FAQ - Pain, Postoperative
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How much postoperative pain medication is typically prescribed following routine wisdom teeth extraction?


I am about to have my wisdom teeth removed because one is partially impacted and another is partially erupted with the gum grown over it. I am slightly concerned about pain afterwards because honestly my threshold is pretty low. Does the Dentist/Oral and Maxillofacial Surgeon usually prescribe enough medications for only the first 24 hours or for a few days. Thanks.
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I had 4 wisdom teeth taken out and I was prescribed 20 Vicodin afterwards. But he told me to call if I needed more or if the pain persisted. They lasted for a few days although at first I had to take 2 at a time. Good luck to you!  (+ info)

I am having a colon resection on Wednesday, how bad is the postoperative pain and how long will it last?


Any extra information would be appreciated.
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How you do postoperatively and how long it takes for you to recover depend on the type of operation done. If you have the traditional open abdominal surgery it will take longer than if they do a laparoscopic surgery. Also it depends on if the colostomy is intended to be only temporary or permanent. You will ordinarily expect to be in the hospital for 5-7 days, and you won't be eating a lot for the first few days. Complete recovery can take 2 months or so, depending on how well you heal and what further complications there are. If the colostomy is meant to be temporary, you will have another surgery scheduled after this to close the opening. In most hospitals, you should be gotten up out of bed within about 12 hours of the surgery. As hard as it will be to motivate yourself to get up, it will be much better for you and you will recover faster if you do get up as often as you can manage it, and the sooner you do get up the better it will be. The first time up on your feet is the hardest, and if you can pull it off in the first 8 hours or so, you can take advantage of all the pain killers left over from surgery. You will be very stiff and sore, and slow moving, but that's okay. The idea is to get back on your feet, not to see how quickly you can move. The nurses will want you to go to the bathroom and have a drink, to see the kidneys are functioning and that you can hold fluids. Your diet the first few days will start off as a liquid diet, and go to a very soft diet in a day. Lots of juice, broth and jello. If you do okay with that, then you'll get a progressively more appetizing diet (well, for hospital food anyway), until you get back to a full normal diet. You will have gassy cramps those first few days, complaints from an empty system as it starts things moving along again. The dietician will visit you to discuss how to arrange your diet for the first bit home, and what things to watch for. The nurses will give you lessons in how to clean the colostomy and how to change bags, and somebody should visit you to tell you where you can purchase supplies in the future. It may all seem overwhelming at first, so if you need to, ask for the name of a local support group to help you. They can be very supportive and full of ideas to help you along the road to recovery. And sometimes it helps to speak with somebody in the same boat as you, frankly.
If your colostomy is permanent, you will spend the next few months adapting to it, and the few changes it will require. For the most part, nothing in your life will be un-doable, although it may require some adaptations. You would still be able to do nearly any physical activity you like. Depending on the location, you might have to adapt the waistbands of some clothing so it fits looser, but otherwise, nobody will know who doesn't get told. This is one area where the support group members can really be a help, so you don't have to find everything out through trial and error, or the hard way. And won't have to feel any embarassment asking the questions, either.
Colon resections can be frightening, but as a rule, once you are through the worst of the recoperation process, usually the first month, you do feel noticeably better. The symptoms which caused you problems should have all disappeared, and you will feel more like your old self again. Just don't lose heart. Drag yourself up out on the bed, force yourself to get moving and keep on moving. Rest as you need, but don't let yourself crawl into any shell. Find a support group, and ask all the questions you need to. If need be, get the answers before you leave the hospital and don't let them off with promises. Good luck with your surgery, and with getting back to the rest of your life.  (+ info)

A patient received Morphine Sulfate, 10 mg IV, two hours ago for standard postoperative pain. She is now cryin


A patient received Morphine Sulfate, 10 mg IV, two hours ago for standard postoperative pain. She is now crying and complaining of continued pain. Is this an example of pain threshold or pain tolerance? Explain why
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Sarah,
I think you need to be doing your own homework. Grab your med-surg book, medical dictionary, lecture notes, etc. and study hard. You could always form a study group if you are wanting to bounce ideas and solutions off each other.
If you don't learn the material, a patient will eventually pay the price. Additionally, these are simple knowledge based questions. If you don't learn how to answer these, you'll drown with comprehension and application based questions.  (+ info)

Postoperative pain treatment?


I'm 14. One of my canines have not erupted yet,or moved at all, its still up by my nose. My orthodontist said I have to get it surgically "brought down" and then he said something about a gold chain (?). I was wondering if i will get narcotics (i.e. tylenol 3, vicodin) for the postoperative pain considering I am a minor. I am really scared that I wont get any because im a minor and ill have to deal with the pain with no medication...
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What pain reliever is advertised with a man holding the world on his shoulders in a commercial?


The commercial starts with everybody falling off the world. The camera zooms out and it shows a man holding the world on his shoulders. He is in pain and gets a pain reliever from someone one on the world. What pain reliever is that promoting?
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Definitely Excedrin. A combination of aspirin, acetaminophen and caffeine. I have used it for years for all the usual aches, pains, headaches and stiffness.  (+ info)

How long does ovulation pain last and what can I do to relieve the pain?


