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question:My daughter has a 3.9cm jugulodigastric lymph node with no other symptoms for 1 month. What is the treatment options for a 2 yr old with non-necrotizing granulomatous lymphadenitis? FNA Biopsy negative & cultures negative. TB skin test was reactive but quan TB gold blood test negative. Chest X-ray clear.
answer:Hi,Thanks and welcome to healthcare magic.Lymhadenitis may be due to throat infection of non specific nature.Hence antibiotic treatment with Erythromycin may be tried.You have already excluded TB as per your investigations.Hope this answer serves your purpose .Please feel free to ask further queries if any.Dr.M.V.Subrahmanyam.
question:Hi doc. Jus wondering if u can help me wit a problem I m having for a good while wit my daughter who is 3 nd a half yrs old. Goes to bed no problem but wakes up during da nite for no reason. Sometimes it maybe da toilet nd other times to come into mummy s bed. Any suggestions for me?? Pls
answer:Hi,Thanks and welcome to healthcare magic.Waking up during night suggests it may be thread worm infection.Usually the worms come out during night and lay eggs over the perineum .This causes intense itching and colicky pain.Single dose ivermectin 0.2 mg/ kg at night will eradicate worms.A second dose may be given after one week if necessary.personal hygiene and simultaneous administration of the drugs to all the members of the family will prevent recurrence.Ofcourse UTI and amoebic colitis have to be ruled out.Hope this reply is OK for you.Please feel free to ask further queries if any.Dr.M.V.Subrahmanyam.
question:Hello!! I have read a few questions that people made about Nido 1+ milk, however, my doubt is not clear yet. A coworker have suggested me that I should stop giving Nido to my 18month boy due to the ingredients in it - specially the maltodextrin which can cause cancer besides Nido is manmade therefore is not natural at all however cow s milk in usa contain hormones which in is manmade too. I give Nido twice or three times a day as smoothies not itself. Thank you in advance.
answer:Hi,Thanks and welcome to healthcare magic.Nido is dried whole milk enriched with vitamins and minerals.You can safely give to children above one year of age.I do not think it is cancer prone.But it is wise to put him on solids and semisolid natural foods as the child is 18 months old.Hope this reply is OK for you.Please feel free to ask further queries if any.Dr.M.V.Subrahmanyam.
question:hello doc! my baby is 2 yrs. she had loose motions from 1 week ,my pediatrician advised enterogermina 5 ml twice a day along with zinc sulphate syrup. now the frequency of stools has reduced but it is still not normal[loose and stinky] ]should i continue the same medicine?
answer:Hi,Thanks and welcome to healthcare magic.Zn-20 5 ml daily to be continued for 14 days to prevent diarrhea .Enterogemina can be stopped after 5 days as the diarrhea is reducing .Hope this answer serves your purpose .Please feel free to ask further queries if any.Dr.M.V.Subrahmanyam.
question:hello sir, my child is 1yr4months old and weighs 12kg...he was given nan formula milk from birth.i worry wether any diet drink should be given as i wish to stop nan.he eats 2 meals at breakfast and lunch.but that to not nutritious as i guess.iam aneamic from birth and i dont want him to go through it...please help me
answer:Hi,Thanks and welcome to healthcare magic.Milk formula can be reduced to 2-3 times daily.Give natural foods like rice with milk and sugar,vegetable soups,rice with dal or rice with curd.Gradually see that he eats the diet taken by the adults minus spices and chillies.You can try soft bread with milk,or milk with biscuits.Iron containing foods like leafy vegetables or iron supplementation prevents anemia.Hope this answer serves your purpose .Please feel free to ask further queries if any.Dr.M.V.Subrahmanyam.
question:Hello Doctor, My baby was suffering from loose motion from today morning onwards. From 7 am to 9-30 am she has done 4 times. But daily she will do only once. My baby will take only breastfeed. Is Walamycin is good for my 5 months baby or I have to go for another option..... Please suggest me.
answer:Hi,Thanks and welcome to healthcare magic.Walamycin (colistin sulphate ) can be safely given to a baby of 5 months.You need not change the medicine.Hope this answer serves your purpose .Please feel free to ask further queries if any.Dr.M.V.Subrahmanyam.