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Acute Pain Tips

Acute Back Pain: What Should You Know About It?

Dr. Deepak Kumar Arora 90% (160 ratings)
MBBS, MS - Orthopaedics
Orthopedist, Delhi
Acute Back Pain: What Should You Know About It?

Lower back pain is a very common issue and can take place due to numerous reasons. However, one of its main causes is a ligament strain or back muscle strain. Microscopic tear or excessive stretching of ligaments can take place due to lifting very heavy objects, doing enormously strenuous task or due to a sudden twisted movement. These conditions are most likely to be experienced by individuals ranging between the ages of 30 and 60. Other causes of lower back pain include back injury, arthritis of back bone joints, infections in the lower back area, and in very rare cases, tumours. 

In case of acute back pain, these are a few important things that should be definitely kept in mind. 

  1. It is absolutely essential to take rest for a couple of days and avoid any sort of stressful activity. Although back pain is self-limiting, if you take proper care, it can be cured in a few days. However, if proper rest is not taken, the situation may become worse. 
  2. Using the belt, also known as lumbo sacral corset, is a good idea. This can actually be of enormous help to individuals who have been suffering from lower back pain for a long period of time. 
  3. As already mentioned, one of the main causes of these kinds of mishaps is sudden jerky movements, twisted movements, heavy weight lifting etc. So, it is necessary to avoid such circumstances, or else, an acute back pain situation may arise due to slipping of one of the discs from the spinal cord. As much as you like long drives and bike rides, these are a strict no. Any prolonged sitting or standing activity needs to be avoided. It is important that the tear caused in the muscles due to what-so-ever reason heals properly and prolonged stay in a tensed muscle position would definitely not help the cause. 
  4. Although these back pains can be handled at home by following the discussed steps, using simple analgesics or muscle relaxants prescribed by the doctor can be a way to speed up the process of recovering the strained ligament. 

Apart from these important steps, regular exercise to strengthen the core body muscles is a great way to avoid such ligament strains in the future. However, if you feel that even after following the precautionary measures, your problem doesn’t subside, visit an experienced doctor for his advice. In case you have a concern or query you can always consult an expert & get answers to your questions!

3801 people found this helpful

Don't Ignore the Acute Abdominal Pain

Dr. Tarun Jhamb 90% (18 ratings)
MD - Internal Medicine, MBBS
General Physician, Gurgaon
Don't Ignore the Acute Abdominal Pain

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:

  1. Acute abdomen pain is usually synonymous with rapid onset of the symptoms which might indicate life threatening intra-abdominal pathology.
  2. 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.
  3. 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.
  4. 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.
  5. 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.
  6. 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:

  1. Meckel's diverticulitis or Acute appendicitis
  2. Acute cholecystitis
  3. Ectopic pregnancy
  4. Acute pancreatitis.
  5. Peptic ulcer disease
  6. Diverticulitis.
  7. Intestinal obstruction, including paralytic ileus (adynamic obstruction)
  8. Pelvic inflammatory disease.
  9. Gastrointestinal (GI) haemorrhage
  10. Gastroenteritis.
  11. Acute intestinal ischaemia/infarction or vasculitis.
  12. Acute urinary retention
  13. Renal colic or renal tract pain
  14. Testicular torsion
  15. Abdominal aortic aneurysm
  16. 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.
  17. Rare causes might include thromboemboli, phytobezoar, and phytobezoar

Diagnosis of abdominal pains:

  1. Patients can be ordered to get their blood tests done. Also if need be then imaging can also be referred to them.
  2. Following tests can be done to rule out the condition causing the abdominal pain:
  3. Blood Tests: these include FBC, LFTs, glucose, amylase, clotting, calcium and arterial blood gas for pancreatitis
  4. Crossmatch or group and save
  5. Pregnancy test in women of childbearing age
  6. Blood cultures
  7. Peritoneal lavage in case of an abdominal trauma
  8. Urine analysis
  9. X ray of the abdomen, ultrasound, CT scan
  10. ECG and cardiac enzymes
  11. Laparoscopy should be a routine procedure
3031 people found this helpful

Tips for Acute Low Back Pain

Dr. Faiyaz Khan Pt 91% (532 ratings)
MPT - Orthopedic Physiotherapy, Fellowship In Orthopaedic Rehabilitation (FOR) Advanced Diploma in Nutrition & Diet
Physiotherapist, Kolkata
Tips for Acute Low Back Pain

Tips for Acute Low Back Pain :

1). Icing immediately.