I have a bad pain in my lower right abdomen which I'm presuming is ovulation pain. I'm supposed to be going to my friends birthday party in about 4 hours and if my pains carry on like this I'm not going to be able to go, I can hardly stand up straight. How can I relieve the pain?
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About one in five women experience pain and discomfort during ovulation. The duration of the pain varies from one woman to the next, but ranges from a few minutes to 48 hours. In most cases, ovulation pain doesn’t mean that anything is wrong.

However, severe pain may sometimes be symptomatic of gynaecological conditions including endometriosis, which was the cause for painful ovulation and periods I experienced for nearly a year before I decided to seek help from my doctor and gynaecologist.

I would recommend that you consult with your doctor/gynaecologist if your ovulation pain lasts longer than three days or is associated with other unusual menstrual symptoms, such as heavy bleeding.

Good luck :)  (+ info)

How to reduce foot pain, leg pain and back pain while standing at work for a long time?


Hi everyone.
I was just wondering if anyone could give me advice on how to reduce foot pain, leg pain, and back pain while on the job at work.

Thanks! :(
I want to know if there is any foods, minerals, and what not that might be able to help me reduce the pain.
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When standing still, have one foot higher than the other, it really works, like even a level of a 3" to 5" can make a difference when standing idle. If working on concrete, get soft soled shoes, like cushions. Trying exercises like walking on toes for a minute. Sitting down on a chair, bring your legs up and stretch your foot all the way forward and then all the way back (may have to have someone help you with this one), it stretches the tendons and muscles you have used one way all day.

Taking baths with epson salts helps (clear with GP). Make sure (via blood work) you have the right balance with potassium, magnesium, and calcium, to keep the leg pain away. Also stand two feet from wall, hold the wall and lean into the wall by relaxing arms, helps with legs. Also massage legs from foot to knee. Keep hydrated.

When you can get a break, put feet up, if you can, higher than heart, helps with the blood circulation. If your feet swell, make sure you have good shoes, see GP to make sure you don't have an underlying medical condition. Compression stockings for men and women are available to help keep the fluids from staying in legs and feet (see GP for guidance).

Back pain requires actually exercise and make sure there is nothing wrong first medically. Lot of stress from standing all day. Swimming is good as a relief, so is yoga and massage. Generally, people that eat right don't need supplements, but who eats right? Balance your meals with lots of greens, fresh veggies, light on meats and beer. Too much calcium like dairy can cause a buildup in blood, so balance is important. Try to stay away from corn products, seems there are people that are on their feet all the time, getting off of corn does help, but they don't know why yet.

Sometimes my son, after being on his feet all day says he feels like he was hit by a truck, God forbid, but he goes on his bike and weird, using different muscles helps the ones he overworked, so try it. If you have no medical problem, sometimes a hobby like bowling can make the difference because of the way we move or not move all day needs all the muscles working.

When tired, do put feet up, massage legs and feet, use pillows for back support and chill out.  (+ info)

What could pain in my back from taking a deep breath mean?


I have been experiencing back pain (localized to the middle-to-upper right region of my back) all day, especially when I take a deep breath. I've also noticed I get the pain when I move my right arm in certain directions, as well as if I twist my back to the right or left. But the pain is the worst when I take a deep breath. Could this just be a muscle strain? I'm not sure if pain from a muscle strain can be felt from taking a deep breath. Any advice and/or information would be appreciated.

Thanks.
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There is a chance that you subluxated (partially displaced) a rib. This usually happens in the back from a traumatic incident, and can cause restricted and painful breathing. You also might have strained or bruised an intercostal muscle, located between the ribs. Either one would cause the symptoms you're describing.

A chiropractor might help, as well as alternating heat and ice on the area. Start with 10 minutes of heat, end with 10 minutes of ice.

Gentle deep breathing exercises can help a displaced rib readjust. Follow the procedure in the link below, except only breathe in to the point where you experience NO pain. You will find that you can breathe in deeper the more you do it.  (+ info)

What is the best pain relief during labour?


Ive never been good with pain, Ive always had extremely painful period pains in life and in general have never been good with pain.
So now that i am pregnant and planning my labour, I would like to know what is the best pain relief as I dont want to have a stressful, painful labour.
Is gas and air going to be enough? does it actually take any pain away?
Or would an epidural be a better option?
What are the pro's and con's for both of these?
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It depends on your situation at the time and when you end up in hospital in relation to the progress of your labour. If you are in advanced labour gas and air becomes the only option. If you wish an epidural, which is not without risk and increases your risk of requiring intervention, (forceps or a Caesarean,) ideally you should discuss this option with your midwife in advance. Otherwise the middle option is pethidine and gas and air in the later stages.  (+ info)

How much pain relief can I expect from cortizone injections into a bulging disk?


Does anyone have a bulging disk which caused a lot of pain? If so, did you get cortizone injections and if you did how much relief from pain did you get? What has been the best pain relief?
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I once had a cortisone shot in my wrist. It was very painful. I have since discovered a drug free non-invasive way to reduce inflammation - I use this product for my back and my knees. Its called actipatch. Works like a charm, easy to use and a good value since it lasts so long.   (+ info)

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