It is a question that every mother and father asks themselves once or more in their lives. My child has been circumcised, so what should we pay attention to afterwards?
According to my observations, parents are seriously worried about this issue and do not know what to do. Of course they are right because how many times do they encounter such a situation in their lives???? 1,2 sometimes 3, rarely 4 and above. Naturally, many questions arise in their minds:
Is there pain after circumcision?
When can he eat?
How does he urinate for the first time, is there pain?
When and how often should the dressing be applied?
Which medications should we use?
When can he take his first bath?
When should he move, when can he go out of the house?
In what situations? Do we need to inform our doctor?
We can list these as the most common questions. When the mother and father are inexperienced and uneasy about this issue, most of them are anxious, tense and in pain, relatives, friends and family are all asking for help, and many other factors come together, the situation becomes inextricable. I decided to write this article to help mothers and fathers whose children have just been circumcised. I hope this will be of some help to many families. Get well soon.
Is there pain after circumcision?
Today, all circumcision methods are performed under local, sedation or general anesthesia. The circumcision area is anesthetized with some injections. The effect of these drugs lasts approximately 1-2 hours. After this period, mild pain begins and if medication is not used, the pain may gradually increase. These pains become more severe and more frequent in the first 24 hours following circumcision. The first night after circumcision may be sleepless???? This is quite normal because the child is very sensitive and may exhibit a crying and whining attitude to attract attention and attention. It is sufficient to use medications during this period. After 24 hours, the pain decreases significantly (50-75%) and in the 48th hour, there is almost no pain. Think about it, when you cut your finger with a knife, it will be painful for the first hours, but the next day there will be pain only when you touch the wound. The mechanism and situation here are the same. painl Even if the pain disappears, medications should be continued regularly!
When can one eat?
Eating and drinking can be started immediately during circumcisions performed with local anesthesia. In procedures performed under general anesthesia, nothing should be given orally until the child regains consciousness, because in these cases, the vomiting reflex is in an uncontrolled process, and some of the expelled food and drinks may escape into the lungs through the respiratory tract and cause an unpleasant unpleasant situation. This period is approximately 1-2 hours.
How does he urinate for the first time? Is there any pain?
Most of the time, children urinate before the circumcision. Some children prefer to pee during the procedure for some reason???? For these reasons, and especially because the pain that begins after the procedure causes involuntary spasm of the muscles in the area, the first urination may be delayed for a few hours. This is a normal situation. When there is a feeling of urination, the child cannot hold back for long and expresses it. Sometimes the first attempts to urinate may fail due to extreme spasm. In such cases, warm application can be applied to the bladder area. The first urination may be accompanied by a slight burning sensation and there may be interruptions in between. This is a very normal situation. However, if the first urination period lasts longer than necessary (24 hours), if the pain gradually increases, and if blood appears in the urine, you should contact your physician. For example, the bandage may be wrapped tightly and these problems can be solved by loosening it.
When and how often is the dressing applied?
Under normal conditions, the dressing is applied after the first 24 hours. (circumcision bandage) can be removed at home. This period can sometimes be extended to 48 and sometimes 72 hours. First, the dressing cloth is thoroughly wetted with warm water and then dissolved. The areas that remain dry during thawing are wetted again with plenty of fresh water. Do not be nervous or anxious while performing this procedure because it is completely painless. It is very normal to see a few drops of blood while the dressing dissolves. After the dressing is removed, it is sufficient to apply the cream given 2-3 times a day for open dressing. First, stretch the penis (pipi) skin with the thumb and index finger of your left hand until you see the tip of the penis (glanz penis), then use the thumb and index finger of your right hand. Apply the cream with your finger, especially to the stitch area and the tip of the penis. It is beneficial to continue applying the cream for at least two weeks. The circumcised area should be wetted with warm water or taken a bath once a day. After drying, cream should be applied. Daily wetting of the wound ensures that the area is kept clean, crusts are removed, edema is resolved, and the stitches placed during the procedure are absorbed and fall off as soon as possible. In some overweight children, the penis may slip inside and the dressing may fall off early. Don't worry in these cases. If the penis goes inside after circumcision, parents have a very important responsibility. The penis and especially the tip of the penis should be removed manually for at least 7-10 days (until the wound heals), otherwise adhesions and stenosis will occur in the area, which may require a second and unnecessary intervention. Again, swelling may occur at the tip of the penis for up to 10 days after circumcision, and this is quite normal and will resolve over time.
Which medications should we use?
The medicine is generally used for pain. Suppressant and antipyretic syrups are given, sometimes antibiotics and sometimes suppositories can be given for babies. There are various creams and ointments to be applied to the circumcision area.
When can he take his first bath?
Under normal conditions, the first bath can be taken 24 hours after circumcision, with the dressing removed. . In case of bleeding risk, infection or similar situations, it is useful to take the first bath after 48 hours. For adult children, bathing once a day for up to 10 days is sufficient. For babies, the circumcision area can be cleaned with plenty of warm water instead of bathing.
When should he move, when can he go out of the house?
The first 24 hours after circumcision are a critical period. It is a process and it is beneficial not to move as much as possible. It is especially appropriate for the child to spend the first 6 hours lying down. In cases where there is no risk of bleeding or infection, the patient can move and leave the house after 24 hours.
In what cases do we need to inform our doctor?
In the following cases, contact the physician who performed the procedure or You may need to contact your healthcare provider:
The dressing is completely bloody or there is visible bleeding.
Especially after 6 hours after circumcision. excessive darkening of the tip of the nipple. Under normal circumstances, bruising is observed at the tip of the penis, and this may continue for a few weeks.
Lack of urine output 24 hours after circumcision and increased pain despite medication
Blood in the urine
Extreme nausea, vomiting and fever
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What are the Circumcision Errors?
Although the circumcision procedure is seen as a simple and short procedure in society, it actually has a very important status in surgery because it is not experienced and competent. When made by individuals, some mistakes made during the procedure can be irreversible and cause lifelong suffering, for example:
Cutting the tip of the penis
Cutting the foreskin more than necessary and cutting the penis shortening of the length
drug applied to the penis veins causing the penis to rot
irregular and shapeless cutting of the foreskin
We have no doubt that every mother and father is sensitive about this issue.
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