2). Do not bed bound yourself

3). Drink plenty of water

4). Keep moving as per your comfort level and painfree range of motion which you need to figure it out.

5). Lastly but most importantly , the best Doctor to heal you here is a skilled Orthopedic Physiotherapist.

3 people found this helpful

How To Handle Acute Menstrual Cramps

Dr. Prof. & Hod Ganesh Shinde 89% (291 ratings)
MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Mumbai
How To Handle Acute Menstrual Cramps

Experiencing menstrual cramps for a few days every month is quite common for every woman. These cramps are commonly accompanied with pain. Menstrual cramps are referred to as dysmenorrhea. This is not a very serious health condition, but still the cramps can cause you pain and distress. You can manage the pain caused by menstrual cramps by making some simple changes and starting some practices. They are as follows:

  1. Dietary Changes: You have to make several dietary modifications to manage menstrual cramps. Reduce fat from your daily diet and consume more vegetables. A low-fat diet helps in reducing the levels of inflammation in your body. These changes will successfully help you to reduce the severity of menstrual cramps. You have to adopt a well-balanced diet.

  2. Medicines: Several painkillers which fall under the non-steroidal and anti-inflammatory groups are prescribed to relieve pain caused by the cramps. These medicines lower the production of prostaglandin that causes menstrual cramps. Inflammation and pain are relieved.

  3. Consume Green Tea: There are certain green teas, which relieve menstrual cramps. Herbal tea has been used since medieval ages for this purpose. Cramp bark is an effective tea used for this reason. Peppermint oil tea is also considered good.

  4. Fish Oil Supplements and Vitamin B1: Fish oil supplements and vitamin B1 help in naturally treating menstrual cramps. You will get quick and long-lasting relief by consuming these.

  5. Acupuncture: Acupuncture can be utilised to treat menstrual cramps. The nervous system gets relaxed, which increases the flow of blood to the internal body organs. Acupuncture assures effective pain relief.

  6. Massage Therapy: You can undergo massage therapy using certain essential oils. This provides great pain relief and is beneficial for menstrual cramps.

  7. Heating Pads: Heating pads provide efficient relief to menstrual cramps. Topically applied heat is also considered to be effective and pain relief is obtained in a short period of time.

  8. Boosting Endorphins: A boost in the endorphins improves your mood and gives relief from menstrual cramps. Endorphins are released when you work out or have an orgasm. Aerobic exercises and stretching techniques should be carried out regularly.

  9. Boosting Magnesium: Boosting the amount of magnesium in your diet helps in relieving pain from menstrual cramps. You can consume food items rich in magnesium or magnesium supplements.

Menstrual cramps usually do not require hospitalisation and you can self-treat it using simple remedies. However, if the pain experienced due to cramps is very severe and does not go away, you must consult a doctor.

2473 people found this helpful

Treatment of Acute Sinusitis

Dr. Major Rajesh Kumar Bhardwaj 90% (250 ratings)
MS - ENT, DNB (ENT)
ENT Specialist, Delhi
Treatment of Acute Sinusitis

Acute sinusitis is a type of infection of the sinus. It involves an infection or inflammation of your sinus membranes. The most common symptom of sinusitis is that you have trouble draining mucus from your nose. The sinus is the cavity around the nasal passage and it may swell up when this condition occurs. Usually, the symptoms are temporary. However, sometimes, especially if you suffer from chronic sinusitis,medical intervention is required.

  1. Saline Nasal Spray: This is a spray you put into your nose several times a day to clean your nasal passages.
  2. Nasal Corticosteroids: There are many types of nasal corticosteroids. They include fluticasone, budesonide, mometasone, beclomethsone. These nasal sprays not only help to treat inflammation, they help prevent to prevent inflammation as well.
  3. Aspirin: This is a type of OTC pain relievers and they help relieve the pain of acute sinusitis. Acetaminophen and ibuprofen are two other OTC pain relievers which can be used instead of aspirin.
  4. Antibiotics: Antibiotics are usually not required and should never be taken without the doctor's prescription. However, sometimes the doctor may recommend it if he thinks there is a bacterial infection or if the symptoms progress rapidly.
  5. Immunotherapy: Immunotherapy is given when allergies are the reason you are having acute sinusitis. It is rarely needed, however.
  6. Surgery: For sinusitis symptoms which are chronic or occur frequently, nasal surgery may be the best option for permanent relief. A number of different surgical procedures can be used to treat acute sinusitis such as balloon sinuplasty, endoscopic sinus surgery etc.
4761 people found this helpful

How To Treat Acute Sinusitis?

