Wounds and bruises are both injuries. However, they differ widely in terms of the causing factors, the nature of the injury, the pain they cause and the kind of treatment they require. The following are a few of the myriad ways in which the two injuries differ from each other:

1. A wound causes quick damage - the skin tissue is cut or punctured while a bruise (also called a closed wound) is where the skin is not torn. 

2. A wound is usually caused by a sharp object but bruises are the results of blunt force or trauma.

3. A wound almost certainly bleeds due to ruptured tissue and blood vessels. Blunt injury also damages the blood capillaries of the skin and causes blood to accumulate under the skin tissue, creating a dark patch of skin. Blood vessels can also break due to lifting of heavy objects or overexertion of muscles.

4. A wound carries the risk of infection because the skin is open but a bruise does not get infected.

5. A wound has a burning or stinging sensation but a bruise is characterized by swelling and a blunt throbbing pain.

6. A wound can be healed by antiseptic and antibiotic medication. Large wounds need to be closed by stitching them up to avoid severe infection. On the other hand, a bruise usually heals by itself. A cold compress and pain killers may be used to ease discomfort. Heat can be applied to the injured spot to normalize the blood flow and dissolve the blood clot.

7. A wound can lead to complications like bacterial infections or the healing might be delayed by chronic diseases like diabetes. In case of a bruise, it usually does not cause complications but if there's a blunt injury to sensitive areas like the head, the tailbone or the eyes, medical attention is advised.

8. Wounds and bruises can also be differentiated on the basis of their subtypes. The different types of wounds are:

a. Incision (sharp objects cutting the dermis layer of skin)
b. Abrasion (the epithelial tissue is scraped off)
c. Avulsion (a body structure is torn off)
d. Penetration (a sharp object causes an entry and an exit wound)
e. Puncture (only an entry wound caused by a sharp object)

The different types of bruises are:
a. Hematoma (blood pools under the skin)
b. Purpura (tiny spots of blood on the inside of the mouth)
c. Contusion (similar to hematoma and caused by external trauma)
d. Crush injury (caused due to a large amount of force on the body part for a long time)

Wounds VS Bruises

Abdominal pain also referred to as stomach ache mainly appears in the pelvic and chest regions. The pain can be dull, crampy, sharp or recurrent. It occurs mainly due to a disease or inflammation that affects the abdominal organs. It is very important to seek the assistance of a doctor, especially if the pain is severe and is associated with pain in the chest and trauma or injury. It is not necessary that the pain in the lower abdomen be a cause of alarm, but it is essential to know the cause of the pain.

Symptoms of Abdominal Pain

Belly ache is not something one should get worried about, but if the pain radiates downwards from the chest it could be a sign of heart attack. If chest pain radiate to left arm or back then think of cardiac and rarely pancreatitis ( especially for radiation to back).
In case the symptom is accompanied by lightheadness or shortness of breath, it is very important that the doctor is contacted immediately.
To avoid serious medical conditions, it is best to avoid pain killers as the symptoms would get hidden and the cause of pain would be difficult to identify.
What are the Main Causes of Abdominal Pain?

The major organs of the abdomen include the stomach, gall bladder, small and large intestines, kidneys, liver, pancreas, appendix and spleen.
Significant abdominal pain is caused mainly due to bacterial, parasitic and viral infections that affect the abdomen.
The abdominal pain could be caused due to inflammation, intestinal disorders and blockages.
The other common reasons that can produce pain in the lower right abdomen include diarrhea, constipation, stress, vomiting, stomach flu, and acid reflux.
In the case of acid reflux the contents of the stomach go back into the esophagus and cause symptoms such as heartburn.
Common Causes of Pain in the Abdominal Region
The most common cause of abdominal pain is constipation, which is caused by difficulty in the digestive tract to push the waste out of the body. Severe pain in the lower abdominal area can rupture the organs and result in appendix. Infection in the kidney or occurrence of stones in the gallbladder can also cause pain in the abdominal region. Pain in the abdomen can also be caused by different types of cancer.

Some of the causes of abdominal pain are life threatening and therefore it is important to consult a doctor if the pain persists or lasts for a few days. It has been observed that even a heart attack can cause pain in the upper abdominal region or even cause back pain. Immediate medical attention should be sought in cases where the patient has fever, severe pain, weight loss, persistent vomiting and nausea, swelling of the abdomen and severe tenderness on touching the abdomen..

Abdominal Pain - When Should You Not Ignore It & Visit A Doctor?

4 plastic surgery alternatives for burns and wounds

The branch of plastic surgery that is generally used for the treatment of burns and other wounds is known as reconstructive plastic surgery. There are numerous surgical methods that fall under this category, which is effectively used to treat these injuries and the related issues that they cause. 

What are medical issues caused by burns and wounds?

Some of the most frequently occurring issues that stem from burns and similar wounds are as follows:

- restriction of mobility

- aesthetic disfigurement and scarring

- loss of sensation in the affected area

The different issues are caused by varying kinds of burns and injuries and, hence, each case must be approached in a different manner for remedy.

Different kinds of plastic surgeries that are used for treatment

Depending on the nature of the injury, your plastic surgeon may opt for any of the following surgical methods for treating the problem.

