While injuries of any form can be painful, burn injuries are one of the worst to suffer from. While cuts and bruises can be temporarily assuaged with a proper dressing, burns are quite different in this regard. With burns, the damaged tissues will stay on the body and may cause continuous pain. Thus, burn injuries are difficult to treat and they require different strategies for pain management as well.

Treatment methods available for treating pain arising due to burn injuries

Apply an anesthetic cream or aloevera gel to soothe the burnt skin. Avoid exposing the skin to air as that will cause painful sensations.
Loose gauze or antibiotic ointment must be used to protect the influenced area.
Soak the burnt area wound in cold water for about five minutes or more.
If the burn escalates or affects a widespread area, seek medical attention immediately.
Pain management factors for burn injuries:

Relaxation: During the phase of recovery, burn injuries put immense stress on your body and continue for a long period. Muscle tension is caused by stress that increases pain. Some relaxation techniques are proven to be beneficial to reduce the stress on body.
Coping with your pain: Different people have different ways to cope with physical discomfort. Look out for situational aspects which are currently under your control and take it positively. The  what ifs  or wishing that the burn didn t occur in the first place will not help with your current situation. You should focus on things what you can control like self-rehabilitation, doing your daily exercises, physical therapy treatment or following a doctor s suggestion of pain management strategies. This will help you cope with your pain to a greater extent.
Sleep medications: If your normal sleep routine is hampered, consult your physician for safe sleep medications. Proper sleep is very important for the healing process and even more so in the case of burn related injuries.
Antidepressants: Some people may not be suffering from depression, but they might still need antidepressants for relief and sound sleep. A health care provider might prescribe antidepressants as a way to deal with acute pain from burn injuries.
Increase the pace of your activities: If you want to rebuild your health and stamina and get back in form soon, focus on the regular physical and mental activities. Exercise regularly, but don t push yourself too much. Increase your physical activities gradually over time. Unless and until you are fully comfortable, don t strain yourself too much. Occupational and physical therapists can help you with an appropriate activity program.

Burn Injuries - 5 Ways to Manage Its Pain

A child s tantrums, especially during teens, are quite common. However, there could be some children who could be exhibiting an extreme version of these symptoms. This is known as oppositional defiant disorder.
Children with this disorder become easily irritable, angry, argumentative, defiant and feel vindictive against most elders (parents, teachers, and others). While this is something very common and can be ignored to be a part of teenage tantrums, the issue is when these symptoms do not seem to end. If they persist for beyond 6 months, it is time to worry. These may then begin to interfere with their daily activities including schooling, where they may not be easy for the teacher to manage.

Diagnosis of ODD: With the changing behaviour of teenagers, it is often difficult to pinpoint and say there is ODD. However, some guidelines for diagnosis are listed below. Angry/irritable, argumentative, defiant and vindictive. If these symptoms are seen for more than 6 months with no inducing reason, happens with non-siblings, and is affecting learning and playing, it is highly likely the child has ODD.

These symptoms can occur at home, at school, or in other settings   seen respectively in one, two, or more settings. Some of the symptoms are listed below.

Repeated temper tantrums
Anger bursts, swearing, using obscene language
Extremely argumentative, especially with people in authority (teachers, parents, etc.)
Annoying others and getting annoyed easily
Noncompliance to rules and regulations at school and institutions
Defending one s mistakes and blaming others for it
These result in poor academic performance, antisocial behavior, substance abuse, and higher suicidal tendencies.
Treatment

Treatment depends on the presenting symptoms, the age of the child, and supportive care available. The child should be able to actively take part in psychotherapy to reap good benefits. It would otherwise be a task with no results.

Psychotherapy will help the child improve its cope and express and control anger. This also improves problem-solving skills.
Cognitive-behavioural therapy tries to mould the behaviour.
If required, the parents also would be involved to improve family s involvement in the treatment. Caretakers are given special training if required so that they can support in long-term medical care.
The child also needs to be trained for appropriate behaviour under different circumstances.
Rewards for positive behaviour and punishments for negative behaviour are useful ways.
Prevention: Early identification can help in minimizing distress to the family and help in the early arrest of the disease. The family is also taught basic and simple steps which can help in supporting therapy. Early rejection at school and loss of learning, can happen which can be managed with early intervention. A nurturing and supportive family can help manage the child very well.

Oppositional Defiant Disorder in Kids - How to Deal with it ?

There are different types of heart problems like coronary artery disease, congenital heart failure and cardiomyopathy, but their warning signs are the same i.e. shortness of breath. This is the reason why shortness of breath should never be taken lightly and should always be investigated for heart diseases.