Dr. B. B. Khatri 88% (16 ratings)
MS - ENT, MBBS
ENT Specialist, Delhi
How To Treat Acute Sinusitis?

A stuffed up nose and pressure on our cheekbones can often mean you have acute sinusitis. Acute sinusitis, also called acute rhinosinusitis, is a short-term infection or inflammation of the membranes that line your sinuses. It prevents mucus from draining from your nose. 

What Causes Acute Sinusitis?

Illnesses and conditions that can cause acute sinusitis include:

  • colds
  • bacterial upper respiratory tract infections
  • fungal sinus infections
  • allergies that cause mucus production in the sinuses
  • lack of cilia motility, caused by disease (cilia are the small hairs located in your sinuses that move to push mucus out of your sinuses)
  • nasal polyps or tumors
  • deviated nasal septum
  • enlarged or infected adenoids
  • infected tooth (in rare cases bacteria can spread from the infected tooth to the sinuses)
  • cystic fibrosis (a disease that causes thick, sticky mucus to build up in the body)

Symptoms of acute sinusitis include:

However, sometimes, especially if you suffer from chronic sinusitis,medical intervention is required.

  1. Saline Nasal Spray: This is a spray you put into your nose several times a day to clean your nasal passages.
  2. Nasal Corticosteroids: There are many types of nasal corticosteroids. They include fluticasone, budesonide, mometasone, beclomethsone. These nasal sprays not only help to treat inflammation, they help prevent to prevent inflammation as well.
  3. Aspirin: This is a type of OTC pain relievers and they help relieve the pain of acute sinusitis. Acetaminophen and ibuprofen are two other OTC pain relievers which can be used instead of aspirin.
  4. Antibiotics: Antibiotics are usually not required and should never be taken without the doctor's prescription. However, sometimes the doctor may recommend it if he thinks there is a bacterial infection or if the symptoms progress rapidly.
  5. Immunotherapy: Immunotherapy is given when allergies are the reason you are having acute sinusitis. It is rarely needed, however.
  6. Surgery: For sinusitis symptoms which are chronic or occur frequently, nasal surgery may be the best option for permanent relief. A number of different surgical procedures can be used to treat acute sinusitis such as balloon sinuplasty, endoscopic sinus surgery etc. If you wish to discuss about any specific problem, you can consult an Ent Specialist.
3727 people found this helpful

How to Deal With Acute Stress Disorder

Dr. Priyanka Srivastava 89% (23 ratings)
B.A.(H)Psychology, M.A.Psychology, Ph. D - Psychology
Psychologist, Noida
How to Deal With Acute Stress Disorder

What is Acute Stress Disorder
Acute stress reaction usually happens when some stressful events occur. Acute usually indicates that the symptoms occur quickly and do not last for a long time. Symptoms, such as anxiety and stress occur when exposed to stressful events. It is believed that acute stress disorder occurs after unexpected crisis like traumatic events, serious accidents, domestic violence, sexual assaults or sudden bereavement. Acute stress reactions are commonly seen in people who have experienced major disasters or terrorist incidents.

Symptoms of Acute Stress Reaction
Symptoms of the condition develop very quickly, within minutes to hours in response to a stressful condition. Some of the symptoms are:

  1. Anxiety, mood changes, emotional trauma (ups and downs), poor concentration and sleep, irritability and the desire to be alone
  2. Unpleasant recurrent dreams
  3. Avoiding situations and people who may cause anxiety and stress
  4. Emotionally numb
  5. Nausea, palpitations, headaches, abdominal pain, difficulty in breathing and chest pain are usually caused by the stress hormones like epinephrine.

Management of Acute Stress Disorder
Generally treatment is not required as the symptoms go when the stressful episode is over. Talking to family and friends or understanding the symptoms is helpful. Some people might experience extended symptoms. The following can be done:

Cognitive Behavioral Therapy (CBT): This is the therapy where a person can talk to an experienced therapist to understand the patterns and the triggers that charge the problem. The aim of the therapist is to change the way a person thinks and help him avoid the thoughts and be more realistic and calm. Usually when CBT is used for acute stress disorder patients then it is termed as trauma focused CBT.

