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    Friday, February 27, 2009

    Nice supresses the main cause of the fever??????????? RE: Feedback via the Ask Health Query to Dr SK. Get answered for free.

    My son is suffering with high fever since last 5 days. His blood n urine were checked and the WBC count was 25000.Urine was normal. He has fever to the range of 103-104F with head-ache. Dr had prescribed Suprax-200- antibiotic with Septiline and Calpol.
    >
    > Now after the treatment since last two days his fever is controlled to the range of 101F.But we could control the fever after we gave Nice-Nimsulide.Now it is coming twice a day.But earlier to this the temp was repeating every 3 hrly and 103-104F.Now it is the fifth day to complete the anti-biotics course.
    >
    > Recently, we came to know that Nice supresses the main cause of the fever. pls advice us.
    > ---------------------------------------------------------------------
    > Visitor Ip: 86.99.200.92
    >
     
    Nice doesnt suppress the main cause of fever, its mainly for temporary control so theer are no side effects or damage due to high fever. currently many doctors dont use nimesulide. read here Why is Nimesulide banned in many countries? www.doctorndtv.com/faq/detailfaq.asp?id=1973
     
    when a infection tapers.. fever initially if it were continuous.. may become intermittent.. and then disappear in another 2 days.
    read how to treat fever in children at http://drpeds.blogspot.com
    I advice you to get him evaluated for say blood test or X ray if if fever recurrs.
     


    feel free to ask any further. your detailed info will help me analyze the situation more better. ** Your email reply won't reach me if you are not in my address book, so do not reply to this email. If you feel like commenting answering or replying .. for further communication; please do repaste this answer and query along with as i donot store the communications all the time. however you may comment at website if it gets published at www.pediatricianonline.in ** Disclaimer: The contents of this blog/mail are for informational purposes only and should not be construed as medical advice or substitute for professional care. This is not a professional or clinical consultation. Never disregard professional medical advice or delay in seeking it because of something you have read on this site. An examination or decision by a doctor can not be completed unless he/she had personally examined the patient through professional consultation. However this site/mail will help you understand problems, discrepancies and clarify doubts and misunderstandings; and will discuss various therapy options in given hypothetical situations. http://health.groups.yahoo.com/group/paediatrics


     
    >>>

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    Wednesday, February 25, 2009

    RE: Feedback via the Ask Health Query to Dr SK. Get answered for free.

    my son is 4 years old. ten months back he had a phnemonia fever. later it was cured. but still he is having cold oftenly. most of the time he used to breathe by his mouth inspite of his nose. a snoring sound is also coming at that time. i\\\'m giving amoxycillin of 250 mg and cetrizine tablet and paracetamol of 250 mg at the time of fever. whether it is good to give these three medicines at a time. also the pediatrician is giving azithral tablets. sir please tell me the remedy to cure his cold and fever.
    > ---------------------------------------------------------------------
    what your kid appears to suffer from, is a nose block due to adenoiditis.. more likely. he may need antibiotics but once in a time a complete 10 day course may eb needed. you may give all antibiotics but not all at a time, its alwasy preferable to have at least 30 min gap between two meds.


    feel free to ask any further. your detailed info will help me analyze the situation more better. ** Your email reply won't reach me if you are not in my address book, so do not reply to this email. If you feel like commenting answering or replying .. for further communication; please do repaste this answer and query along with as i donot store the communications all the time. however you may comment at website if it gets published at www.pediatricianonline.in ** Disclaimer: The contents of this blog/mail are for informational purposes only and should not be construed as medical advice or substitute for professional care. This is not a professional or clinical consultation. Never disregard professional medical advice or delay in seeking it because of something you have read on this site. An examination or decision by a doctor can not be completed unless he/she had personally examined the patient through professional consultation. However this site/mail will help you understand problems, discrepancies and clarify doubts and misunderstandings; and will discuss various therapy options in given hypothetical situations. http://health.groups.yahoo.com/group/paediatrics


     
    > > Detailed Query: > Visitor Ip: 121.245.52.243
    >

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    Saturday, February 21, 2009

    FW: Delivery Status Notification (Failure)


    My son is about 6-7 years old. I noticed that the upper skin of his penis does not open though he do not feel any kind problem when he passes urine.His penis is also small when compare other boys of his age group.
    >
    > Kindly advice if there will be any kind of problem when he will grow up. If he needs any medical care now or it will be ok when he will grow up.
    >
    > With warm regards,
    >
    > (ABC)
    > ---------------------------------------------------------------------
    > Visitor Ip: 217.165.244.174




    if the skin doesnt roll back, it is called phimosis. commonly it may be asociated with infection. Its imprtant to consult a doctor early if in addition patient had some growth failure or repeated fever episodes..

