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Hypergranulation help

9 replies

ThatllNeedStitches · 08/06/2026 13:20

I had an abscess following surgery a while back. I’ve been having the wound packed and dressed at my local gp. It now no longer needs packing, just dressing. The wound still hasn’t healed because of overhealing/hypergranulation. Nothing has changed for several weeks now.

The GP team don’t seem at all concerned about this but I’m incredibly frustrated. I’ve been looking up e.g. trimovate cream on the NHS website but the HCAs haven’t heard of it and made me feel like I was being a pushy cow. They asked the local tissue viability nurses for advice several weeks ago but haven’t had a reply despite chasing. They seem perfectly happy to just try different dressings and foam pads that make no difference.

This is benefitting no one - I’m using up appointments, getting through so many dressings, yeah I prepaid my prescription but it’s still lots of money and time from my part being spent on this. I can imagine waiting for referrals that take even more weeks and weeks. I’m surely at risk of further infection while I’ve got this ugly open wound.

I am so, so, so fed up. I can’t even have a bath to cheer myself up. Has anyone got any advice or experience in this? Products to try?

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BoilingHotand50something · 08/06/2026 13:27

My hypergranulation did resolve with foam dressings and steroid cream. The foam must be in contact with the tissue. I dressed it myself as no one was interested in helping me. I did my research and bought the stuff.

ThatllNeedStitches · 08/06/2026 13:37

Thank you @BoilingHotand50something. How did you get hold of steroid cream, presumably it’s prescription only? Is it Trimovate or something different?
I think the foam probably isn’t making the contact it needs to with the tissue. The abscess was deep, so the wound is like a big deep dimple. I bet it’s not touching as much as the nurses think.

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weatherheather · 08/06/2026 14:41

I had this exact issue - the doctors tried everything including burning the edges of the wound with silver nitrate. The only thing that ended up working was strong antibiotics and dry wound dressing. This was fixed via an appointment with a dermatology consultant. I already had an appointment for a different issue so I appreciate it would take time for a referral but the antibiotics and dry dressing was the only thing that healed it! Good luck - it was a very trying time and months before it got resolved so you have my sympathies!

BoilingHotand50something · 08/06/2026 14:50

i just bought OTC steroid cream. Mine was a very small wound though.

SaltedCaramelPopcorn · 08/06/2026 14:52

Only thing that cleared my granulated wound up (after 6 months nurse appointments & dressings) was a strong steroid prescribed by consultant. Cleared up within 2 weeks.

bluefoxcub · 08/06/2026 15:35

I’m a community nurse, we tend to use honey dressings for over granulation or steroid cream.

Sidge · 08/06/2026 15:38

I'd suggest buying some hydrocortisone over the counter, apply that daily and cover with a simple dry dressing like Softpore. That should help.

(Disclaimer - even though I'm an NP I don't know your medical history and haven't seen your wound so this is very generalist advice)

ThatllNeedStitches · 08/06/2026 18:52

SaltedCaramelPopcorn · 08/06/2026 14:52

Only thing that cleared my granulated wound up (after 6 months nurse appointments & dressings) was a strong steroid prescribed by consultant. Cleared up within 2 weeks.

Oh my goodness, 6 months! 😭

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ThatllNeedStitches · 08/06/2026 18:53

Thanks all. Going to try and push for the suggestions above, and/ or a referral since this just isn’t going away.

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