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question:Hi my 15 month old who is a premiee 13 month corrected won t stop crying more of a whinny cry but running a temp 100.3, coughing and when she coughs she starts to cry maybe possibly her throat hurts looks like top molars are cutting also doesn t want to eat or drink I have given her tylenol which has brought down the temperature not sure what else to do she won t stop crying
answer:Welcome to Healthcaremagic. I am a pediatrician and am glad to help.It is possible that by doing much coughing this is making her throat sore. Although a temperature of 100.3 is not a high fever, Tylenol will not only reduce her fever, but it will also help to relieve throat pain.If she is doing her usual activities-walking, running, acts like she knows who you are, and is not vomiting or dehydrated- then her illness is not severe. But you must see that she doesn't become dehydrated. Try giving your daughter Popsicles, Jello, yogurt mixed with a small portion of jam. If she refuses to take any fluids, then try again in 15-20 minutes, It would be most unusual if your infant had Strep throat. So I do not recommend she have a throat culture. More than likely she has a viral upper respiratory infection which usually lasts 3-4 days.I hope that I have helped you. Please return if you have additional questions.Arnold Zedd, MD, FAAP
question:Hi my seven year old son woke up not feeling very well I thought it was just a flu that comes with the vomiting but his breathing is abit wheezy and heavy and doesn t look right how he s breathing I can see the movements in his stomach and chestneck area he said he can breath properly and it s his stomach that s real sore he s resting all day and drinking plenty of fluids but it s his breathing that s freaking me out I m taking him to hospital real soon just wanna know what I m in for.
answer:Welcome to Healthcaremagic. I am a pediatrician and will be happy to help you. The way you are describing your child tells me that he is working hard to breathe. I agree with you he needs to be checked by a doctor tonight. The physician will carefully examine him paying particular attention to his respiratory status. The nurse will put a small device on his fingertip to measure the oxygen level in his blood. The doctor will see if he uses extra effort to move air in and out of his chest. He will see how fast son is breathing, whether the skin between his ribs caves in and whether his neck muscles bulge out when he breathes. The doctor will use his/her stethoscope to listen over his lungs for sounds of wheezing and pneumonia. Then order an X-ray of his chest to look for any abnormal findings. If the doctor thinks your son appears dehydrated, the doctor may order IV fluids. Please go as soon as possible. I hope I have helped you and that his stay in the ER is a short one. Come again if we can assist in the future. Arnold Zedd, MD, FAAP
question:Hello, I am 18 YO female and i have been having pain in the lower right side of the abdomen. I visited the doctor and she ruled out appendicitis by blood test. I also have no fever.I have been having periods of constipation followed by diarrhoea. The pain is right beside the hip line and sometimes also happens on the left side. Sometimes it is accompanied by stinging in the chest that radiates upward then down to my stomach. It is worst with movement and lifting heavy items. Also more severe when I stand up after bending over.
answer:Hi, Thanks for posting your query. With the available described details, there appears to high possibility of Acute gastroenteritis with myalgia. You should consult with internal medicine specialist/ gastroenterologist and should go for thorough check up. He should go for complete blood count, erythrocyte sedimentation rate, ultrasound imaging, and serum electrolytes, renal function test. You should also go for colonoscopy. You should take complete antibiotic therapy, antispasmodics, probiotics, antipyretics, if needed. You should maintain your hydration status by taking potassium rich liquids. Take soft diet along with yogurt and banana. Avoid milk and all milk related products. Take care, Dr. Mayank Bhargava
question:My 2.5 year old girl has swelling on the right side on her mons pubis... she has had fevers and was diagnosed with viral gastro, it is now day 9 and the fevers have ceased, but swelling is still there.. could this be glands from whatever viral thing she had?
answer:Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.There are no glands on the mons pubis. There are lymph nodes that run along the groin creases which are usually not felt but can enlarge if there is inflammation or infection nearby.For how long has the swelling been there? Is it increasing in size? What color is it? Is it draining anything? If swelling is not increasing in size, no fever, normal appetite and activity, then it will be safe to watch her at home tonight. Take her to her doctor's office in the morning. Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Arnold Zedd
question:Hi! My infant despises his generic Keppra. He will refuse it, spit it out, or vomit a few minutes later. He is only 4 months old, which means he doesn t have a wealth of options for hiding the taste in food...He strictly is on a formula diet. Any suggestions?
answer:Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.I am assuming that the physician who prescribed Keppra had a very good reason to do so. I do not recommend stopping the Keppra until you speak with the doctor who is treating his seizures.In the meantime, try mixing the medicine with a small amount of his formula or cool, flattened soft drink. Depending on how much volume a dose of his Keppra is, you might consider dividing the amount in half and give him each half separately. Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Arnold Zedd
question:My son eats constantly but never seems to get full. He has several BM a day that are very pungent. He has lost a lot of weight very rapidly. He has gone from over 200lbs to about 150lbs maybe. He sleeps most of the day and does not have the energy to due anything. He is a diabetic and his sugar level have been very high. He does not have PCM.
answer:Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.Is he taking any medicines for diabetes? Is he being followed by an endocrinologist or any other physician who is expert in the treatment of diabetic patients? He must have treatment immediately or else he could fall into a diabetic coma. Take him to the nearest hospital ER.After the acute condition is properly treated, I strongly advise you to find a physician who is an expert in diabetes care for your son. If you live in the USA, contact the nearest center of the American Diabetes Association who will provide you with the names of doctors who can help your son.If you reside in another country, contact a large hospital and ask if they have doctors who care for diabetic patients. Please, start acting as soon as you can for your son's sake. Come back to us after his diabetes is fully treated. Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Arnold Zedd