Why is my wound yellow?

Yellow tissue in the wound bed is dead tissue, called slough, and it must be removed. Yellow drainage is something to report, along with thick, tan or green drainage, which is pus.

Yellow on a wound can mean two different things, and the difference matters.

As dead tissue in the wound. Pressure sores can be covered in dead skin that is yellow, tan, green, or brown. The dead skin makes it hard to tell how deep the sore is, which makes the sore unstageable. A venous ulcer can be a shallow sore with a red base that is sometimes covered by yellow tissue. This kind of tissue is called slough.

As drainage coming from the wound. Here yellow is one of the things to report. Contact your provider if drainage becomes thick, tan, green, or yellow, or smells bad — that is pus. With leg ulcers, drainage that is yellowish or cloudy is a sign to report. For any wound, contact your provider right away for yellow or green pus.

So yellow tissue sitting in the wound bed and yellow fluid coming out of it are two separate things. When you report it, be clear which one you are describing.

For comparison, here’s what the wound bed should look like: after cleaning or debridement the area will be red or pink and look like fresh meat. Wounds that are pale, purple, or black are less likely to heal.

If it is dead tissue, it’s clear what happens next and who does it. This tissue must be removed to help your wound heal — and you should never try to do this yourself.

If it is drainage, the useful details are whether there is more of it than before, and whether it smells. Both are signs to report.

What to watch for

Contact your provider right away for redness, increased pain, or yellow or green pus, or excessive clear fluid around the injury.

After surgery, contact your surgeon if drainage increases or becomes thick, tan, green, or yellow, or smells bad.

Dead tissue in the wound must be removed to help your wound heal, and you should never try to do this yourself.

When you report it, say whether the yellow is in the wound or coming out of it. They are different findings.

Wound Wizard is general education and can’t assess your wound. Your own clinician is the right person to ask.

What we look at

  • Examining the wound bed and the drainage separately
  • Judging how much dead tissue is present
  • Checking for infection
  • Deciding whether debridement is needed

Sources

  1. How to care for pressure sores — MedlinePlus, U.S. National Library of Medicine https://www.medlineplus.gov/ency/patientinstructions/000740.htm
  2. Venous ulcers - self-care — MedlinePlus, U.S. National Library of Medicine https://medlineplus.gov/ency/patientinstructions/000744.htm
  3. How wounds heal — MedlinePlus, U.S. National Library of Medicine https://medlineplus.gov/ency/patientinstructions/000741.htm
  4. Wound Debridement — StatPearls, National Library of Medicine https://www.ncbi.nlm.nih.gov/books/NBK507882/