    feel free to ask any further. your detailed info will help me analyze the situation more better. ** Your email reply won't reach me if you are not in my address book, so do not reply to this email. If you feel like commenting answering or replying .. for further communication; please do repaste this answer and query along with as i donot store the communications all the time. however you may comment at website if it gets published at www.pediatricianonline.in ** Disclaimer: The contents of this blog/mail are for informational purposes only and should not be construed as medical advice or substitute for professional care. This is not a professional or clinical consultation. Never disregard professional medical advice or delay in seeking it because of something you have read on this site. An examination or decision by a doctor can not be completed unless he/she had personally examined the patient through professional consultation. However this site/mail will help you understand problems, discrepancies and clarify doubts and misunderstandings; and will discuss various therapy options in given hypothetical situations. http://health.groups.yahoo.com/group/paediatrics 


     


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    Thursday, February 19, 2009

    FW: Delivery Status Notification (Failure)

    my child has just crossed 2 years in jan. he was quite fat till 10 months but he was suddenly admitted to hospital due to dehydration. after that he is not able to pick up his health again and is quite thin by his age. he eats a hardly 2 chapatis and drink two milk bottels in a day. plz can u suggest me some syrup or jut mial me what he should he must be given for his daily diet so he again recover his health. thank you

    hi

    i think the main problem in this case is prolonged heavy milk intake. milk if significant part of diet after 1 year age, surely affects feeding and appetite and can cause malnutrition, rickets and iron deificiency.

    also read some tips at http://infantfeeding.blogspot.com


    feel free to ask any further. your detailed info will help me analyze the situation more better. ** Your email reply won't reach me if you are not in my address book, so do not reply to this email. If you feel like commenting answering or replying .. for further communication; please do repaste this answer and query along with as i donot store the communications all the time. however you may comment at website if it gets published at www.pediatricianonline.in ** Disclaimer: The contents of this blog/mail are for informational purposes only and should not be construed as medical advice or substitute for professional care. This is not a professional or clinical consultation. Never disregard professional medical advice or delay in seeking it because of something you have read on this site. An examination or decision by a doctor can not be completed unless he/she had personally examined the patient through professional consultation. However this site/mail will help you understand problems, discrepancies and clarify doubts and misunderstandings; and will discuss various therapy options in given hypothetical situations. http://health.groups.yahoo.com/group/paediatrics
























     Message/Query




    my child has just crossed 2 years in jan. he was quite fat till 10 months but he was suddenly admitted to hospital due to dehydration. after that he is not able to pick up his health again and is quite thin by his age. he eats a hardly 2 chapatis and drink two milk bottels in a day. plz can u suggest me some syrup or jut mial me what he should he must be given for his daily diet so he again recover his health. thank you
     
    Thanks for using our Medical Guide Services !





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    Whereincity.com Team
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    Monday, February 16, 2009

    no image received about the linear patch


    no image received about the linear patch please resend.
    feel free to ask any further. your detailed info will help me analyze the situation more better. ** Your email reply won't reach me if you are not in my address book, so do not reply to this email. If you feel like commenting answering or replying .. for further communication; please do repaste this answer and query along with as i donot store the communications all the time. however you may comment at website if it gets published at www.pediatricianonline.in ** Disclaimer: The contents of this blog/mail are for informational purposes only and should not be construed as medical advice or substitute for professional care. This is not a professional or clinical consultation. Never disregard professional medical advice or delay in seeking it because of something you have read on this site. An examination or decision by a doctor can not be completed unless he/she had personally examined the patient through professional consultation. However this site/mail will help you understand problems, discrepancies and clarify doubts and misunderstandings; and will discuss various therapy options in given hypothetical situations. http://health.groups.yahoo.com/group/paediatrics


     
    > To: drdoctor@hotmail.com
    > Subject: Feedback via the Ask Health Query to Dr SK. Get answered for free.
    > From: burst@emailmeform.com
    > Date: Sun, 15 Feb 2009 08:56:50 -0500
    >
    > Name:
    > Email Address:
    > Hide email address:
    > Detailed Query: i have a 3 month old son, ijust shaved his head and noted a well defined linear patch area of no hair from ear to ear.
    > > relavties say its a birth mark. please explain.it is 1 inch in width.
    > >
    > > thankyou.
    >
    > i sent a picture now.
    > ---------------------------------------------------------------------
    > Visitor Ip: 72.205.61.250
    > *** Text Database Entry ***
    > "Name","Email Address","Hide email address","Detailed Query","attach pics, review of site, opinions, suggestions"
    > "","","","i have a 3 month old son, ijust shaved his head and noted a well defined linear patch area of no hair from ear to ear.
    > > relavties say its a birth mark. please explain.it is 1 inch in width.
    > >
    > > thankyou.
    >
    > i sent a picture now.",""


