Doctor Q&A for Dr. Craig Armstrong

A 29-year-old female asked:
Dr. Craig Armstrong
44 years experience Pediatrics
Persistent vomiting: Persistent vomiting is a main source of concern. That could quickly lead to dehydration. Also, be concerned if the child has a high fever (~102 or a ... Read More
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A 38-year-old female asked:
Dr. Craig Armstrong
44 years experience Pediatrics
Normal child: A temperature below 100.5 is not considered a fever. Any differential diagnosis would be more related to other symptoms than the temperature of 99.8 ... Read More
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A male asked:
Dr. Craig Armstrong
44 years experience Pediatrics
He may not have them: Blood tests measure ige antibodies to a specific antigen (eg. Peanuts). However, they may or may not correlate clinically with allergies. It would b ... Read More
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A 32-year-old member asked:
Dr. Craig Armstrong
44 years experience Pediatrics
Pump breast milk: Infants can be given breast milk with a bottle or through a nasogastric tube. The breast milk should be fortified if it is a premature infant. If th ... Read More
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A 43-year-old member asked:
Dr. Craig Armstrong
44 years experience Pediatrics
23 to 24 weeks: Infants can frequently survive at this age, but many of them have severe morbidities such as cerebral palsy, chronic lung disease, failure to thrive ( ... Read More
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A 45-year-old member asked:
Dr. Craig Armstrong
44 years experience Pediatrics
Premature lung: Prematures lack surfactant which is essential to keep alveoli expanded. This results in gradual collapse of more and more alveoli, (atelectasis) maki ... Read More
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A 41-year-old member asked:
Dr. Craig Armstrong
44 years experience Pediatrics
No: Research is ongoing to try to find ways to predict or prevent nec. This includes things like early "trophic" feedings (small feedings even in the fir ... Read More
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A 40-year-old member asked:
Dr. Craig Armstrong
44 years experience Pediatrics
Stop feedings: Treatment for nec included stopping the feedings, nasogastric tube suction, antibiotics, and in severe cases, surgery to resect non-viable bowel.
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A 47-year-old member asked:
Dr. Craig Armstrong
44 years experience Pediatrics
Xray: Premature babies who have feeding problems, stomach distention, rectal bleeding, vomiting, etc. Are at risk for nec. Usually a simple x-ray of the ab ... Read More
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A 44-year-old member asked:
Dr. Craig Armstrong
44 years experience Pediatrics
Immature gut: Prematures have an immature gut that is more susceptible to decreased blood flow, infection, and other associated premature problems such as sepsis, p ... Read More
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