Burning your skin is a very traumatic experience and can leave behind scars that remind one of the traumatic incident. Scarring caused by burns may fade a little with time but are usually permanent. Apart from affecting your appearance severe burns can also affect the functioning of the body. Burns can make a person withdraw socially by making him or her afraid of how people will accept them with their scars as well as make them depressed about their appearance.

Burn repair surgery can be categorised under two headings: Acute and Reconstructive

Acute repair surgery happens immediately after the burn and deals with large burns and deep burns that affect critical areas. The focus here is to aim for saving of life of burn patient with earliest wound healing with various surgical means.
Reconstructive burn surgery addresses the deformities & scars after the initial burn wounds have healed. The goal here is to improve the appearance of the scars and ensure improvement of functioning. 
There are many types of reconstructive surgeries for burns and the type of surgery best suited to a patient is based on the location of the scar, the extent of scarring and the patient s personal goals.

Skin grafts: This involves the removal of healthy skin from one part of the body and transplanting it to the burn site. This split thickness skin graft include only a few outer layers of skin & full thickness graft involve the entire dermis. This is used in cases of deep burns where full thickness of dermis is affected. Also skin grafts are used for defects following release of burn contracture . 
Flaps: These are thick skin tissues with its own blood supply, used to cover exposed vital structures like vessels , tendons, nerves, bones, etc especially in deep electrical burns of extremities. 
Free flap procedure: In this Microvascular Surgery , muscle, bone or skin is transferred from one part of the body to another to reconstruct huge defects after contracture release or for cosmetic improvement of ugly burn scars. 
Tissue expansion: This involves the insertion of a balloon expander under the skin near the burn scars & deformities. As the balloon is filled with saline, the skin stretches and grows. Once the skin has stretched enough, the expander is removed and the skin can then be used to replace the burn scars & deformities.
This procedure has many advantages as the skin colour and texture are a near perfect match thus reducing scarring to a large extent. However, it is a very slow procedure and can take a few months.

Burn Repair Surgery - How Can It Help To Reduce Deformities & Scars?

Intestinal distress is usually characterised by discomfort and pain in the abdomen, as well as an irritable bowel. This is generally caused when food does not move fast enough through the food pipe, to get digested in time. In Ayurvedic terms, this undigested, unprocessed food and the toxins that it causes is known as Ama. Intestinal distress includes conditions ranging from heartburn to IBS or irritable bowel syndrome. This is also known as Grahani in Ayurveda. Want to more about treating these conditions, the Ayurvedic way? Here's how!

1. Mustakarishta: This medicine helps in the prevention and treatment of loose motions as well as indigestion that causes gas and acidity.

2. Dadimavaleha: This is generally prescribed for patients suffering from fever along with loose motions, and bleeding, which usually points to infections in the body.

3. Kutajarishta: This concoction is used for treating patients suffering from dysentery, loose motions and mild to severe irritable bowel syndrome. 

4 Pushyanuga Churna: This medicine is used for treating menorrhagia, metrorrhagia, excessive bleeding during menstrual cycles and other digestive disorders.

5. Kutajavaleha: This is usually used during treatment for conditions like irritable bowel syndrome, ulcerative colitis and piles. It also treats inflammation and bleeding issues. This medicine is also useful in treating patients suffering from anaemia.

6. Sanjeevani Vati: This medicine can be used for treating problems associated with dyspepsia, gastro enteritis and indigestion which can lead to heartburn. 

7. Bilwadi Gutika: Patients who have endured rodent or insect bites as well as gastro enteritis issues can use this medicine for instant relief.

8. Jeerakarishtam: This medicine is used for mothers who have just had babies and need to control frequent stools and indigestion in the post-natal period. 

The use of Ayurvedic medicines necessarily needs the support of other measures like eating a healthy and balanced diet as well as massages and other such tools prescribed under this science. The medicines work towards healing and preventing further eruptions of the ailments. But for the successful treatment of the same, patients of intestinal distress need to remember not to overeat and to have meals on time, and in a routine manner. The meals should consist of cumin, turmeric and easy to digest food as well as plenty of water. Exercise is another important facet of relieving the discomfort felt under such situations.