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    Saturday, February 14, 2009

    lower abdominal pain

     Detailed Query: my 9 years old daughter has been suffering from lower abdominal pain for almost last three years.lot of doctors have been consultaed and lots of medical tastes are done but have not got any clue regarding the the cause of her pain.she does not have the pain coniniously,it comes for 4 or 5 days and goes off after taking some pain killer medicinesad DECOLLIC tablets.
    > her pain started in the middle of 2006,her first urine taste revealed everything normal but6-8/hpf pus cells and micro organism were presented a few.
    > she was given some antibiotics and pain reduced.again after 3 months pain started and usg was done.USG REVEALED ITS IMPRESSION AS-\\\'mild hydronephrosis in left kidney\\\'(10.07.2006)Doctor asked for 2nd USG that revealed mild degree of pelvic dilation seen on left side-?pelvic fullness??mild PUJ obstruction.left ureter is not dilated..that time venous plasma glucose(fasting)was 75 mg/dl,,serum urea-25 mg/dl and serum creatinine was 0.6 mg/dl.a x-ray of KUB was also done that showed\\\"both the kidneys are normal in size,shape and position.no radio-opaue calculas seen in the KUB regions\\\"
    > pain was coming and going,urologists were consulted and on
    > 18.05.2007 a MCUG was also doneit showd NO RADIO OPAQUE CALCULAS OR CALCIFICATION SEEN IN THE REGION OF URINARY BLADDER OR URETHRA.URINARY BLDDER IS NORMAL IN SIZE AND SHAPE.NOFILLING DEFECT IS SEEN WITHIN. MARGINS ARE SMOOTH.\\\"NO VESCO-URETERIC REFLUX IS SEEN\\\"POST VOIDING SKIGRAM SHOWS INSIGNIFICANT RESIDUAL URINE.her routine and c/s of urine test(done thrice)never shows any growth.
    > now again after 4 months she is having pain.according to her new attending doctor she may suffering from some problem of appendice and has again asked for usg
    > now I am very confused ,please help me to show me the right way
    > thanking you.
    > waiting eagerly foryour earlie reply










    its very easy to get lost searching for cause of pain unless one knows the details of pain.

    i need your reply back at the website with 2 answers:

    1. exactly what part of abdomen does pain? does the pain move from one place? in what directions?

    2. what is teh character of pain? dull/burning/crampy and intermittent/continuous?

    your detailed answer will help em give you a more precise answer.

    >
    > >
    >
    > Visitor Ip: 10.25.210.7
    >


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    Wednesday, February 4, 2009

    RE: Feedback via the Ask Health Query to Dr SK. Get answered for free.

    will stopping breastfeed to 7 month old baby cause health concerns?

    not much provided you have some feeding replacement plan , preferably with a balanced formula  feeding or complementary feeding.. read http://infantfeeding.blogspot.com


    feel free to ask any further. your detailed info will help me analyze the situation more better. ** Your email reply won't reach me if you are not in my address book, so do not reply to this email. If you feel like commenting answering or replying .. for further communication; please do repaste this answer and query along with as i donot store the communications all the time. however you may comment at website if it gets published at www.pediatricianonline.in ** Disclaimer: The contents of this blog/mail are for informational purposes only and should not be construed as medical advice or substitute for professional care. This is not a professional or clinical consultation. Never disregard professional medical advice or delay in seeking it because of something you have read on this site. An examination or decision by a doctor can not be completed unless he/she had personally examined the patient through professional consultation. However this site/mail will help you understand problems, discrepancies and clarify doubts and misunderstandings; and will discuss various therapy options in given hypothetical situations. http://health.groups.yahoo.com/group/paediatrics




    >
    > Name:
    > Email Address:
    > Hide email address:
    > Detailed Query: will stopping breastfeed to 7 month old baby cause health concerns?
    > ---------------------------------------------------------------------
    > Visitor Ip: 210.18.83.86
    > *** Text Database Entry ***
    > "Name","Email Address","Hide email address","Detailed Query","attach pics, review of site, opinions, suggestions"
    > "","","","will stopping breastfeed to 7 month old baby cause health concerns?",""


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    Tuesday, February 3, 2009

    no : massage is not necessary for 7 month old.

