Steroid Injection (Triamcinolone) and 5FU Injection

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Steroid injections have always proven to give the best results no matter the type of disease or condition. In the case of keloids most people have an impression that they do not go away. Keloids can absolutely be removed without facing any complications, using a less invasive procedure - which is steroid injection. If you are looking to get rid of those keloid scars without undergoing any surgical excision, then this may be the right treatment option for you.

Triamcinolone acetonide is a synthetic corticosteroid that is used to treat any skin conditions. It is generally prescribed as a topical cream, or an injectable for patients who do not see results with other methods. Triamcinolone is one of the most effective steroids that is proven to remove keloids wherein, after a few doses of injections they usually become less noticeable and shrink within 3 to 6 month’s time. However, there are chances of the keloid to return back and to decrease the odds of that, another injection called 5-fluorouracil (5-FU) is combined along with triamcinolone.

Currently there is only one best wait to use the triamcinolone acetonide and 5-fluorouracil for effectively getting rid of keloids. Although triamcinolone acetonide can be found in various topical creams, They cannot effectively remove keloids when compared to the combination of two unique substances. The mixture of triamcinolone and 5-fluorouracil is directly injected onto the keloid with the help of a fine needle after the site of injection is cleaned with an antiseptic solution. While steroid injections help in minimising the appearance of any abnormal scars you should also keep in mind that this is not the only treatment option.

Treatments

Both triamcinolone acetonide and 5-fluorouracil have their own benefits, however, when they are mixed together, the results are always the best. The triamcinolone is responsible for suppressing any swelling and reducing the blood supply that gives life to the scar, 5-fluorouracil ensures to damage the cells. When both the injections are mixed together, they tend to provide more efficacy than either of them administered individually. The combination of triamcinolone acetonide and fluorouracil injection is generally used for treating

Any swelling on the skin
Allergic reactions like rashes, eczema, etc
Skin conditions like keloids or hypertrophic scars
Inflammation or mouth injury

It should be understood that you will be unable to undergo steroid injection treatment in case you have any kind of infection, especially if it's in the area that has the keloid
In case you have diabetes, you will have to consult with your doctor before getting a steroid injection because they tend to increase your blood sugar levels for some days after getting the shot
Discuss with your doctor if you are prone to any allergic reactions
Ensure to set your expectations realistic because keloids have the tendency to return back. However your doctor will make sure to give you a combination of treatments that will prevent it from coming back anytime soon.

Different people react in a different way during steroid injection treatments. Some of the possible steroid injection side effects that you may or may not experience includes

Discomfort or pain
Blood clot or bruising which is temporary
Redness or swelling
Dryness or itching
An infection that will need medical help as soon as possible
Dimples on the treated area which may be permanent, due to loss of fat after the steroid injection
a change in skin colour - either hypopigmentation or hyperpigmentation
Increase in blood sugar level if the patient has diabetes
Increase in blood pressure if the patient has high BP
They may also be delayed reactions from steroid injection that may occur a few days or even months after your first dose. This may include
- Brown or white marks that can be seen on the skin
- Excessive hair growth at the treated area
- Acne induced by steroids

As soon as you receive the steroid injection you will have to break down the scar tissue by yourself by gently massaging the scar in order to improve the efficacy of the injection.
After a steroid injection, you can get back to your normal routine right after the treatment in most cases.
The doctor may prescribe some oral antibiotics in case you are found to be sensitive towards steroid injection side effects. This will prevent any infection from forming on the treated area.
After the treatment your scar tissue will be in its most sensitive form, so it is best to use a sunscreen to cover the treated area before you step out of the house.

Once the keloid begins to fade away, you will have to wear something that compresses the treated area, for a minimum of one year. This will prevent the keloid from returning back.

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Steroid injection (triamcinolone) + 5FU injection

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