Treat Intestinal Distress Through Ayurveda

Everyone can suffer from pain in the stomach, at one time or the other and we usually ignore it. But when the pain is sudden and severe abdominal pain then it is termed as acute pain and this should not be ignored.

Often the following can be expected with acute pain:

Acute abdomen pain is usually synonymous with rapid onset of the symptoms which might indicate life threatening intra-abdominal pathology.
Pain is just a feature and not necessary that it is present at all times. An acute abdomen which is pain free usually occurs in children and women who are in their third trimester of pregnancy.
The differential diagnosis is difficult and wide especially in primary care. This is because the different organs within their peritoneal cavity might have different areas of referred pains.
Abdominal pain usually happens to be in the top three symptoms when patients present their state in the emergency and accident departments. But only few of these have acute abdominal pain.
Management of the abdominal pain should be the primary focus and an assessment should be done to reach the differential diagnosis so that care can be given accordingly.
The clinical evaluation regarding abdomen pain can change quickly. Any diagnosis which had been made can change and both doctor and patient should not be hesitant and seek other treatment.
Conditions which might cause acute abdomen pain are:

Meckel's diverticulitis or Acute appendicitis
Acute cholecystitis
Ectopic pregnancy
Acute pancreatitis.
Peptic ulcer disease
Diverticulitis.
Intestinal obstruction, including paralytic ileus (adynamic obstruction)
Pelvic inflammatory disease.
Gastrointestinal (GI) haemorrhage
Gastroenteritis.
Acute intestinal ischaemia/infarction or vasculitis.
Acute urinary retention
Renal colic or renal tract pain
Testicular torsion
Abdominal aortic aneurysm
Non surgical diseases like pericarditis, sickle cell crisis, acute intermittent porphyria, HIV-associated lymphadenopathy, bowel disease, typhoid, opiate withdrawal, enteritis, pneumonia, myocardial infarction and hepatitis.
Rare causes might include thromboemboli, phytobezoar, and phytobezoar
Diagnosis of abdominal pains:

Patients can be ordered to get their blood tests done. Also if need be then imaging can also be referred to them.
Following tests can be done to rule out the condition causing the abdominal pain:
Blood Tests: these include FBC, LFTs, glucose, amylase, clotting, calcium and arterial blood gas for pancreatitis
Crossmatch or group and save
Pregnancy test in women of childbearing age
Blood cultures
Peritoneal lavage in case of an abdominal trauma
Urine analysis
X ray of the abdomen, ultrasound, CT scan
ECG and cardiac enzymes
Laparoscopy should be a routine procedure

Don't Ignore the Acute Abdominal Pain

A chemical burn can occur owing to a number of substances, for instance, if the skin comes in contact with strong acids, bases, irritants, gasoline, paint thinner and drain cleaners then it react with your skin. Chemical burns are also termed as caustic burns. The symptoms usually depend on the intensity of a burn, which include redness, irritation, numbness, pain, the skin turning black and dead or even vision loss, if the chemicals come in contact with the eyes.


What are the Do s and Don ts?
Do away with those chemicals, which have caused the burn or wipe off the dry chemicals. It is safe to use towels or put on gloves for this work.
Remove jewelry or any contaminated clothing to avoid further burning and inflammation of the skin.
Rinse off the affected area immediately with cold water. 
Loosely wrap the area with sterile gauze or a bandage.
If required, you can even opt for pain relievers such as naproxen sodium, ibuprofen or acetaminophen.
Consider taking a tetanus injection, but at the same time, ensure that your booster is up-to-date.
Refrain from applying an antibiotic ointment over the burnt area or neutralizing it with an alkali or acid. This may aggravate the burn.


When should you seek an emergency care?
When the person exhibits sign of shock such as shallow breathing, pale complexion or is experiencing bouts of fainting.
When the chemical burn pierces through the upper layer of the skin, occupying an area of above 3 inches in diameter.
When the chemical burn has spread to the buttocks, groin, face, feet, hands, eyes or even the limb.


