Doctor insights on:
Is There A Genetic Test For Hemolytic Disease Of The Newborn
Yes: Hemolytic disease of the newborn, causing yellow skin and eyes (jaundice) with anemia, is most commonly due to a "set-up"--a blood type difference between mother and child. Blood types are caused by genes at the ABO and other loci (rhesus being most damaging), with o type or rh negative moms making antibodies to red blood cells of a or b or rh+ fetuses (if mom is o and fetus ab, baby switched), . ...Read more
Prenatal testing for genetic problems may be done before or after conception. Testing for spina bifida or Down syndrome is done after a pregnancy is established. Besides the couples listed above, counseling and diagnosis are also recommended for mothers over the age of 35, and those who have received abnormal screening test results, such as alpha-fetoprotein (AFP). For more information about the alpha-fetoprotein test, and when and why you might have it, see alpha-fetoprotein. For those who may be at risk, genetic counseling and prenatal diagnosis are used to help ...Read more
Various: Hemolytc disease can be mild and treated with bili lights. In extreme cases, it may be picked up early in pregnancy from an antibody screen. If positive, the antibody is identified. If a concerning antibodies present, the blood counts of the baby will be followed closely. Intrauterine transfusions may be required in these rare instances. ...Read moreSee 1 more doctor answer
Test for mom/baby: The baby will get test like coombs testing, hemoglobin or cbc, bilirubin tests and reticule yet counts. The coombs tests shows that an antibody is cause the hemolysis. The antibody specificity can be determined by additional tests. These antibody levels can be measured in mom and baby. Most of these antibodies will cause hemolysis. Some can cause decreased RBC production in the baby. ...Read moreSee 1 more doctor answer
What is the extent of drug testing for a newborn baby for example there is several kinds of opiates. Is there a test for each different one?
Depends on situation: The routine newborn is not tested for drugs unless some suspicion is raised by the appearance or symptoms of the baby.If child protective services has a watch out for a given delivery, testing is routine & can be either a non specific screen or a more specific test.The more specific will differentiate opioids from the stimulants and cannabis. Once identified, no further id is needed for action. ...Read moreSee 1 more doctor answer
What is the extent of drug testing for a newborn baby for example there is several kinds of opiates is there a test for each different one or?
Varies: To begin with not all babies would be tested. In a few places the mom might have a urine screening, which is rather generic. However, if the mom is on a watch list & I need to check baby, the specimen is sent for rather specific chromatography which can define which if any specific drugs the kid was exposed to in the womb. ...Read moreSee 2 more doctor answers
Is there any risk of immuonmodulation treatment for Crohn's disease in a woman with the brca1 gene?
Jury is out.: There is no solid data on this to my knowledge. There are several potential immunomodulatory treatments ( which probably have their own independent risks ) and they are sometimes used in combination. Reports differ on risk but in general appears to be small and manageable. How this changes with brca1 ? ...Read more
For the pathologists, when testing for antibodies, if there is a perinuclear staining of some cells of a human pituitary, what could this indicate?
Maybe adenoma: Perinuclear staining means that the cells stained around the nucleus, but it doesn't tell what exactly stained. Pituitary adenomas, which are benign tumors, can show perinuclear staining with an antibody to cytokeratin. Looking at staining patterns is one way to tell the difference between types of pituitary tumors. We need more information from your pathology report to answer this. ...Read moreSee 1 more doctor answer
Yes: Today it is easy to test for carrier status for hemophiia a, b, and von willebrand's. ...Read more
Is there any genetic condition that would require testing of the father of the fetus? We used a donor.
Yes and No: Genes have been identified which increase one's predisposition to alcoholism. Like many complex medical conditions, alcoholism is due to a combination of genes and environmental factors. Factors like life style, stress, exercise, and social support can have a large influence on whether someone with a predisposition actually becomes an alcoholic. ...Read moreSee 1 more doctor answer
Not clear: I'm not clear what disease you are asking about screening for. Please clarify and re-ask question. ...Read more
Is there a genetic test in UK that can tell if a person is a poor metabolizer with Clopidogrel having two copies of each of the CYP2C19 gene.?
Phenotype is the big: issue, not genotype, because we each live with the complex results of both genotype combined with all our complex internal controls, beyond the any gene or sets of genes alone. Since clopidgrel is a platelet suppressing, clot-slowing agent, best check clotting with & without whatever trial dosage. The best of the clotting tests is TEG, study: Thromboelastography, commonly used in hospitals. ...Read more
Is a woman with sc blood genotype a sickle cell carrier or patient. And what is the health implication of this especially during pregnancy?
Hgb SC: Is a sickle cell syndrome but the genetics are different. A woman with HGB sc will pass either a HGB s gene, or a HGB c gene to her child. It is important to know what kind of HGB the father has-he should have a hemoglobin electrophoresis to find out how the child might be affected. Pregnancy complications are rare, but the baby can have a low weight, and rarely there are complications for the mom. ...Read moreSee 1 more doctor answer
Yes: Cirrhosis.Get a more detailed answer ›
Depends: A screening test is a relatively simple & inexpensive test designed to narrow down the number of patients brought in for the more expensive specific tests. For every 10, 000 screened, 100 may show positive & secondary tests will show 2--3 with a real problem. The screen eliminated 99% that didn't need a specific test.The state notifies me of + screens & we get the tests.If a real pbm, rx is atarted. ...Read more
Red-green color blindness is caused by an x-linked recessive gene. In a family, the mother is a carrier of this gene while the father does not have the gene. What are the possible effects on their children?
Down syndrome.: For many reasons (longevity, inability to care for self, chronic health problems, neurodevelopmental delay and dementia) this is a particularly hard genetic condition for families to bear; don't misunderstand me, i personally think some of the affected individuals are charismatic and a blessing to their families, but typically they are a heavy burden (>90% 5-year divorce rate reported). ...Read moreSee 1 more doctor answer
More info: Pathogenic is a medical worse for disease causing. Genetic disorders cause disease processes that can be considered pathogenic. More information is needed for me to help you. ...Read more
From a medical standpoint, "genetic" refers to the potential heritability of various medical conditions. While some conditions are inevitable (at some point in one's life) as a consequence of simple genetic heritability (eg huntington's disease), a large number of medical conditions (including all behaviorial health disorders) are the expressed final pathway of a ...Read more
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