Q. Carotid endarectomy? It is common for a vascular surgeon to allow high pain levels in a patient the first 24 hours following surgery?
Doctor Answer is medically reviewed by SecondMedic medical review team.
No, it is not common for a vascular surgeon to allow high pain levels in a patient the first 24 hours following carotid endarectomy. While some degree of pain is expected after this type of procedure, most patients will be prescribed medications during and immediately after surgery to help manage their discomfort. Additionally, a dedicated post-operative monitoring team will assess the patient's pain levels regularly to ensure they are managing well and that their comfort level is maintained at an acceptable level.
The goal of carotid endarectomy is to provide relief from symptoms such as stroke or transient ischemic attack (TIA). To achieve this outcome, the surgeon removes plaque buildup within the artery which can reduce blood flow and increase risk for stroke or TIA. This procedure requires general anesthesia as well as incision(s) along the neck; hence why pain management becomes important in its aftermath. To further minimize discomfort, both local anesthetic injections (into incision sites) and intravenous narcotics can be used for intraoperative analgesia; providing immediate relief before any oral medication(s) are necessary. Following surgery, patients should continue with prescribed medications until full recovery!
Q. Hello Doctor, from past 3 weeks I have too much dandruff problem and it cause hair loss will you suggest any best solution for this?
Doctor Answer is medically reviewed by SecondMedic medical review team.
Answered by Secondmedic ExpertDealing with excessive dandruff leading to hair loss can be frustrating, but there are effective ways to address this issue. Here's what you can do:
1. Switch to a Gentle Shampoo: Opt for shampoos specifically designed for dandruff, containing ingredients like ketoconazole, zinc pyrithione, coal tar, or selenium sulfide. Use these shampoos regularly to reduce dandruff buildup.
2. Scalp Massage: Gently massage your scalp while shampooing to help remove flakes and improve blood circulation, which can promote healthier hair growth.
3. Avoid Hot Water: Wash your hair with lukewarm water instead of hot water, as hot water can dry out your scalp and worsen dandruff.
4. Balanced Diet: Ensure you're eating a balanced diet rich in vitamins and minerals essential for healthy hair and scalp, such as omega-3 fatty acids, zinc, and B vitamins.
5. Manage Stress: Stress can exacerbate dandruff problems. Practice stress-relief techniques like meditation, yoga, or regular exercise to help manage stress levels.
6. Apple Cider Vinegar Rinse: Consider using diluted apple cider vinegar as a rinse after shampooing. It can help restore the scalp's pH balance and reduce dandruff.
7. Consult a Dermatologist: If the issue persists despite trying home remedies or over-the-counter solutions, seek advice from a dermatologist. They can provide a personalized treatment plan tailored to your specific scalp condition.
Remember, consistency is key when dealing with dandruff. Give these remedies some time to work, as immediate results might not always occur. It's essential to find what works best for your scalp, so don't get discouraged if you don't see immediate improvements.
Taking care of your scalp health not only addresses dandruff but also aids in reducing hair loss associated with this issue. Feel free to incorporate these tips into your routine and observe how your scalp responds. If the problem persists or worsens, seeking professional guidance is always recommended.
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