A member asked:

Daughter lost ability to swallow 9 days ago. gi docs can't find cause & says she's in starvation ketosis but won't give her feed tube, only glucose iv. is that safe? atl area docs you can recommend?

2 doctors weighed in across 2 answers

Correct approach...: Starvation ketosis is a derangement of the blood chemistry making it too acidic. If the patient receives intravenous or gastric tube feedings before these imbalances are corrected, they could experience re-feeding syndrome which can cause life threatening electrolyte imbalances, especially hypophosphatemia. Any patient who has not eaten in greater than five days is at risk.

Answered 3/6/2014

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CHOA: Children's hospital of atlanta has an excellent reputation. The key is to discover the cause of your daughter's symptoms. The cause of the symptoms will guide the appropriate therapy.

Answered 2/12/2016

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