Why does the wound still hurt after 14 days of a cesarean section?

Patient's question:

Abdominal incision pain with hard lumps, examination, test results: normal. Examination of past treatment history and effectiveness: none. Treatment concerns regarding the type of assistance needed: want to know what's going on.

Doctor's answer:

The symptoms you described are keloid scars. They are caused by excessive fibrosis of the fibrous connective tissue. Keloids protrude from the skin surface in a tumor-like fibrosis, with a smooth surface, a bright red and shiny color, and often exhibit dilated capillaries. The skin is lifted from the edge outward, forming a crisscross distortion. The size and shape of the skin lesions vary, with a hard texture resembling cartilage. Common symptoms include itching, pain, or a burning sensation. During the process of keloid formation after psychological trauma, an inflammatory response occurs first, followed by the appearance of myofibroblasts at the wound site. These cells divide and differentiate to produce collagen fibers, leading to collagen deposition and the formation of scars. Treatment options include surgical intervention. Wishing you good health!

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