Doctor insights on:
Ascariasis In Children
Symptoms: As larval stages travel through the body, they may cause visceral damage, peritonitis and inflammation, enlargement of the liver or spleen, and a verminous pneumonitis. The worms in the intestine may cause malabsorption and anorexia which contribute to malnutrition. The worms can occasionally cause intestinal blockage. They can travel through the billiary tree to gall bladder casing cholycytitis. ...Read more
Ascariasis: The most common are Albendazole (albenza), Ivermectin (stromectol) and mebendazole. Each can be curative with a single oral dose, but may produce abdominal pain and nausea. None of these is available in the usa without a prescription. Before being treated you should submit a stool specimen for diagnosis. If you are not reinfected this may cure itself if you really have ascaris. ...Read more
Recently completed medication for roundworm (ascariasis), when should we do tests to see the results of outcome by medication?
Likely no need.: Depending on the medication used, the roundworm numbers are decimated or completely removed. Even if there were a few left after therapy, you may likely be asymptomatic, as is, apparently, the case with slight infections. Mebendazole is given over 3 days (100 mg PO q 12h x 3 days), and many other meds, like Albendazole only need one dose (400 mg po). That seems to be all unless re-infected. ...Read more
Confirm and treat: Visit your doctor or get a infectious diseases referral. Ascaris is uncommon in the United States, but can occur in people traveling from an endemic region. Diagnosis is typically done by identifying ascaris eggs in a stool sample using a microscope. Treatment involves Albendazole or Mebendazole given over a span of 1 to 3 days. With treatment, expect the presence of dead roundworms on defecation. ...Read more
Ascariasis: Because of the risk of complications, patients with ascariasis should always undergo treatment for ascariasis first. Medical therapy is usually not indicated during active pulmonary infection because dying larvae are considered a higher risk for significant pneumonitis. Albendazole 400 mg one dose orally is the drug of choice. Albendazole is not recommended during pregnancy. ...Read more
Treatment includes medicines that paralyze or kill intestinal parasitic worms, such as Albendazole or mebendazole. These medicines should not be used for pregnant patients. Pyrantel pamoate is the preferred medication for pregnant patients.
If there is a blockage of the intestine caused by a large number of worms, endoscopy may be used to remove the worms. In rare cases, surgery is needed. ...Read more
My mom had lap chole with CBD exploration due to biliary ascariasis. T-tube output reaches up to 900ml/day, is this normal? She is now two weeks postop
My mom had lap chole with CBD exploration due to biliary ascariasis. Her jaundice is abating, her stools are normal in color but her urine is still tea colored sometimes and her T-tube output reaches up to 900ml/day. She is now on her 2nd week post op. P
Better: I am not sure what your question is, but it sounds like she is getting better. ...Read more
I am married in 1 year no children en problem in my health would you eat that type of food can be eat him in my husband and me?
Chocolate: This is not scientific but neither is having babies! Try anything chocolate. Eat romantic foods. Avoid alcohol and stimulants. Relax. Enjoy being married without children. The more you relax and enjoy your spouse the better your marriage will be and the more prepared you we be to be a parent. You are learning patience and you will need it! OB doctors have solutions for you when wanted ...Read more
Vertigo?: Many children get very dizzy at times without definite cause. Some are due to ear infections or ear fluid pressure. Other times it may happen because of spinning around. Episodic vertigo is a very dramatic event in some children when they look terrified and have to hold on for a few moments, then return to normal. This is usually benign but needs a good evaluation. ...Read more
Vomiting: For a simple gastroenteritis, gut rest (nothing to eat or drink for 2-3 hrs) followed by small sips of clear fluids, frequently (goal depending on age of child 1-4 oz/hr). The presence of pain is more worrisome and I would recommend taking the child to their doctor for a hands-on examination to rule out anything more serious. ...Read more
Safe/locks: A good gun safe can double as a home for some family valuables. There are a number of trigger locks and quick entry safes on the market that provide quick access but eliminate child entry. As mentioned, kids taught gun handling and safety as early as age 4 are less likely to play with any gun they find anywhere. ...Read more
Ringworm is actually not caused by a worm at all, but is caused by a fungus that lives on the skin called tinea. People can get a tinea infection from skin to skin contact with an infected person or pet or by sharing personal items such as towels, clothing, and combs.
Clotrimazole is the generic name for the over the counter cream that treats ringworm. Apply 2-3 times a day for a few weeks until the lesion disappears completely and then some. Keep it covered for the first day of treatment (or longer if you want to) to prevent spread. Your child will need to see his doctor for a stronger medication if the ringworm is on his scalp, continues to spread after treatment at home or if it doesn't get better after 4 weeks of treatment at home. ...Read more
Inherited or steroid: The common cause is congenital, but it can also be caused by maternal steroids passed on through breast milk to the newborn. It is different from breast milk jaundice (breast-fed infants have higher bilirubin levels than formula-fed ones). If inherited it is a recessive gene. ...Read more
Structure: It is not necessarily that kids are "lazy". It may be as simple as a schedule and expectations problem. Some kids are in so many activities they are burned out and have little time for anything else. Most kids nowadays live to be on a wireless device and that takes a chunk of time. Have clear expectations of your child and let him know what they are. Unplug the tv, limit the phone gaming time. ...Read more
Age 12 & older: This topical corticosteroid is prescribed for adults & children age 12 & older with certain skin conditions. It can be used for up to 2 weeks in adults. I do not know if dermatologists lower the duration of use for teens. It should be used only by the patient for whom it is prescribed. ...Read more
Rosacea in children: Although the incidence of rosacea in adolescents and children is infrequent, such cases have been documented in the medical literature. Eyelid styes may be one form. Rosacea often runs in families, and rosacea sufferers would be wise to be on the lookout for early signs in children in order to seek diagnosis and treatment before the condition worsens. ...Read more
UTI's in kids: Children do not get urinary tract infections for most of the same reasons that adults do. First and foremost, anatomical issues such as vesicoureteral reflux, posterior urethral valves and others issues must be investigated. Otherwise, UTI's in children are often due to poor hygiene/wiping, masturbation, infrequent diaper or pull up changes, or chronic urethral irritation. ...Read more