For daily hygiene, washing with warm water is safest. If you prefer a cleanser, use a mild, unscented, gentle soap. Please avoid using medicated products like Ketostar soap or Betadine daily; they are too harsh for this sensitive area and can cause severe irritation unless prescribed for a specific infection. For hair removal on the shaft, we strongly advise against chemical depilatory creams, as this delicate skin is highly prone to chemical burns. Safe trimming or careful shaving is much gentler. Treat this sensitive area with extra care.

The bleeding you see now is often a normal part of healing as new, healthy tissue forms. Please keep the heel clean by washing it gently with mild soap and water, and protect it with a sterile bandage. Since puncture wounds can carry hidden risks, it is best to have a healthcare provider evaluate it to ensure it is healing safely from the inside and to check if your tetanus booster is up to date. Monitor for any returning warmth, redness, or pus.

The clear fluid and pain suggest the wound remains inflamed or mildly infected, which is why previous treatments like Betadine, Soframycin, or Augmentin D haven't fully resolved it. Mixing Jathyadi ghritam and Drez powder may also cause irritation. For now, gently clean the wound with sterile saline, keep it covered with a dry, sterile bandage, and avoid applying further powders. Please see a doctor before you travel to get a proper evaluation and a safe, targeted treatment plan.

While some mild redness can be a normal part of healing, persistent pain after a week suggests the wound might be irritated. I recommend stopping the boric powder immediately, as it is not safe for open wounds and can cause irritation. Additionally, long-term use of Betadine can sometimes delay skin regrowth. I suggest washing the scrape gently with mild soap and water, keeping it clean, and having a healthcare provider take a quick look to ensure there is no infection and help you heal comfortably.

Amoxicillin and potassium clavulanate is a strong antibiotic that can treat skin infections, but it should only be taken if prescribed by a doctor after an exam. Since the scratch was caused by wood and hasn't improved with Betadine, please have a healthcare provider look at it. They can check for infection, prescribe the right medication if needed, and make sure your tetanus vaccination is up to date. Keep the wound clean and covered, and see a doctor soon to help it heal safely.

Having an open, severely painful wound one month postpartum is not typical, even while using antibiotics and povidone-iodine (Betadine). Your comfort and healing are incredibly important, and you should not have to manage this level of pain. Seeking a second opinion from another OB/GYN is a very reasonable and proactive step. A fresh evaluation can ensure the wound is healing correctly, check for any underlying issues, and help find a better way to manage your pain.