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?

Contaminated food is one of the most common sources of infections in the human body and so the stomach is one of the most commonly affected organs. Whether it is eating raw food or unhygienically prepared foods, the stomach has very high chance of getting infected than other body parts.

One of the most common causes of stomach infection is the norovirus also called as cruise ship virus. Spread through vomitus and faecal material, it is quite contagious and can affect large amounts of people in confined areas like a cruise ship. The common symptoms would include nausea, vomiting, diarrhoea, bloated feeling, abdominal pain (generalised or localised), fatigue, and tiredness.

On the brighter side, there are well-proven measures listed below which are simple and easy to follow that can help avoid stomach infection.

Restore bacterial balance: The good bacteria in the stomach are lost with the stomach flu and restoring it will help in managing the flu. A good amount of probiotics and fermented foods including yoghurt, sour curd, etc., will do wonders by restoring natural flora. Supplements can be taken if required, and these bacteria will restore the ability of the stomach to fight the virus.
Isolation and separation: If there is a close family member affected by the virus, ensure they are staying separately and all their clothing (bedding included) are maintained in an isolated manner. Children and elderly need extra protection, whether they are affected or are in the same household.
Cleaning methods

Since the virus spreads by contaminated faecal matter, vomitus and through surfaces, it is necessary to prevent the spread.

When in doubt, washing hands is very useful. Use soap and water instead of a hand wash. Staying away from picking nose and touching eyes are also useful.
The infected person s clothes should be washed separately in extra hot water and bleached to get rid of the virus.
Using the dishwasher or soaking the washed utensils in extra-hot water is a good way to get rid of the virus.
Surfaces like laptops need to be cleaned more regularly and rigorously
Steam cleaning of carpets is a good idea to get rid of the virus that may be locked there.
Avoid going out or being in close contact for about a week, as the virus needs that much time to clear out completely.
Food habits

Do not eat raw or uncooked foods
Drink loads of water, clear soups, sports drink and lime juice to replace lost fluid.
Eat whole grains and fresh fruits and vegetables that are well-cooked to ensure you get the essential vitamins and minerals.
Following the above measures can help avoid the stomach flu and stay healthy.

Stomach Infection - 4 Ways to Avoid it!

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 burns that affect critical areas. The focus here is to close the skin in case of open burns and help the skin heal.
Reconstructive burn surgery addresses the skin after the initial burn wounds have healed. The goal here is to improve the appearance of the scars and ensure no lasting loss of functioning. Reconstructive burn surgery has a high success rate.
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 tissues from one part of the body and transplanting it to the burn site. This skin graft may include only a few outer layers of skin or may involve the entire dermis. This is used in cases of severe burns where a large section of the dermis is affected.
Microsurgery: This is a procedure where the surgeon reattaches or reconstructs severed fingers, toes, ears etc by sewing together blood vessels and nerves. This is often used alongside other surgical procedures.
Free flap procedure: In this procedure, muscle, bone or skin is transferred from one part of the body to another to reconstruct the area. This type of surgery is often accompanied by microsurgery.
Tissue expansion: This involves the insertion of a balloon expander under the skin near the burn site. 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 repair burn scars.
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 Effective It Is?

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 burn scar on your skin does not only spoil your appearance, but also hampers your self-confidence. You can undertake a plastic surgery in order to eliminate burn scars and burn marks. A burn repair surgery is an effective way to fix any previous or fresh burn scars. Although a burn scar cannot be totally eliminated, this surgery helps in improving basic functions and makes the scar less prominent or noticeable.

About Burn Repair Surgery: There are two types of burn repair surgeries. An acute burn surgery is carried out immediately after a burn injury has been inflicted. It is undertaken in a hospital by a team of surgeons who specialize in acute burn repair surgeries.

A re-constructive burn surgery is usually carried out after the initial burn scar heals. Re-constructive burn surgery aims at improving both the functional appearance and the cosmetic appearance of a burn scar. This form of burn surgery incorporates the modification of the scar tissue. The treatment procedure for scar tissues requires several months to be successful. New scar contractures may appear for a long time after an injury. Facial burn scars, which cause problems with the eyes, lips, nose and cause hair loss can be rectified. Abnormally thick, white and discolored scars can also be lightened by undergoing a burn repair surgery.

Procedure: The surgical procedure of burn repair surgery primarily involves scar release methods. After a tight scar has been released, the opening or incision made in the skin is repaired. Several techniques are applied for the purpose of closing the wounds. These include skin grafts and skin rearrangement or Z-plasty. Sometimes, more advanced flaps are required. This depends on the location of the scar and the desired results. Minor procedures are performed in the form of an outpatient surgery, but in case of larger grafts and flaps, inpatient facility is required.

After undergoing the surgery, you must follow your surgeon's care instructions properly for effective healing. This would also enable you to have a long-term effect and improved appearance of burn scars. Follow-up appointments with your surgeon after the surgery are essential.

Before deciding on undergoing a burn repair surgery, you must consult an efficient cosmetic surgeon and discuss about the surgical procedure. You should know all important facts regarding the surgery and also have an idea about the results, which would be obtained. Non-surgical therapies can also be undertaken for repairing burn scars, which include scar massage, application of pressure garments and some other topical therapies.

How Effective Is Burn Repair Surgery?

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