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

Abdominal pain after surgery is common. It is only a part of the healing process. But extreme pain or prolonged pain is a sign of infection, surgical complications or some other underlying health condition. It is difficult to detect whether the pain is normal or abnormal when the person concerned is a child.

Symptoms:

A child complaining about abdominal pain after surgery should not be ignored no matter how common it may be; especially if the pain does not start reducing after 3 days from surgery. Children who are too young to verbally communicate the pain or feel discomfort show symptoms like:

Excessive crying.

Difficulty in sleeping.

Irritability.

Reduced activity.

Refusal to eat

After surgery, a child's behavior must be closely observed.

Causes:

A common cause of abdominal pain after surgery on children is fear of the surgery itself. Children might associate the fear with the pain psychologically which can prevent them from realizing that the physical pain has actually already started to reduce.

In this case, the child needs attention and maybe placebo medication, if all possible causes of physical pain have been ruled out.

The obvious causes of pain after surgery include:

Surgical complications like collection (i.e. bile or blood or pus) below the wound or inside.

Infection at the site of surgery.

Not getting the right dose of pain-killers.

Diagnosis:

Apart from the symptoms already discussed, the diagnosis of complications after surgery includes:

Fever.

Swelling at the site of surgery.

Abdominal distension after abdominal surgery.

It is best to contact the Surgeon who performed the surgery. Diagnosis might involve:

Blood tests.

Ultrasound.

CT scan

Effects:

Possible complications resulting in abdominal pain after surgery are:

Wound Dehiscence.

Wound infection.

Hematoma or collection which may be bile or pus.

Treatment:

Pain management involves pain killers in the right dose, according to their body weight. If the medication doesn't help, the Surgeon should be consulted.

Other treatment methods include:

Rest to ensure no further injury occurs and the wound gets time to heal.

Antibiotics for the infection.

The site of the surgery must be kept clean and dry to prevent further infection.

The recommended diet, if any, must be followed for quick healing.

Pain after surgery isn't difficult to manage, even in children, as long as a reliable doctor's instructions are followed well.

Abdomen Pain After Surgery - How To Resolve It In Children?

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?

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

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?

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?

Don't wait any longer, manage your Pachydermoperiostosis online with a Lybrate doctor today

Consult for Pachydermoperiostosis - Online and Easy!

FilterClear All

COMMON SPECIALITIES

COMMON ISSUES