Why does shortness of breath happen?
You may not be able to get in enough air while experiencing shortness of breath. Known medically as dyspnea, shortness of breath is often described as an intense tightening in the chest and a feeling of suffocation. This is one of the most frightening conditions experienced by a patient. You can experience dyspnea without any serious medical problems in these conditions

After strenuous exercise
In extreme temperatures
Due to obesity and
In high altitudes
But if you are not in any of these conditions, then shortness of breath is a sign of a serious medical problem usually involving your heart or lungs. These two vital organs transport oxygen to the rest of your body and remove carbon dioxide; hence problems with either of these organs can affect your breathing. Shortness of breath that comes on suddenly called acute, can be due to other causes too like:

Asthma
Excess fluid around the heart
Low BP
Heart failure
Blood clot in an artery in the lung
Collapsed lung
Pneumonia
If you have had shortness of breath that has lasted for weeks, then we call it chronic and its causes can be various diseases of the heart apart from asthma and COPD. There is no doubt that your heart may be in trouble, if you have chronic shortness of breath. You may be suffering from these heart conditions:

Cardiomyopathy or problems with the heart muscle cause symptoms like shortness of breath after physical exertion as well as fatigue, and swelling of legs and abdomen. Patients suffering from cardiomyopathy are at risk of sudden death due to cardiac arrest.
Heart arrhythmias is also called irregular heartbeat, and can cause slow or fast heartbeats. These also have symptoms like shortness of breath. Arrhythmias can cause strokes, heart failure and cardiac arrest.
Heart failure occurs when the heart is unable to pump blood efficiently to meet the needs of the body. This is a potentially fatal condition. One of the most common symptom is shortness of breath with exercise and while lying down. Fatigue is another common symptom.
Pericarditis or swelling of membranes around the heart is also characterised by shortness of breath.
Treatment of breathlessness can start after you are referred to a heart specialist for further tests to confirm the likely cause.

Shortness in Breath - Can Your Heart Be In Danger?

Scabies is a type of a skin condition that is characterized by itching and rashes. This dermatological condition is caused by sarcoptes scabiei, a type of microscopic mite. A contagious condition, scabies spreads through physical contact. It usually transmits through clothes, towels, sexual contact and other such ways. An estimate shows that scabies infect over 300 million humans worldwide per year.
This eight-legged microscopic mite creates a tunnel in the human skin and lays eggs in it. These larvae move under the surface of the skin and spread across the whole body, once hatched. Dogs, cats and mice can also be affected by the disease. It usually takes 2-6 weeks for the symptoms to develop. Signs and symptoms of scabies involve itching, rashes, sores and thick crusts on the surface of the skin.

Some of the risk factors of scabies are:
1. Scabies spreads through direct, prolonged skin-to-skin contact with a person who has mites.

2. An infected person can easily pass scabies to his/her household or sexual partners. Scabies in adults is usually sexually acquired.

3. The likelihood of scabies increases easily under crowded conditions which involves close body and skin contact. Nursing homes, prisons, and several types of care facilities are sites of scabies outbreaks.

4. Immunocompromised, elderly and disabled people also suffer from an increased likelihood of contracting such.

Complications of scabies include:
1. Persistent and vigorous scratching can break the surface of your skin which can lead to secondary bacterial infections. Impetigo, a superficial infection is quite a common occurrence in case of such.

2. Crusted scabies is the most severe form of scabies which is common among certain groups. People suffering from diseases such as HIV or leukemia and severely ill people who have weakened immune systems are at a higher risk of contracting this condition. This condition, also known as Norwegian scabies is very contagious and also hard to cure.

Depending on the symptoms and severity of the condition, appropriate medications and creams are prescribed by medical professionals.

All About Scabies

Second hand smoke may cause bladder cancer. True or false? Take this quiz to know more. 

People with the highest bladder cancer risk are those who?
  Smoke heavily
  Started smoking at a young age
  Have smoked for a long time
  All of the above - Right
Smoking cigarettes enhance the chances of an onset of the bladder cancer. As per studies over one-third of all bladder cancer cases have a link with smoking. Smokers are at increasing risk of getting bladder cancer, which may be up to 4 times that of someone who has never smoked. People who smoke may reduce their risk of getting cancer by passing urine more often. However, there is not enough evidence to support that this is true for everyone. The more you stay away from cigarettes, the better it is.

Which type of chemicals present in cigarette smoke may cause of bladder cancer?
  Formaldehyde
  Carcinogenic chemicals - Right
  Hydrogen cyanide
  All of the above
Cigarette smoke contains carcinogenic chemicals which are harmful to our body and known to cause cancer. When tobacco smoke is inhaled, these cancer-causing chemicals are absorbed into the blood stream. When the blood passes through your kidneys, these chemicals may often get deposited in the urine. As the urine waits in the bladder to be expelled, these harmful chemicals damage the cells lining the bladder, increasing your risk of bladder cancer. Experts believe that healthy eating habits may help in preventing bladder cancer.

