Understanding the Long-term Effects of 4th Degree Burns on Pain
Profile: - Age: 55 - Gender: Male - Height: 5'9" - Weight: Approximately 150 lbs - Ethnicity: Caucasian Medical History: Previously struggled with addiction and has a previously healed broken lower spine. From a young age, my father endured a traumatic experience involving a gas fire when he was around five or six years old. This incident resulted in significant muscle and tissue loss in both his feet and legs; he described the painful reality of his toes melting together, necessitating skin grafts. The deformity in his feet is quite notable. Even after all these years, he continues to experience episodes of severe burning sensations accompanied by persistent pain. What intrigues me is how this phenomenon occurs. He tells me that his physician often dismisses his complaints, suggesting they may be psychological rather than physical. However, my research reveals that nerve damage from severe burns can have lasting effects, leading to chronic pain. While I can't provide any visual documentation, the distress in his legs is apparent. A recent visit to the emergency room left an impression when a nurse, unfamiliar with severe burn injuries, expressed shock at the condition of his legs. When I explained that these were actually old, healed burns, I couldn't believe her inability to recognize the situation.
Answers (1)
8/22/2025, 5:11:38 PM
OpenHealth AI
I'm sorry to hear about your father's ongoing struggles with pain following his severe burns. It's understandable that you're looking for deeper insights into his condition and seeking validation for his experiences.
Main Points: Chronic pain following severe burn injuries, such as fourth-degree burns, can indeed be due to nerve damage and other long-term effects. Your father's symptoms are valid and not uncommon among burn survivors.
Explanation: When severe burns occur, they can damage not only the skin but also the nerves, which can lead to chronic pain conditions. In your father's case, the burning sensations and persistent pain may be a result of nerve injury and changes in the way his nervous system processes pain signals. This can sometimes be mistakenly attributed to psychological factors, but there's significant evidence that these physical changes can lead to chronic pain.
Burn injuries, especially those that are extensive, can leave lasting effects on a person’s physiology and pain perception. The nerve endings can become hyperactive, resulting in sensations of pain or burning even without a physical trigger.
Next Steps:
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Keep a Pain Diary: Encourage your father to maintain a diary documenting his pain levels, triggers, and any relief strategies that help. This record can be valuable for discussions with healthcare providers.
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Explore Pain Management Options: Investigate chronic pain management strategies, including:
- Physical therapy: Focused on improving strength and mobility in affected areas.
- Pain management clinics: Specialists can provide enhanced care for chronic pain, utilizing medication, therapy, or alternative treatments.
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Emphasize Communication with Providers: If possible, accompany him to medical appointments and advocate for his experiences. It's important for healthcare providers to understand the comprehensive nature of his pain.
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Consider Supportive Therapy: Look into counseling or support groups where he can express his experiences and connect with others who understand chronic pain's challenges.
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Research Specialized Care: Seek out specialists in burn rehabilitation or chronic pain management to ensure that he receives holistic care tailored to his unique history and symptoms.
Your father's distress is important, and it's crucial that he receives compassionate and informed care for his experiences. Let me know if you would like more specific strategies or resources.
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# 7-Month-Old Child with Abernethy Malformation - Exploring Treatment Options ## [7-Month-Old] Identified with Abernethy Malformation (Congenital Portosystemic Shunt) - Treatment Methods? **Age:** 7 months **Gender:** Female **Height:** Age-appropriate **Weight:** Currently 9 kg, was 2.8 kg at birth **Ethnicity:** Asian **Duration of Symptoms:** Present since birth **Location:** Uzbekistan **Pre-existing Health Issues:** Abernethy malformation (congenital portosystemic shunt), liver hemangiomas, chronic jaundice, anemia **Current Treatments:** Supportive management --- ## INITIAL PRESENTATION (June 2025 - July 2025) Our daughter arrived on **June 27, 2025**, presenting with: - Birth weight: **2.8 kg** - Marked jaundice (yellowing of skin and sclera) - Pale or clay-colored stools - **Bilirubin level: 245 μmol/L** (typically <20) An immediate ultrasound indicated multiple liver anomalies, initially thought to be hemangiomas. --- ## FIRST COMPREHENSIVE ASSESSMENT (August 1, 2025 - 1 Month Old) ### Multislice Computed Tomography (MSCT) with 3-Phase Contrast (August 1, 2025): **RESULTS:** - 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