replied 8 years ago.
I agree with your initial statement, that your son may be hypersensitive to pain and to hot and cold, re: the warm oatmeal that he said was too hot, and it 'hurt'. All the things you've mentioned trying already, in addition to Dr. Chan's suggestions. were excellent.
Re: the warm oatmeal that is TOO hot, use a small portable table fan or handheld fan (you know those colorful fun ones for summer, which fit on a keychain etc.), to cool it off for him. In this way, you're validating his feelings that it's too hot, and offering a fun remedy--turn the fan so it blows his hair, etc., every so often, so he laughs.
I think this is a 'combination' reaction in your son, where yes, he IS using his injury as an attention getter, but if he is more sensitive than the average child, it really may take longer for the pain to begin to subside. It's interesting that he said the band-aid was hurting too, as many people can be allergic/sensitive to the adhesive on particular band-aids. It also may be 'pinching' the wounded area, even though the 'pad' of the ban-daid is actually contacting it. Try not to put a band-aid on immediately, but spray with Bactine antiseptic and anesthetic spray. The active ingredients are Benzaikonium chloride and lidocaine. Perhaps if the area is numbed, it won't be as painful, and the antiseptic will also clean the wound. There is also a product, whose name escapes me at the moment, but it's like a 'second skin', which you spray on the wound and is flexible, yet keeps out dirt, etc. I think the name has 'skin' in it. It's in the antiseptic/band-aid aisle in the drugstore or supermarket.
Also, did you ever wonder if perhaps the sight of blood, or of his own wound is making your son so hysterical? After cleaning it/spraying it with a product like Bactine, cover it loosely with sterile gauze and paper tape, minimally. Also, you can put something between your son's line of vision and his wound, like you would use a 'drape' during surgery (or like an 'e-collar' type home-made device that is safe. Call it the 'boo boo' collar. If you hold something like a paper plate or towel under his neck, he won't see the scraped knee, AND you're also giving him a job to do, which will be distracting.
Hopefully, he'll outgrow this, but it can't hurt to mention it to your pediatrician at your son's next visit, and mention the hyperesthesia theory.
Continue to try to distract him in various, subtle ways, remain calm, as you've been doing, and downplay the injury, while simultaneously being sympathetic to his pain. Give him something to hold or 'do', while you're applying the antiseptic/bandage and make a 'routine' of it.
Have him help you decorate a 'first aid box', like a small colorful plastic container you can find in a kitchen store, craft store, or dollar store, and apply stickers of his choosing, use colored non-toxic markers, etc. Write 'First Aid' on the lid, write his name, and stock it with a few essentials. So, when he gets hurt, tell him to get the first aid 'box' (or you can get it) and show him all the items you're going to need/use on his boo boo, then have him hand them to you, one by one, and then also put them back in the box; comment on the stickers, his drawings, etc., just draw him into conversation about the decorations you all made on the box, and expand the discussion wherever it may take you. If you're consistent with this, and do it every time, he'll know what to expect and it might distract him so his crying time becomes lessened more and more each time.
The treat/distraction you offer, doesn't necessarily have to be edible. You can keep a box (also decorated --can you tell I like arts and crafts?! : )) of small items, suitable/safe for his age, from the dollar store, etc. like the 'prize' for being a good patient, the kids are given at the pediatrician's office, after their shots/visit.
I hope this helped, and wish you much good luck with the next injury!
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