Counselling: This is usually done when the symptoms are more severe or persistent. It is helpful as it helps to explore the way to deal with the stress and its symptoms. Psychiatrists help by counselling the people and also there are many online resources, which might be helpful.

4804 people found this helpful

Acute Pancreatitis - Can it be Cured?

Dr. Anirban Biswas 93% (1277 ratings)
PGP In Diabetologist, Fellowship in Non-Invasive Cardiology, MD - Medicine, MBBS
Endocrinologist, Delhi
Acute Pancreatitis - Can it be Cured?

The inflammation of your pancreas over a short period of time indicates acute pancreatitis, which is a serious health condition. You may experience symptoms such as severe abdomen pain all of a sudden, diarrhoea and feeling of being sick. Acute pancreatitis occurs when there are some problems with certain enzymes in the pancreas. This condition is often associated with gallstones and alcohol consumption.

Treatment
Acute pancreatitis can be cured in a hospital, where you will get monitored for signs of serious issues. In some cases, supportive things like oxygen and fluids are required. Here are the various ways by which the condition can be treated:

1. Fluids: The body may get dehydrated during acute pancreatitis. Fluids are provided via a tube connected to one of the veins of the patient. This is known as intravenous or IV fluid. These fluids may help in the prevention of a problem called hypovolemic shock, which occurs when the amount of blood in your body gets lowered due to a drop in fluids. 
2. Nutrition: Diet is usually not restricted for people with acute pancreatitis, but some patients are recommended not to consume solid food for some time. Attempting to digest solid food may cause a strain on the pancreas. You may need to avoid solid food for some days. You should use a feeding tube to get essential nutrients. This process is called enteral feeding and it may involve the insertion of a tube into your stomach via the nose. 

3. Oxygen: For ensuring sufficient oxygen supply to your vital organs, you will be supplied with oxygen through the tubes on your nose. The tube may be removed when your condition improves. In some cases, ventilation equipment may be required for assistance to breathe.
4. Painkillers: Acute pancreatitis causes severe abdominal pain and strong painkillers such as morphine may be given to the patient. These may make the patient feel drowsy. 

Treatment of underlying cause
After controlling the symptoms, the underlying cause must be treated. They are as follows:
1. Gallstone: When pancreatitis occurs because of a gallstone, you may require a process known as endoscopic retrograde cholangiopancreatography or ERCP. The gallbladder may have to be removed, if necessary. 

2. Alcohol consumption: After getting treated for acute pancreatitis and you have recovered from this condition, you should try to avoid alcohol completely. Alcohol may spoil your recovery and the condition might reoccur or the symptoms may reappear. For freedom from alcohol, you may try counselling, joining self-help groups such as Alcoholics Anonymous (AA) or take a medicine which reduces your craving for alcohol. 

It is recommended that you visit a doctor immediately after experiencing any slight or severe symptoms of acute pancreatitis. This will help in early diagnosis and the chances of the symptoms getting worse are prevented. If you wish to discuss about any specific problem, you can consult an Endocrinologist.

3094 people found this helpful

How To Deal With The Problem Of Acute Acne?

Dr. Sunakshi Singh 90% (164 ratings)
MD - Dermatology, MBBS
Dermatologist, Delhi
How To Deal With The Problem Of Acute Acne?

The skin produces a natural oil known as sebum from the sebaceous glands. This acts as a protective layer and is passed out through the multiple, minute pores. With the teenage years seeing excessive hormones, excessive sebum is produced which clogs the pores, and the underlying sebum may not be released from the glands. In some cases, there could also be bacteria trapped in these acne. In severe cases, there can be extreme pain and pus formation. The acne can be quite large in size and may leave marks, which often take a long time to disappear.

Causes

Though acne affects any age group, it is most common in the teenage years and is attributed to the hormones called androgens. In women, there is also a hormonal correlation where acne is more common with menstrual cycles, pregnancy and polycystic ovaries – all conditions associated with increased hormone levels.

Management

Before heading out for medical help, the following are some tips to manage acne.

