<s>[INST] I have a keloid that is draining a clear, bloody type liquid...It is over a c- section scar and it occured about 6 months ago. I have had three c-sections and this is the first keloid..my last surgery was in Feb 2009... Ive always felt like there was something pointy in that area like an old suture or a staple and it still feels that way. I dont know if it is a suture granuloma or a keloid,how do I distinguish between the two? [/INST] Hi, If I were your treating Doctor for this case of wound infection, I would say that your problem is not a keloid or hypertrophic scar; nor it is a suture granuloma; rather it is kind of a sinus getting infected repeatedly! Some atypical mycobacteria could produce such symptoms also! I think only biopsy confirms this; however, microscopic study along with Culture of the wound discharge would help you in determining the treatment line. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health. </s>