Hi My Brother in law( lives in INDIA) ,had c5-c6 complete injury ,right now he is in rehab center.
I wanted to send him good bed sore medicine ...Any suggestions ???
Other thing he had autonomic dyreflexia ,his bp shoots up & he had seiures ,thank GOD he was in the Rehab & everything were undercontrol...
He will be going home soon but is tensed that when he will be at home & AD strikes agian what will we do? In Indis there is no 911 facility ....
Any suggestion please???/
Thanx in advance
Dini

HI Din,
I have no suggestion for any particular medicine, but I do have experience as a paraplegic in India and have met many para/tetra in India. I don’t know how good hospital your BIL is in, but generally I have seen that the rehab’s generally means physio doing some stretching exercise to the patient, and almost no attempts to make the person as independent as possible, also patients are not educated about the injury. There are many good articles in apparelyzed.com and it is important for the patient to have as much information as possible and understand what causes pressure sour and there by how to prevent it from happening.

Regarding Dysreflexya : I suggest taking a print out of article available on apparelyzed.com, and show it to your local Dr so that he understands what AD is and its seriousness. Some of the most common reasons for AD are mentioned in the document, and it is important to identify what is causing AD and treat it at the earliest. Dr may be able to prescribe medicine that help bring down the blood pressure fast, that will help reduce the effect of AD.

Hi Din,
Unfortunately there are no bed sore medicines as such, if he is suffering with pressure sores then the best thing for him to do is stay off the area for as much as possible and makes sure he relieves pressure regularly to prevent them. Also to help heal any wound a high protein diet is needed, Denny's advice was great, pretty much all the information you will need is here and if you can't find anything you need then just ask!
Good luck

Hey Din,

Denny and Trinity got it right. I'll just add, if the bedsore gets to stage three or four, black, get to your local would care facility/hospital. Don't try to treat them without a professionals help. When self treated with or without professional advice, bedsores can get get way out of hand.

If your health/immune system is compromised with other conditions, diabetes, anemia, etc, be very careful please. Get these fixed as soon as possible, don't wait...I went into hospital late March of 08, after two surgeries, a wound vac stuck to my legs/arse for near six months, numerous other trips to emergency/hospital, enough antibiotics and blood drawn to kill a bear, I'll be roolin in two weeks or so.

Do the math...a year and a half gone...it sucks big time being in bed this long, if you can prevent this...do...don't wait or self treat, go go go to the doctor.

Hope things go well for you,

Jerry

Thankyou for the answers...

I echo the advice of others- there are no easy answers. SOMETHING I HAVE NOT SEEN MENTIONED ON THIS SITE is the basic fact that most all bacteria LOVE warm wet places. Consequently, it is a real help while you are staying off of the sore to let it air out. Stick your hiny up/out in the air and let it air out. We have done this with my Dad's sores in the past and it helps noticeably. He is 88 and has been in a chair with spinal stenosis for 2 years. How it would have helped if Doctors had said 15 years ago that SS is a type of SCI, but don't get me started...

If anyone know of instances in which the open air idea is contraindicated, please let us know.

Pwuff

Sorry Pwuff, I hate to disagree but all the research around wound healing points to a moist environment as being the most likely to heal a wound.
google moist environment for wound healing for all the info

My mom is all about natural products, and there is this natural medicine/product called Univera, and I had a stage 2 pressure sore for almost a year and a half, and it wouldn't heal at all. I started taking the Univera pills, and within two weeks my pressure sore was healed. I'm not saying its a miracle medicine or anything, but it really helped me. It is kind of expensive though. I also drank the juice along with taking the pills. I didn't like the taste too much, so I put it in orange juice. The products help restore cells, or something like that. I didn't really pay too much attention to it all, I just wanted the pressure sore gone, lol.


http://www.univera-health-products.com/index.cfm

I echo what trinity says. Not once have my doctors or wound care nurses ever left a pressure ulcer/bedsore open to the air. They are always covered, have either an antibiotic of some sort, a moisture growth promoting covering, possibly a moisture absorbent material to manage excessive drainage and/or gauze w/tape to cover/secure.

Have your doctor or nurse show you how to manage dressing changes and consult them regularly.

The only time an open air method is often used is with blisters. Do not pop these to drain fluid as infection can result. Let them dry on their own, possibly applying an antiseptic wash to keep it clean only, keep it dry.

Hopefully I'm not contradicting anyone, but Silvasorb© is THE best wound-care gel I've ever used. It's anti-microbial properties are excellent and it isn't out-of-this-world expensive, and you can buy it without a prescription. Having said that, anyone with pressure sores MUST be seen and assessed by a wound care specialist, that's all there is to it. By the time you can see them, there's probably something much more wicked lurking beneath. So finding out what caused the sore is the first thing that has to be done so that they aren't just recurrent. If they're black, the person has waaaaaay more problems than can be fixed by Silvasorb© and I would say get to the hospital before you get taken to the morgue. Duoderm can be great, OR it can be a nightmare. Finding out what works for the individual is something something you have to do by trial and error. Good nutrition is also extremely important. A person trying to heal a sore needs about 70 mg. of protein a day, and smoking cigarettes and alcohol should be discouraged.

Autonomic dysreflexia, I'm not such an expert on because I'm a T-6. That's a tricky one: full bladder, full bowel, even an ingrown toenail can trigger it so read up on it and make sure he has good attendant care.

Thank you Trinity.

Dini

The best medication is prevention. We all have our own theories and believes on what work and what doesn't. Skin check, skin check and more skin check. We visit Mayo in MN and a new study has show that it can take up to 3 minutes to regain circulation not 1 minute. Steven spent 14 months in the hospital and had skin flap surgery done to his bottom. He has always had problems with his coxis and we purchased a sheep hide and it had done wonders for him. We use it faithfully everyday and night. In bed. in the wheelchair and in the recliner. Do your research and it is proven to work and we vouch for that! He has had no further breakdown since the use of it. Sierra trading post is a great site to purchase the product. Another product we use for prevention due to skin graphs and dry skin is AM Laction you can purchase that over the counter. Another item I swear by! I am new to the site and am excited to learn from others as well as share any useful information that I may. Best of luck to you and your family!

We all have the ability; The difference is how we use it... ~Stevie Wonder