Back pain, burn's on the skin, breathless. Surgery Septoplasty. Prescribed silver sulfadiazine cream. Cure for burn marks?
Thank you for your query.
I need some clarifications from you.
1) Was the surgery a septoplasty of the nose?
2) Do you have ECG recordings of the Arrhythmia or at least any recent ECG that can be uploaded to this website?
3) Have you recovered from the original symptoms that prompted you to undertake the surgery?
4) Do you have the Hemoglobin levels (blood test reports) post-surgery, and if so, can you upload the results?
The marks on your back could be due to the prolonged contact of the electrocautery grounding electrodes which are usually taped to the back. If your skin is sensitive, they may leave marks that look like burns. These are usually quite harmless and will heal with time. Electrocautery is used to prevent and stop the bleeding during surgery.
Another reason for those marks could be the effect of prolonged pressure on sensitive skin, when you are immobile in a fixed position for a prolonged time, as you would have been during the surgery. It is not possible to alter your body position during the surgery as it would hinder the surgical process. These marks also should resolve uneventfully with time.
If there is a minor breakage of skin, it will usually heal well with a simple dressing and preventing any secondary infection.
During and after anesthesia, and after prolonged surgery, there will be some fluctuations in the fluid and electrolyte levels. There may also be some loss of blood. All these can lead to fluctuations in heart rate and BP. Pain, anxiety and the inflammation associated with the procedure can also modulate these responses.
If your current BP, heart rate and pulse are normal, you need not worry too much.
Since you are being treated with Simvastatin, I presume you have high cholesterol levels. Since two years have passed since your CT coronary angiogram, I would also advise you to undergo a stress test to confirm that everything is normal.
However, I would suggest that the stress test be done after a period of at least 3 months to allow for complete recovery from your recent surgery. A simple treadmill test would suffice, if you are able to exercise. Other options are stress thallium/nuclear imaging with technetium, or a dobutamine stress echocardiography.
I hope this answers your query. If you can get back to me with the replies to my questions, I can give you a more specific answer.
Dr R S Varma
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