Second hand smoke may cause bladder cancer.
  True - Right
  False
The health risks brought on by cigarette smoking are not restricted to smokers. Exposure to secondhand smoke or environmental tobacco smoke significantly increases the risk of cancer in nonsmokers, as well as also a few respiratory ailments in kids. Secondhand smoke is a combination of the smoke that is discharged from the end of a burning cigarette and the smoke emitted from the lungs of smokers. You may use medical masks when going outside, to protect yourself from second-hand smoke.

Aryl-amines present in tobacco decreases the risk of bladder cancer.
  True
  False - Right
As per medical research arylamines such as benzidine, 2-naphthylamine, and 4-aminobiphenyl which are present in tobacco smoke are associated with increasing the chances of getting bladder cancer. Aryl-amines use both an early and a late-stage activity, compatible with a two-mutation theory of bladder carcinogenesis. You may consult your doctor to educate yourself about these harmful effects.

Quitting smoking is a critical step in preventing bladder cancer.
  True - Right
  False
Quitting smoking has major and immediate health benefits for men and women of all ages. Quitting smoking not only decreases the risk of bladder cancer but also reduce the risk of getting a heart attack or chronic lung disease. As per research people who quit before reaching the age 50 reduce their chance of dying by half for the next fifteen years compared with those who continue to smoke. Smoking low-yield cigarettes, as compared to cigarettes with higher tar and nicotine, provides no clear benefit to health. The earlier a person quits, the greater the health benefit.


Bladder Cancer - How Smoking Can Cause It?

Most Practical Tips for Controlling Everyday Stress

We generally use the word 'stress' when we feel that everything becomes too much to handle - we are overloaded and wonder whether we can cope with the pressures placed upon us. Nowadays stress is a normal part of life. Almost everyone has some sort of stress. Constantly reacting to stressful situations without making adjustments to counter the effects, threatens our health and well-being.

There are steps you can help you managing day to day stressful conditions and take to feel better.

Be realistic: If you feel overwhelmed by some activities (yours and/or your family's), learn to say NO! Eliminate an activity that is not absolutely necessary. You may be taking on more responsibility than you can or should handle. If you meet resistance, give reasons why you're making the changes. Be willing to listen to other's suggestions and be ready to compromise.

Shed the 'superman/superwoman' urge: No one is perfect, so don't expect perfection from yourself or others. Ask yourself, 'What really needs to be done?' How much can I do? Is the deadline realistic? What adjustments can I make?' Don't hesitate to ask for help if you need it.

Take one thing at a time: For people under tension or stress, their day-to-day workload can sometimes seem unbearable. The best way to cope with this feeling of being overwhelmed is to take one task at a time. Make a list of things you need to get done and start with one task. Once you accomplish that task, choose the next one. The positive feeling of 'checking off' tasks is very satisfying. It will motivate you to keep going.

Share your feelings: A conversation with a friend lets you know that you are not the only one having a bad day. Stay in touch with friends and family. Ask them how they have dealt with a similar situation that may be 'stressing you out.' Let them provide love, support and guidance. Don't try to cope alone.

Be flexible: If you find you're meeting constant opposition in either your personal or professional life, rethink your position or strategy. Arguing only intensifies stressful feelings. Make allowances for other's opinions and be prepared to compromise. If you are willing to be accommodating, others may meet you halfway. Not only will you reduce your stress, you may find better solutions to your problems. Go easy with criticism. You may expect too much of yourself and others. Try not to feel frustrated, disappointed or even 'trapped' when another person criticises you.

Hobbies: Take a break from your worries by doing something you enjoy. Whether it's gardening or painting, schedule time to indulge your interest. Exercise: Regular exercise is a popular way to relieve stress. Twenty to thirty minutes of physical activity benefits both the body and the mind. Meditate: Just ten to twenty minutes of quiet reflection may bring relief from chronic stress as well as increase your tolerance to it.

Take Herbal Supplement: Herbs like Brahmi, Ashwagandha, Mandukparni, Shankhpuspi, Kaunch are very helpful in managing stress. These herbs work on the brain and help relax you which ultimately empowers you to manage your stressful conditions easily. There are many herbal supplements available in the market that can help you.

Consult the Doctor: If your stress level doesn't seem to improve with above tips, it may require more attention and consultation with an Expert.

If you would like to consult with me privately, please click on 'Consult'.

Most Practical Ways of Controlling Everyday STRESS

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