Doctor insights on:
Hyperemesis Gravidarum Electrolytes Abnormal
What causes ketonuria (4+) and hypotension (BP 95/49, pulse 105) in pregnancy (22wks)? Fainting spells, palpitations, headaches, nausea/vomiting, fatigue. Not dehydrated (normal urine color).
Cravings may occur.: Early pregnancy sxs can include: no period, breast swelling ; tenderness w darkened areolas, thin, white ; milky vaginal discharge, fatigue, ^ urination frequency, constipation, bloating, heartburn, backache, cramping, headache, food cravings or aversions, ^ sense of smell, enlarged waist, feeling faint/dizzy, mood swings, ^ gas, insomnia, gagging more easily ; yawning. ...Read more
Bronchiectasis pt. admitted thrice, was ok, now fever 100F, satO2 drops to 72, ABGs-acute metabolic alkalosis with normal pCO2, satO2 65. ?
Respiratory distress: Hello, no RR but must be raised. The resp alkalosis is compensated. He has COPD & prob chronic compensated resp alkalosis. He has ? p'monia. If he has acute METABOLIC alkalosis he is not going to be able to correct with lungs, he is prob at max resp rate and pCO2 is nl and O2 at 72% He is on edge and needs to be admitted and most likely intubated and cause of metabolic alkalosis treated.thx ...Read more
Extreme thirst,no weight loss,increased urination,RFT&ADH hormone normal,no diabetes,GTT fine,no UTI,urine analysis fine.Only test pending is osmality?
Dilution, iron def.: As the baby grows and the uterus enlarges, more blood volume is needed. The number of red cells increases, but the plasma (liquid part of blood) increases even more, so the red cells get diluted. If there isn't enough iron in a woman's system to make the extra red cells, anemia will be more pronounced. If you are anemic to begin with before pregnancy, it will be worse while pregnant. ...Read moreSee 1 more doctor answer
Decreased perfusion: Oligo can be either loss of fluid or decreased production. A stressed infant will shunt oxygenated blood to more vital organs, less renal perfusion, therefore less urine produced. Anything that decreases placental perfusion can cause it (abruption or placental separation, poor implantation, vascular problems, clots, uterine abnls, etc). There are too many causes to list here, ask your ob. ...Read more
Doc suspects diabetes insipidus. Symptoms are rapidly relieved by eating salt (dehydration, headaches, twitching, urine output all decrease). Why?
Abdominal cramping, fast heart rate, nausea, vomiting, dierreha, high blood sugar, low iron/anemic, blood in urine, hurts eat/drink?
See md NOW: What are you waiting for? Don't waste time getting online advice from people who can't examine you. Go now. ...Read more
Wilson disease?? Hospitalized with hypokalemic parlaysis, alt & ast elevated, bradycardia. Now hypoglycemic, high Uric acid urine and low T3 (liothyronine).
Too complicated: Your health issues are too complicated to be properly addressed in this forum. It is imperative that you keep in touch with your doctor who has more information about your health. ...Read more
Severe morning sickness, pregnancy, pregnancydieabieties, preclampsia, lost 25lbs, induced early, 1/2 blood loss, acute kidney failure blood pressure 50/30 five blood tranfusions
See your doctor : You're clearly high risk and need to be followed closely by a specialty team. ...Read more
Serum folate (folic acid) 5.0 ng/ml hct 23% vitamin B12 78 pg/ml MCV 116 fl 1, what does this mean?
Low B12: And your severe anemia and very large red blood cells (high MCV) are probably the result. If you are a vegetarian, please reconsider or get with someone who can guide you about the supplements you need. If not, and you feel healthy otherwise, it's likely you have a problem absorbing vitamin B12, and will need injections frequently to fix the anemia and avoid permanent brain damage. It's serious. ...Read more
30yo, abnormal and heavy menses now mildly anemic w/iron def. ultrasound normal, CBC supports anemia, von willebrand panel normal. What tests next?
Talk to your GYN MD: Your treating GYN MD has a case file complete with your physical exam and history. Talk to him/her about the "next step." ...Read more
Symptoms are high blood pressure, rapid heart rate, nausea, vomiting, right side abdominal pain, elevated liver enzymes, blood in urine, weight loss?
Rapid heart rate: You need to get to an emergency room for an evaluation for all of your seriious complaints. Your nausea and vomiting could be related to the cause of your elevated liver enzymes. You rapid heart rate may be symptom of dehydration and given the list of complaints you have, some of which are serious, you need to head for the nearest er as soon as possible to prevent a serious event from developing. ...Read more
Low phosphorus levels during a kidney stone episode. Is this normal w/ stones? All other bloodwork is normal? What causes this?
