How to handle a scab that has not fallen off after six months

Nov 28, 2025 Source: Cainiu Health

Dr. Liu Wenmin

Introduction

A scab that has not fallen off after six months can generally be improved through measures such as softening the scab, promoting metabolism, reducing irritation, improving the local environment, and seeking medical evaluation and treatment. Cover the scab with sterile saline or a moist dressing recommended by a doctor, 2–3 times daily for 10–15 minutes each time, to soften the scab and allow it to gradually separate from the skin. Avoid forcibly peeling it off to prevent secondary injury.

1. Soften the scab: Cover the scab with sterile saline or a moist dressing recommended by a doctor, 2–3 times daily for 10–15 minutes each time. This helps soften the scab and gradually separate it from the skin, avoiding forced peeling which may cause secondary injury.

2. Promote metabolism: Apply a gentle ointment containing vitamin E or urea, and gently massage the skin around the scab to enhance local blood circulation, facilitate the natural shedding of dead skin cells, and maintain skin hydration.

3. Reduce irritation: Avoid scratching, rubbing, or using irritating cleansers. Wear loose, cotton clothing to minimize pressure on the scabbed area and prevent thickening of the scab or delayed healing due to external forces.

4. Improve the local environment: Keep the scabbed area clean and dry. If in a moist environment, use highly absorbent gauze to gently blot away exudate, preventing bacterial growth, infection, and interference with normal scab detachment.

5. Seek medical evaluation and treatment: If the scab is accompanied by redness, swelling, pain, pus discharge, or an unpleasant odor, there may be an infection or abnormal healing process. Prompt medical consultation is necessary; the doctor may perform wound debridement, prescribe medication, or adjust the care plan accordingly.

During daily care, carefully monitor changes in the scab. Never attempt home remedies or use sharp instruments to remove it. If the scab shows no improvement or develops abnormal symptoms, seek professional medical help as early as possible.

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