Doctor insights on:
Neonatal Metabolic Complications
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
Would a 2 y.O a with a severe metabolic disorder show symptoms usually by that age? He had newborn screening normal and genetic testic that normal.
I was born with imperforated anus which I had surgery for as a neonate. Would it be advisable to have a natural birth and what could the complications?
Hard to say: The defect you had varies from low - a simple membrane (wall) that didn't open to high- a need to pull down bowel through delicate anal muscles and attach them. Natural delivery may or may not place you at increased risk of a tear through these tissues that would have you pooping through your vagina. It would be reasonable to review your history with the OBGYN and come up with a plan based on you ...Read more
Not enuf info: There are too many variables to answer. Situs inversus alone is not a heath hazard but if it's associated with other other congenital defects, it might be. Primary cilary dysfunction outlook depends on severity. ...Read more
There is no way: To answer this question without knowing which chromosome is missing. ...Read more
Which one?: The answer to your question will likely vary depending on which chromosome has been deleted. ...Read more
What possible complications can there be for a newborn baby who's mother eats a lot of sugar and processed foods?
Hard to say: The human reproductive system is capable of tolerating a variety of dietary patterns. It can select and extract the nutritional needs of the fetus from the mother whether she is consuming a proper diet or not. That said, this describes the dietary practices of a segment of the normal population who have normal babies every day in the US. ...Read more
Mother blood o+ newborn o- what complications can arise and solution to that the child is sick and need blood replacement at this stage?
Usually no problem: Mom's with rh negative build antibodies against their baby if the baby is rh positive. This usually is not an issue the other way around. ...Read more
My newborn is infected "alveolar rupture complication"." pneumopericardium", the doctor said. What is this? How to treat it?
Translation: Alveoli are the sacs in the lung where oxygen is exchanged, rupture just beans some of these sacs broke and air leaked into unusual spaces. Pneumopericardium just means there is air in the sac that contains the heart. Specific treatments for both vary with degree and explanation is beyond the space available for this answer. Discuss with the docs. ...Read more
What do you suggest if my newborn is infected "alveolar rupture complication"." pneumopericardium", the doctor said. How to treat it?
Treatment varies: Your lungs are little bunches or air sacks - one of these popped open on your newborn and air escaped where it shouldn't have. How it's treated depends on how big the air leak was. If big, sometimes needs a tube put in chest to remove the air. If small, which most are, can often just watch baby very closely and body will take care of it on its own. Baby needs very close monitoring in the meantime. ...Read more
I have a hh agency (new), peds & just had first time request for light therapy for newborn jaundice infant. What complications are there?
See below: Blue light therapy for jaundice is standard for breaking down the bilirubin that is being produced and seen in the skin and sclera. As long as the child's eyes are protected and hydration is monitored along with the bilirubin levels (by a health care professional), I fore see no complications as long as the bilirubin level is lowering and the child is not sick as well. ...Read more
What is the earliest number of week s pregnant when a baby can survive being born early in the neonatal iuc?
My S. Calcium level came 8.4. Is this low? Can it be indicative of any underlying metabolic problem or Psoriasis?
Here are some. ..: I would not get excited by solitary marginal reading of total serum calcium (with its normal range around 8.5-10.2 mg/dl. Instead, repeat it in 1-2 months and correlate its value with total serum proteins, especially albumen, as well as overall health, etc. To draw a sensible conclusion and suggestion out of this concern. Besides, invite a willing soul to move & push realistic living along... ...Read more
Burn fat faster? Nah: There are few magic foods that "burn" calories no matter how many claims you hear or read. There is no substitute for exercise, portion control, & calorie restriction. That being said, you increase metabolism if you eat breakfast (versus not), avoid empty calories like alcohol & junk food, speed stomach emptying with small volume low fat meals. Avoid stimulants (caffeine), laxatives, fad diets. ...Read more
Depends on location: Neonatal tetanus is more common in situations where mom was never immunized or incompletely immunized leaving the baby without maternal protection at birth. Add that to the localized practices & problems result. Cutting the cord with a contaminated blade, or the application of dung (practiced in some cultures) to speed cord stump separation & there's a good chance baby will get neonatal tetanus. ...Read more
Many: First, most have an apple build, ie. Carry weight on the torso, rather than buttocks and extremities. Family hx of hbp, cholesterol problems, diabetes 2, and ASHD or mi, especially if strong. I obtain fasting lipids, insulin, hgba1c, and in females, free and total testosterone. The latter, since pcos is common. A lipid profile that suggests Insulin resistance is high triglycerides and low hdl. ...Read more
Critical care: Neonatal ICU nurses focus their work on the care of newborns in trouble. These include premature infants that weigh a few pounds at birth and big term newborns that develop complications. Issues including breathing problems, infection, birth defects, and more that have need for constant supervision. ...Read more
Many. Family Hx 1st.: First, most have an apple build, ie. Carry weight on the torso, rather than buttocks and extremities. Family hx of hbp, cholesterol problems, diabetes 2, and ASHD or mi, especially if strong. I obtain fasting lipids, insulin, hgba1c, and in females, free and total testosterone. The latter, since pcos is common. A lipid profile that suggests Insulin resistance is high triglycerides and low hdl. ...Read more
Many: Presaging cluster of problems with metabolic syndrome is Insulin resistance associated with an apple build, weight on the middle. Insulin in excess amounts is inflammatory. Then issues such as hirsuitism, pcos, may develop in women, followed by hyperglycemia during pregnancy. Afterwards, men and women may see lipid alterations (high triglycerides, and low HDL levels. \bp problems and type 2dm comes. ...Read more
A 10 ON BAD SCALE: If at all possible you want to avoid this possibility. The germ has a habit of entering the babies brain and destroying tissue. The appearance on a CT scan on survivors is like Swiss cheese. Permanent disability is common. Even early recognition and treatment does not assure a good outcome. ...Read more
See below:: In ne, it is not always possible to document a significant hypoxic-ischemic insult. There are potentially several other etiologies, specifically, it is important to exclude metabolic disease, infection, drug exposure, nervous system malformation and neonatal stroke as possible causes of the encephalopathy. The nature of brain injury causing neurologic impairment in a newborn is poorly understood. ...Read more
Combination: Of treatments. Metabolic syndrome is obesity, diabetes, elevated lipids and hypertension. Treatment is multifactorial. Change of diet (less carbs, sweets, more protein vegies), increase exercise, weight loss, medications as indicated for diabetes and high blood pressure and elevated cholesterol. Good luck. ...Read more
See below: Metabolic acidosis can be detected by blood teasts. Patients can present with kussmauls breathing which is deep ventilation or breathing. Some patients have abdominal pain blood tests show a low bicarbonate (sodium bicarbonate) level and a low co2 level seen on blood gases. This is a serious condition with many causes, commonly seen with diabetic ketoacidosis. ...Read more
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