1. Skin grafting

In this procedure, skin is removed from one part of the body and transplanted to the affected area. This method is used for the treatment of burns. There are two types of this surgical procedure - one removes a few layers from the dermis of the donor area (split-thickness graft) while the other removes the entire dermis (full-thickness graft). Recovery time depends on the kind of procedure used. Skin grafting is occasionally used for breast and nose reconstruction as well.

2. Microsurgery

This type of surgery makes the use of a microscope in reconstructive procedures for working on minuscule veins, arteries, and nerves for repairing damaged areas. Microsurgery is often used alongside other surgical procedures for re-attaching body parts, relieving paralysis of the face and in the reconstruction of breasts.

3. Tissue expansion

This method is used to induce the growth of extra skin on the body that can be used for reconstructive purposes. This is done by inserting a balloon expander underneath the skin that slowly gets filled with saline solution and makes the skin swell. This excess skin is then used for correction or reconstruction of the affected area.

4. Free flap procedure

This procedure involves the transfer of skin, bone, muscle and blood supply from the donor area to the damaged area for repairing purposes. Microsurgery is often performed alongside this treatment method, which is used most frequently for breast reconstruction or after the removal of cancer from the neck or head.

If you would like to consult with me privately, please click on 'consult'.
Related Tip: 6 Quick and Handy Remedies To Treat Burns

4 Surgical Alternatives for Burns and Wounds

Stomach problems are one of the most common issues you face. Irrespective of what your age is, it is highly likely that you have an upset stomach once in while. A stomach upset has a distinguishable characteristic -  that stomach linings as well as the small and large intestines tend to swell. This is called inflammation. The following are the most common causes of an upset stomach.

1. Viruses
Viruses are the most common causes of an upset stomach. It is highly likely that your stomach upset is because of a virus since there are so many types of them.

2. Parasites or bacteria like Salmonella and Escherichia coli
This is also a very common cause of stomach upset. Salmonella infections are usually caused by eating raw eggs, meat and meat products whereas Escherichia coli infections come from raw vegetables as well as milk and dairy products.

3. Allergic reactions
These happen very specifically to people who have a reaction to a certain type of food.

4. Excess alcohol
Most people think that alcohol will only make you pass out or get liver cirrhosis. Many people do not know that alcohol can actually adversely affect your stomach as well.

5. Excess caffeine
Caffeine is also dangerous to your stomach as taking too much of it can cause a stomach upset.

6. Fatty foods
Fatty foods such as cheese, dark chocolates, whole eggs, fatty fish, etc. are dangerous because they are harder to digest than many other types of food. This means that eating even a small amount of fatty foods are enough to cause a stomach upset sometimes.

7. Eating too much
This is also a major cause of stomach upset simply because your stomach can only digest a certain amount of food.

You must also be able to distinguish when you have a stomach infection and when you have Chron's disease as it is basically a chronic stomach upset. Chron's disease causes the whole digestive tract to be inflamed.

Common Causes Of Stomach Problems

The pitta dosha can be balanced by consuming fresh and whole foods, both raw and cooked. These foods are energising, cooling, dry, and have high carbohydrate content. They can effectively deal with pitta by fighting inflammation, absorb excess oil and liquid, and reduce internal heat. Pitta is basically liquid that is light, hot, sharp, oily and tends to spread fast. In light of this, the diet should comprise food that is dense, cool, dry and mild. Due to pitta s substantive nature, a proper diet can help to strike the right balance. 

Here is an overview of achieving a pitta balance to get rid of digestive problems:

Cold food: Surprising as it may sound, food with a low temperature helps in balancing the pitta dosha compared to its hot counterparts. Raw foods tend to have a decreased temperature compared to the cooked ones. Having a good mix of raw fruits and vegetable is, therefore, part of a good a diet. Stay away from all types of caffeine and alcohol while following a pitta diet.
Dense, nourishing and grounding food: Although heavy food might sound ideal to tackle light weight pitta, Ayurveda is the view that heavy food does more harm than good. Food that fits the bill includes root vegetables, cooking oils, grains, milk, and seeds. Since these foods tend to be sweet, it is necessary to ensure that a portion size is kept in mind and one must not overindulge in order to refrain from putting on weight. Food that should be slashed from the regular diet includes processed fast foods, pastries, heavy snacks that comprise chemicals and preservatives, and sweet beverages.
Dry food instead of liquid: Between a semi-liquid and solid meal, the latter should be chosen since it helps in fighting pitta better. Some of the ideal food that fits the bill include pasta, potatoes, beans, oats, millet, corn and other leafy green vegetables. While cooking it is advised that a good quality ghee or oil is used. Some food stuff that needs to be totally slashed from the existing diet includes nuts, cheese, cream, olives eggs and nuts. Mild food:
In terms of food flavours, it makes sense to choose flavours that are gentler and milder in taste such as the ones found in apples, soft cheese, cucumbers and lime juice over sharp flavours such as vinegar, pineapple, old cheese, and pickles. Simultaneously stimulants such as hard alcohol, nicotine, drugs etc. should be completely eschewed in order to avoid indigestion. This is especially true during night-time when the level of indigestion is more due to reduced mobility of the body. 

Pitta - How It Affects Digestion?

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

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