    Detailed Query: is massage necessary for 7 month old baby
    no :  massage is not necessary for 7 month old.


    feel free to ask any further. your detailed info will help me analyze the situation more better. ** Your email reply won't reach me if you are not in my address book, so do not reply to this email. If you feel like commenting answering or replying .. for further communication; please do repaste this answer and query along with as i donot store the communications all the time. however you may comment at website if it gets published at www.pediatricianonline.in ** Disclaimer: The contents of this blog/mail are for informational purposes only and should not be construed as medical advice or substitute for professional care. This is not a professional or clinical consultation. Never disregard professional medical advice or delay in seeking it because of something you have read on this site. An examination or decision by a doctor can not be completed unless he/she had personally examined the patient through professional consultation. However this site/mail will help you understand problems, discrepancies and clarify doubts and misunderstandings; and will discuss various therapy options in given hypothetical situations. http://health.groups.yahoo.com/group/paediatrics



    > To: drdoctor@hotmail.com
    > Subject: Feedback via the Ask Health Query to Dr SK. Get answered for free.
    > From: burst@emailmeform.com
    > Date: Tue, 3 Feb 2009 00:57:17 -0500
    >
    > Name:
    > Email Address:
    > Hide email address:
    > Detailed Query: is massage necessary for 7 month old baby
    no :  massage is not necessary for 7 month old.
    > ---------------------------------------------------------------------
    > Visitor Ip: 210.18.83.86
    > *** Text Database Entry ***
    > "Name","Email Address","Hide email address","Detailed Query","attach pics, review of site, opinions, suggestions"
    > "","","","is massage necessary for 7 month old baby",""



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    Sunday, February 1, 2009

    fever runny mose query

    Name: charles1979
    > Email Address:
    > Hide email address:
    > Detailed Query: my eight year old daughter has a fever of 102 and a cough and runny nose i have given her dyslen at 10pm and rubed vapor rub on her can i give her something for her fever now or wait until the morning
    > ---------------------------------------------------------------------
    > Visitor Ip: 76.26.160.187


    you may repeat the fever medicines in 4 hours. but read detail at
    www.pediatricianonline.in
    Any rise in temperature is a discomfort.. and above 101F it becomes intolerable... and hence requires treatment.
    'Highest
    level of tolerable temp' has no clinical significance as some children
    show symptoms of hyperpyrexia even at 103 F. and it varies from person
    to person.
    The question is whether do we need to treat the fever?
    fever upto 101F should be watched.. as it may get cured spontaneusly and it can cure the disease at times.
    High fever in children, can at times turn lethal; so observing without treatment is no wise.
    How do we manage:
    1.Switch on Fan /AC, not directed towards pt, air in room should be free flow.
    2.take
    clothes off.. no blankets... a common question always asked is what to
    do if child is shivering...? The answer is child may shiver.. we may
    give blanket for 1o min only.. as shivering doesnt last longer and
    fever starts rising after shiver if a blanket is given. Also shivering
    is protective while fever may be harmful. SO do take the vlanket off by
    10 min... can repeat same.
    3. Give an oral antipyretic. In viral
    infections and malarial fever , the myalgia plays a significant role...
    so its better to use a combination with ibuprofen or only ibuprofen..
    more symptomatic relief. wait for 10 min.
    4. Fever coming down : observe. Fever not coming down: start sponging.
    5.
    Sponging tricks : Keep fan on. dont get scared of shivering. Dont use
    ice or cold water (why? : its not required ! and it has a risk of
    ppting hypothermia in children.. children are scared of cold when
    febrile) use a wet hanky /turkish towel, make it wet.. remove excess
    water.. spread it over the trunk and tummy... cover maximum surface
    area, faster relief; till it dries off or becomes hot.. then change the
    towel, repeat same till temp comes down. Forehead sponging: Most of the
    times not reqd.. as it carries undue emphasis from movies.. and covers
    small area. Parents may restrict sponging only to forehead. TricK: make
    scalp wet, let the forehead towel cover eyes.. that avoids pricking
    sensation in eyes.
    6. wait another 10 minutes.. temp same or
    falling... observer and continue. If temperature rising.. try
    injectable paracetamol... by this we are just increasing the dose of
    PCM, changing route is only bcos child wont be in a position to take
    oral; one may try rectal.. equally effective.
    7. Treat the cause of fever !!
    Why prompt relief of fever reqd?
    Annoying symptom, discomfort, feb seizure... hyperpyrexic brain damage.





    feel free to ask any further. your detailed info will help me analyze the situation more better. ** Your email reply won't reach me if you are not in my address book, so do not reply to this email. If you feel like commenting answering or replying .. for further communication; please do repaste this answer and query along with as i donot store the communications all the time. however you may comment at website if it gets published at www.pediatricianonline.in

    ** Disclaimer: The contents of this blog/mail are for informational purposes only and should not be construed as medical advice or substitute for professional care. This is not a professional or clinical consultation. Never disregard professional medical advice or delay in seeking it because of something you have read on this site. An examination or decision by a doctor can not be completed unless he/she had personally examined the patient through professional consultation. However this site/mail will help you understand problems, discrepancies and clarify doubts and misunderstandings; and will discuss various therapy options in given hypothetical situations. http://health.groups.yahoo.com/group/paediatrics



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