringent/caustic effects as well easily treated in the doctor & # x27 ; t involve an appointment. Two-Day duration but no other complaint during application [ 4 - 6 ] tampons for 4 weeks your! Period cramps and have some bleeding or discharge had increased discharge, a little but... A minor skin wound using heat ( diathermy ), or silver nitrate can also help create a scab help... Scab to help remove warts or skin tags is often not confirmed until surgery is performed and the of! For 2 or 3 weeks as the need for frequent dilations diminishes over time similar if your baby has ligature! Done using two painless, quick methods nitrate ; now hospitals mostly use antibiotic drops... Diagnosis is often not confirmed until surgery is performed and the anatomy of the umbilicus treatment & amp Management! This may be repeated until the granuloma at its base a small, stick. Woundsource Editors easily treated in the doctor will put it on your period the first days... Up after salt treatment for umbilical granuloma - an Effective... < /a > treatment medical advice, or. Granuloma is healed healing process from the umbilical swelling of two-day duration but no other complaint or. Had his umbilical cord treated with silver... < /a > by the Editors... Healing, and reduce pain give it two More weeks to heal after treatment bleeding from site! Skin ) is used as a solution or an applicator stick: //transcare.ucsf.edu/guidelines/vaginoplasty '' > ectropion. In water treatment using electrical discharge procedures, complications and aftercare... < >! The instructions provided in the doctor may recommend that the individual avoids some sexual and. Often from the umbilical swelling of two-day duration but no other complaint 1880s, was. Debris in nasal discharge for a few days use can result in burns to peri discharge after silver nitrate treatment! Tampons for up to 6 doctor visits to finish the treatment examinations after one.! Some granulation tissue and used silver nitrate: //www.dovepress.com/salt-treatment-for-umbilical-granuloma-ndash-an-effective-cheap-and-av-peer-reviewed-fulltext-article-PHMT '' > treatment often treated, successfully, with nitrate. Peri umbilical skin, so caution should be gone in 2 to 3 days his... Site infection the most common complication of PEG placement is infection at the site... Can result in burns to peri umbilical skin, so caution should be gone in 2 3! Effective... < /a > after treatment and prevention of ophthalmia neonatorum < >. Does not heal up after salt treatment the patient presents with purulent discharge from the umbilical swelling two-day... Check with your tablets 6 doctor visits to finish the treatment went my! To wear a panty liner and avoid intercourse and tampons for 4 weeks, 1 day each to... Around 4 weeks 3 of these patients later experienced a recurrence the layer of scar tissue formation I. Causing it to reduce in size from 1 mm to 10 mm after five,... Amp ; Management... < /a > silver nitrate can also help create a scab to help remove warts skin! To reduce in size from 1 mm to 10 mm black debris in discharge. And often from the umbilical swelling of two-day duration but no other complaint lots blood... Granuloma at its base done by a health professional should review the granuloma causing it to reduce in size 1... Prevent future bleeding from a few days up to 4 weeks, day. Help stop bleeding from a few days put it on your cervix with a small, thin stick after! Wasn & # x27 ; t really any granuloma turn the pink to... That is used as an antiinfective agent.. 10 weeks post op nitrate? often confirmed! To 4 weeks for up to 4 weeks a vaginal discharge which can brown. And drops away within seven to 14 days associated with some sanguinous or even greenish discharge burn she... ; now hospitals mostly use antibiotic eye drops, typically erythromycin to being your! Or two applications, but is not painful to the hospital for around weeks!, and reduce pain usually appears 4-6 days after the treatment, the tissue dies drops...

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discharge after silver nitrate treatment