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Treatment of Lactation problems
Management of Restless Child Disorder
Treatment of Child and Adolescent Problems
Bedwetting Treatment & Management
Treatment of Polio
Thyroid Problems Treatment
Treatment of Cerebral Palsy
Treatment of Neurofibromatosis
Thyroid Disorder Treatment
Paediatric Critical Care
Treatment of Sids
Treatment of Cough in Children
Treatment of Asthma in Children
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My daughter age is 18 month And 05 days. When his age is 6 and half months than we find that she is suffering from Iron deficiency Anemia based on report 1) RBC=Anisochromia andanisopoikilocytosis. Microcytic hypochromic rwe cell with some tear drop cells, elliptical cell, target cells and occasional fragmental red cell are noted. 2) That time hemoglobin level is 6.5% 3) WBC- Matured with increase total count. Few reactive lymphocytes are also seen. 4) Platelets;- Increased, Serum Ferritin-05 ng/ml. 5) Comments- severe microcytic hypochromic anemia with leukocytosis and thrombocytosis. Please correlate clicinally and evaluate for iron deficiency anemia and hemoglobin disorder. That time hemoglobin level is 6.5% and that time required blood transfusion and that time HB% was-12.20%. After again one month later that when she admitted in hospital that time Hemoglobin level is 10.38% and at presently we take some test. At present Hemoglobin % is 12.20 and LDH level 597U/L and S. Ferritin level is 63.8 ng/ml and we also taken HB ELECTROPHORESIS and result is HB A- 96.5%, HB A2-2.3% and HB F -1.2%. On dated 01/05/2016 HB% becomes down 10.20% RBC-4.18% and Blood culture report and Urin RME and Stool RME report is ok. Some times we give her nebulizer. Most of the time Runny nose itchy eye and regular cold and fever problem. Now I want to know the above report result mean. On the other hand last 4 months his weight is constant at 9 kg. How we can gain weight my baby. We are worry about that. 1 Doctor Answered.
My son just 5 months old we are giving him only mothers milk .but we think that only mothers milk is not sufficient for stomach full so please suggested some alternative.
My daughter is 12 years old. She is an achondroplasia child having ARRESTED hydrocephalus from almost 5 years. She is suffering from stomach ache and vomiting from last 20 days and severe head reeling from last 7 days. On admitting at the nursing home on 8th jan, she was given with antibiotics, anti vomiting, antacid and mannitol. The doctors there were expecting it to be increased pressure ICT and asked for VP shunt or consulting neurosurgeon. On consulting to a senior neurosurgeon, he examined the eye movement, hand movement, touching nose, leg touching movements and rejected vp shunt procedure as it is an attested case of hydrocarbons as per comparison of 4 CT scan reports over last 5 years. Presently she is having severe and continued head reeling and occasional vomiting. Need proper guidance as shunt or etv is not a permanent solution.
Nephrotic syndrome is a type of kidney disorder wherein, the body passes out the excess amount of proteins through urine, owing to the damage caused to the tiny clusters of blood vessels in the kidneys. The symptoms include putting on excessive weight as a result of fluid retention, foamy urine and severe swelling around the region of the feet, ankles and eyes.
The main feature of nephrotic syndrome is that the kidneys leak a lot of protein. Normally, urine contains virtually no protein. In nephrotic syndrome the urine contains large amounts of protein. What happens is that filters in the kidneys (the glomeruli) become 'leaky' and protein, instead of remaining in the blood, leaks out into the urine. Protein in the urine is called proteinuria.
The other key features of nephrotic syndrome are:
- A low level of protein in the blood as a result of protein loss in the urine. Although there is a drop in many of the proteins normally found in the bloodstream, the main protein that leaks from the blood into the urine is called albumin. A low blood level of albumin is main feature of nephrotic syndrome.
- Fluid retention (oedema). This is a consequence of the low level of albumin in the bloodstream, and other complex factors not fully understood.
- A high blood level of cholesterol and other fats (lipids). This is due to the change in the balance of various protein levels in the blood due to the protein leakage.
- Normal kidney function, at least initially. This means that the 'waste clearing' function of the kidneys is not affected - at least not at first. However, some of the conditions that cause nephrotic syndrome can progress to cause chronic kidney disease.
- Other typical symptoms and signs of nephrotic syndrome are discussed later.
Common causes behind it
Minimal change disease (also known as nil disease) leads to the abnormal functioning of the kidneys.. Most common cause almost 90% of children have this entity. No body knows why the Minimal change disease nephrotic syndrome occurs. Other reasons for nephrotic syndrome are infections, autoimmunity mediated and few medications.
Nephrotic syndrome (NS) is the name given to a collection of kidney-related findings in your child’s body. These include:
- proteinuria—high levels of protein in the urine (based on your child’s age and size)
- hypoalbuminemia—low levels of protein in your child’s blood, since it’s being passed out of his body in his urine
- edema—swelling. This happens because the proteins in your child’s blood act as a sponge to keep fluid in the blood. With fewer proteins to do this, the fluid may leak out of the blood into your child’s tissues, causing them to swell, especially around the stomach area.
- high cholesterol (blood fat) levels—low levels of protein in the blood stimulate the body to overproduce certain kinds of blood fats
- While nephrotic syndrome is not a disease, it can be the first sign of disease that can damage the kidney's tiny blood-filtering unit (glomeruli) where urine is made.
Here’s what you need to know about nephrotic syndrome:
- In the vast majority of children, NS is idiopathic, meaning that doctors don’t yet know what causes it.
- Nephrotic syndrome always affects both kidneys.
- It usually appears between the toddler and elementary school years, although it may appear later.
- There are thought to be two forms of nephrotic syndrome, minimal change disease (MCD) and focal sclerosis (FSGS).
- MCD is much more common in children, and likely to respond to therapy.
- FSGS is a more aggressive disease, and may lead to kidney damage.
- Most children with NS outgrow it by young adulthood.
Pediatric Nephrotic syndrome is mainly treated by high dose steroids. So we classify Nephrotic syndrome as Steroid sensitive Nephrotic syndrome and Steroid Resistant Nephrotic syndrome. As long as the Nephrotic syndrome is steroid sensitive, kidneys usually do not fail and eventually the child recovers. Other aspect of management of Nephrotic syndrome in kids is, that is a relapsing and remitting disease in more than 2/3 of patients, so parents must be making a Nephrotic diary as suggested by the doctor so that the relapse of disease is picked before the swelling appears. Target of Nephrotic syndrome treatment is to make the child grow normally and using steroid sparing agents in kids with frequent relapses and Steroid dependence else they can develop high blood pressure, short stature, cataract, glaucoma and diabetes which all are irreversible. Never start or stop the steroids on your own considering the side effect profile. All vaccines including oral polio drops are not to be given in children receiving daily dose steroids. If you wish to discuss about any specific problem, you can consult a pediatrician.