  1. Avoid touching it or picking it. Else it will result in a faster spreading of the infection to the surrounding areas.

  2. Use ice cubes on the acne as they help reduce redness and swelling by lowering the blood supply.

  3. Learn to keep calm as stress increases hormonal release and thereby acne.

  4. Do regular exercises. A good workout routine helps by keeping your skin clean and the pores open. There is a more frequent clearing of sebum leading to reduced acne.

  5. Maintain a healthy eating pattern. Avoid oily food items, which only add to the oiliness of the skin. Sugars again are proven to be harmful for acne.

  6. Follow a proper sleep routine as it will relax your muscles and keep you calm.

  7. Use mild detergents for washing pillow covers and towels, which are often used on the skin.

  8. Frequent washing, regular moisturizing, and exfoliating should be a part of your skin care routine. Avoid heavy chemicals and adhere to one regimen with as many natural substances as possible.

Medical Management

Medications would be required in more severe cases, where there is infection along with pain.

Topical products would include creams, gels or lotions with retinoids like tretinoin, tazarotene and adapalene. In some cases, topical antibiotics like clindamycin or erythromycin combined with benzoyl peroxide are used. Light therapy, laser resurfacing, dermabrasion, chemical peels and steroid injections can be used to remove acne scars, which may be very concerning cosmetically.

Very severe cases may require a systemic antibiotic course with doxycycline and minocycline. Birth control pills may be used in some to regulate hormonal levels.

Despite all this, let nature take its own course, and in majority of the cases, acne runs its course and settles down with the passage of teenage years. Try the next level therapy only if absolutely required. If you wish to discuss about any specific problem, you can consult a dermatologist.

4849 people found this helpful

How To Deal With The Problem Of Acute Acne?

Dr. Devesh Aggarwal 89% (283 ratings)
Fellowship In Fue Hair transplant, Fellowship in Hair Transplant Surgery, Fellowship in Aesthetic Medicine, Diploma in Aesthetic Medicine & Trichology
Dermatologist, Faridabad
How To Deal With The Problem Of Acute Acne?

The skin produces a natural oil known as sebum from the sebaceous glands. This acts as a protective layer and is passed out through the multiple, minute pores. With the teenage years seeing excessive hormones, excessive sebum is produced which clogs the pores, and the underlying sebum may not be released from the glands. In some cases, there could also be bacteria trapped in these acne. In severe cases, there can be extreme pain and pus formation. The acne can be quite large in size and may leave marks, which often take a long time to disappear.

Causes

Though acne affects any age group, it is most common in the teenage years and is attributed to the hormones called androgens. In women, there is also a hormonal correlation where acne is more common with menstrual cycles, pregnancy and polycystic ovaries – all conditions associated with increased hormone levels.

Management

Before heading out for medical help, the following are some tips to manage acne.

  1. Avoid touching it or picking it. Else it will result in a faster spreading of the infection to the surrounding areas.

  2. Use ice cubes on the acne as they help reduce redness and swelling by lowering the blood supply.

  3. Learn to keep calm as stress increases hormonal release and thereby acne.

  4. Do regular exercises. A good workout routine helps by keeping your skin clean and the pores open. There is a more frequent clearing of sebum leading to reduced acne.

  5. Maintain a healthy eating pattern. Avoid oily food items, which only add to the oiliness of the skin. Sugars again are proven to be harmful for acne.

  6. Follow a proper sleep routine as it will relax your muscles and keep you calm.

  7. Use mild detergents for washing pillow covers and towels, which are often used on the skin.

  8. Frequent washing, regular moisturizing, and exfoliating should be a part of your skin care routine. Avoid heavy chemicals and adhere to one regimen with as many natural substances as possible.

Medical Management

Medications would be required in more severe cases, where there is infection along with pain.

Topical products would include creams, gels or lotions with retinoids like tretinoin, tazarotene and adapalene. In some cases, topical antibiotics like clindamycin or erythromycin combined with benzoyl peroxide are used. Light therapy, laser resurfacing, dermabrasion, chemical peels and steroid injections can be used to remove acne scars, which may be very concerning cosmetically.

Very severe cases may require a systemic antibiotic course with doxycycline and minocycline. Birth control pills may be used in some to regulate hormonal levels.

Despite all this, let nature take its own course, and in majority of the cases, acne runs its course and settles down with the passage of teenage years. Try the next level therapy only if absolutely required. If you wish to discuss about any specific problem, you can consult a dermatologist.

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