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?

Indigestion spares nobody. No matter how healthy you are, at some point or the other, everyone suffers from acidity, bloating and gas. On its own these problems are rarely serious but they can leave you feeling quite uncomfortable and can be embarrassing as well.

Homeopathy can be very effective when fighting against indigestion of any kind. This form of treatment has negligible side effects and hence can be given to both children and adults. Homeopathy does not address only the symptoms but goes to the root of the problem. Thus it also stops the problem from recurring. Here are few common homeopathic medicines that can help ease indigestion.

1. Nux vomica
Nux vomica is known as the remedy for overindulgence. This homeopathic medicine can be used to treat stomach problems of all kinds. It is very effective against bloating and gas and is also often used to treat constipation. Nux vomica is also known as the best homeopathic remedy for heartburn associated with excessive alcohol or caffeine.

2. Pulsatilla
This is often used to treat gastric problems that follow eating heavy food like pastries, ice cream and food fried in ghee or butter. It can also be used to treat loose motions.

3. China
China is an effective form of treatment against bloating and build up of gas. Abdominal pain caused by gas can also be treated with china. This homeopathic remedy can also be used to treat diarrhea that is accompanied by extreme weakness.

4. Arsenic album
Gastric troubles that are triggered by food poisoning can be effectively treated with arsenic album. Some of the symptoms it treats are nausea, loose motions, abdominal pain and vomiting. Acidity and a burning sensation in the stomach can also be eased with this medicine. Arsenic album is also used in cases of chronic vomiting where the stomach does not retain any food.

5. Lycopodium
Sometimes even eating a light meal can leave you feeling bloated and with a heavy feeling in your abdomen. This bloating and excessive gaseousness accompanied by burning burps can be treated with lycopodium. It also treats acidity triggered by starchy and flatulent food.
Along with taking homeopathic medicine, making a few changes to your eating habits can also help treat chronic gastric problems. Chew your food and eat slowly. Avoid eating anything that is too hot or too cold and drink plenty of water. Ideally you should hydrate your stomach half n hour before eating a meal.

Remedies for Stomach Acid, Bloating and Gas

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

Many times we forget about the importance of our health in the race to pursue our careers and goals. We take our bodies for granted and keep working them without stopping for a breath. While some may have mastered this art, there are many who may not be able to cope with such a lifestyle and may end up falling ill. The most common problem that most people suffer from is stomach upset, gas, or stomach pain, and all of this may be because of not eating right or having irregular eating habits.

It is due to such problems that people fall ill and then go to the doctor with a problem that may take much longer to treat. However, if the patient starts to check in with the doctor before the stomach pain worsens, it may be easier to treat because very often the pain arises from stomach ulcers. Ulcers are sores that are caused on the lining of the stomach or the oesophagus or even on the intestines. In serious cases, the sores may cause great damage to the stomach and may lead to much worse issues. However, with the right intake of food, the damage may be controlled in combination with medicines and treatment from experts.

Foods to avoid
In controlling the spread of stomach ulcers or peptic ulcers, it may be important to know the food that should be avoided so that the medicines and treatments taken for controlling the problem may work better. Here is a list of foods that you should avoid:

Hot beverages such as tea, coffee, cocoa and milk should be avoided because they cause acid imbalance in the stomach.
Anything that may contain caffeine should also be avoided.
Alcohol should be completely avoided by those suffering from peptic ulcers.
Citric or sour drinks such as grape or orange drinks should also be avoided for remaining at ease.
Any spicy powders or seasonings, such as pepper, chilli powder and garlic should be excluded from the diet.
Anything that is made from milk or cream and is extremely fatty in nature should not be consumed.
Flavoured cheese that is strong and spicy should not be eaten.
Meats that include high levels of fat or those that are highly seasoned should be completely avoided.
Chillies or peppers in any form should be kept away from your diet.
Anything that is made from tomato should also be avoided, such gravy, sauces or raw tomatoes.
When you start to keep your diet clean and healthy, it may be much easier for your doctor to cure you of stomach ulcers.


Stomach Ulcer - 10 Types of Food You Must Avoid!

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

Burn surgery is very common these days. Burn surgery is usually done on people who suffer from major burns. Reconstructive burn surgery is usually required in the last stages when the initial burns have healed to a certain extent. Usually reconstructive burn surgeries are done on patients who have suffered from huge accidents and have burnt their face, neck and hands to a great extent. Patients requiring this surgery usually become unrecognizable after an accident.

When is reconstructive burn surgery recommended?

If you have been involved in a household accident and the scars have not healed completely. Surgery might not totally heal the face, but it can improve your basic functions like breathing, smelling, seeing or tasting (if most of your senses are burnt and disfigured).
Reconstructive burn surgery is also very useful for acid attack victims. Sometimes, burns are not only caused by fire, but it is also caused by chemicals and acidic substances which are worse and can completely burn and disfigure your face. When hydrochloric acid, nitric acid and sulfuric acid come in contact with your skin it seeps into the skin and burns off your nose, cartilage and sometimes even causes blindness. It disfigures your face completely, reconstructive burn surgery can do miracles, though it cannot bring back your previous features and skin texture, but it does make you look more recognizable.
After a burn, facial scarring occurs which leads to the loss of eyelids, hair, nose and lips. In this case burn surgery is required.
How to take care of yourself after a burn surgery?

Regular stretching should be done, especially if the areas of your burn include your hands, legs, joints, etc. Do as much as activities as possible like getting dressed and grooming yourself. It will also make you more self-reliant and give you confidence.
Depression is very common after a burn surgery. A reconstructive burn surgery will not magically make you look the way you used to. A lot of sittings is required and remember, appearance and looks do not matter much. The wounds will fade away with time.
Itching is also very common after a burn surgery. If this problem persists, you should consult your doctor for a moisturizer.
Avoid sun exposure. Don t go out in the sun, because the U.V rays are extremely harmful and can singe your already sensitive skin; you can also get skin cancer.
Custom pressure garments should be worn to protect your skin.

Reconstructive Burn Surgery - How Can You Take Care Of It?

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