Low phosphorus : How much below normal was your blood phosphours (p) level? A common major cause of a low serum p is hyperparathyroidism (h). The major route of p excretion in normal patients is the urine, and urinary p is increased in h patients. Other causes of low p are alcoholism, decreased dietary intake of p in protein and vit d intoxication. Ask the doctor who ordered your blood for more info about our p. ...Read more
45yo; preg; due 10-16; 1 prev mscrg; MTHFR compound heterozygs; thyroid Gravesish but normal TSH/FT3/FT4. Do I need heparin? Any MTHFR ob in KC, MO?
What can cause low t3, (liothyronine) hypoglycemia, hypokalemic periodic paralysis, weakness, jaundice in hands, extreme fatigue, hot flashes, numbness, bradycardia ?
Sounds complex: This is a perfect question for HealthTap Prime, cuz each of these Sx need follow-up questions. 1st, low T3 (liothyronine) but what's the free T4? Hypokalemic Periodic Paralysis is associated w/ hypothyroidism. Do u have diabetes? Adrenal gland being affected? U seem to have some autoimmune phenomenon including jaundice (hepatitis). Does lupus run in ur family? Very strange mix of symptoms. Talk 2 a doc for Diagn ...Read more
Pregnancy 15 week, ultrasound report.,.. Turner syndrome with cystic hygroma and hydrops fetalis....., your advise required?
Your decision: in the end. These findings in the first trimester usually carry a poor outlook for survival of the baby but there have been many reports of resolution of both cystic hygroma and hydrops as pregnancy progresses. Turner syndrome will always be there. I cannot decide for you but suggest you consider re-evaluating by ultrasound in 3-4 weeks should you decide to continue the pregnancy, you will then know more about the prognosis for the baby and any associated problems such as congenital heart defect etc. see:http://www.turnersyndrome.org/#!child/c4ff ...Read more
I have Hypokalemic period parlaysis. Taking 120-140 meq of K can this cause increased urination and thirst?
Depends: The treatment is complicated and involves many things. Starting with change in diet and meals scheduling to treatments with different medication to get vomiting under controll, treatment to hydrate you and balance back your electrolytes. Dont try to treat it on your know, let you doctor manage it. ...Read more
Morning sickness: Often, particularly in early pregnancy, women will vomit. Sometimes in the morning, sometimes all day or night long. Hyper (increased or large) emesis (vomiting) gravidarum (the condition of being pregnant) literally means increased vomiting of pregnancy and when vomiting exceeds the ability to take in the amount of fluid that's lost then mom needs medical attention and sometimes hospitalization. ...Read more
No difference: The definition of hyperemesis is not well defined. Generally if you are not able to tolerate oral intake you need to be evaluated by your doctor. ...Read more
Can I b induce ...im 33 wks prego...with hyperemesis gravidarum....im.stressing out with this condition...
Unlikely: Few physicians would induce a patient at 33 weeks for hyperemesis gravidarum. While the nausea and vomiting can certainly be a debilitating problem there are means of treatment - the ultimate solution may be delivery, 39 weeks should be the goal for the end of your pregnancy. 37 weeks would likely be the minimal gestational age to consider elective delivery depending on the status of the baby. ...Read more
Whatever works: We usually start with oral medications. If this doesn't work we move on to rectal suppositories, or dissolving tablets, or IV meds if needed. Difficult cases usually do well with zofran (ondansetron) or end up getting admitted for IV fluids, rest, & medications. Make sure you check with your doc to find what works best for you. ...Read moreSee 1 more doctor answer
Whatever works: Unrelenting nausea and vomiting during pregnancy is most common around 10 to 14 weeks gestation. When necessary, it usually responds to IV hydration and antiemetic medications. Keeping yourself well hydrated will help, which can be difficult with persistent nausea and vomiting - keeping the nausea under control with oral medications is important - as dehydration worsens so does the hyperemesis. ...Read moreSee 1 more doctor answer
May be possible: all the kings horses and all the kings men couldn't help the British princess. However, I just read today that women with recurrent hyperemesis gravidarum may have a mild form of a mitochondrial disorder, and giving them the B vitamins of the mitochondrial cocktail may be helpful. I'll have to search the Internet for more details, but it could be true. ...Read moreSee 1 more doctor answer
my wife pregnant at 15 weeks complained of hyperemesis gravidarum now she decrease in weight what the appropriate treatment for her?
OB?: Have you talked with your OB about this? The most important thing is to keep hydrated and not lose more weight. There is a medication called Zofran (ondansetron) which is safe to use in pregnancy and can help with nausea and vomiting. She may need to see a nutritionist to get back on track with her weight as the pregnancy progresses. ...Read moreSee 1 more doctor answer
At 8 weeks pregnant my T4 levels are slightly elevated at 13.1. Recently i had symptoms of hyperemesis gravidarum as well. Is this high enough to treat?
NORMAL!!: T4 should be between 12-15 in pregnancy! do not let anyone treat that! HCG stimulates thyroid to increase production since thyroid is most important hormone in early pregnancy for fetus. After 13 w baby makes own thyroid. The best indicator of healthy thyroid level in pregnancy is t4. 12-15 and TSH < 2.5. ...Read more
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