Chemical Burns - Do's and Don'ts You Must Follow

While most people recover from first and second degree burns without fatal consequences, third-degree burns pose a different story altogether.

Third-degree burns occur when the damage to the skin extends beyond the dermis, and perforates deep within the tissues. This sort of injury is the most serious one. For instance, injuries sustained from a fire breakout, acid attack, etc.

Symptoms include-

Charred/black skin
Numbness
The damage to the nerves caused by third-degree burns are so extensive, that the victim may feel very little or no pain.

Complications-
There are several complications associated with third-degree burn injuries, such as the following-

Infection
Sepsis
Scarring
Low volume of blood
Very low body temperature
Joint/bone problems
How Ayurveda heals third-degree burn injuries-
Burn injuries, especially of third-degree, leaves behind ugly, unpleasant scars. Moreover, such distressing marks can be traumatic for the victim as it may bring back horrific memories of the incident. Many times the person may feel hesitant to visit a doctor or go for a therapy. This is when Ayurveda comes to your aid.

Ayurveda uses therapeutic and natural remedies- essential oils, herbs and spices- to relieve pain, and helps you get rid of those burn scars. Some of the natural ingredients used in Ayurvedic treatment include-

Use of herbal oils Lavender and Calendula helps in quick relief from burn injuries.
An ointment prepared from red sandalwood, gairika, tugaksiri, and plaksa extracts can be applied on injuries caused due to third degree burn.
Applying cucumber juice or Jatyadi oil on the affected area with cotton balls offers relief from the pain.
Prepare a paste using mustard oil and henna leaves, and apply the same on burn injuries. This will provide instant relief from irritation.
Prepare an herbal pack using, turmeric, amla, etc. that are rich in anti-inflammatory, antibacterial properties. This can heal burn scars and ease pain.
Apart from these, Ayurveda also suggests following a bland (without spices), healthy diet so that the injury does not aggravate the injury further.

Third-Degree Burn Injuries - An Ayurvedic Approach!

Dyspepsia is a disorder of the stomach that is characterized by pain in the upper part of the stomach. It is not a single disorder, but is a collection of symptoms such as nausea, burping and bloating. It results when the acid of the stomach comes in contact with the mucosa of the digestive tract. These acids cause a breakdown of the mucosa leading to inflammation and irritation, which leads to indigestion. It may also result from eating disorders or certain medications.

Symptoms
The symptoms of this disorder tend to occur mostly after consuming food and drink. In some cases, the symptoms tend to go away after eating or drinking. The symptoms of dyspepsia are: 
1. You may feel bloated on a regular basis
2. You may experience discomfort in your stomach
3. Loss of appetite
4. You may experience constant burping
5. You may feel nauseous
6. Symptoms of heartburn
7. You may also experience chest pain and breathing difficulties
8. You may be affected by jaundice

Causes
The various causes of dyspepsia are: 
1. Irritable bowel syndrome, which hampers the movement of food through the intestines
2. If you are unable to properly digest dairy products
3. Gastroesophageal reflux disease that results in reflux of the acids of the stomach
4. Any inflammation of the gall bladder
5. Various medicines such as aspirin, steroids and antibiotics may lead to dyspepsia
6. If you suffer from depression or anxiety then it may lead to dyspepsia
7. Excess consumption of chocolate, coffee and alcohol

Dyspepsia may be controlled by modifying your lifestyle. Some of the changes that you may make are: 
1. Don't sleep immediately after eating, wait for at least two hours before you go to bed
2. Avoid spicy foods as they tend to aggravate symptoms of dyspepsia
3. Space out your meals, eat multiple smaller meals instead of few large ones
4. Restrict smoking and alcohol consumption
5. Lose weight as being overweight may lead to dyspepsia
6. Avoid wearing tight clothes 
7. Exercise on a regular basis to keep your body healthy and maintain optimal weight levels

All About Dyspepsia

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