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Child with fast heartbeat and chest pain. Due to Malabsorption? - Online Doctor Chats

Date : 01-Mar-2013
User rating for this question
Very Good Posted in: Child Health
Answered by

General & Family Physician
Practicing since : 2009
Answered : 983 Questions
Doctor:welcome to XXXXXXX
Doctor:how can i help u today ?
User:My son is 4 yrs old. We have noticed that his heartbeat is really fast. what could be the reason.
User:he had cough for some time now
Doctor:Does he have any other issues like fatigue, breathlessness , etc ?
Doctor:any fever, difficulty to eat ?
User:only complained slight chest pains
User:no fever
User:bit moody in eating
Doctor:since how long had he had such issues ?
User:cought past 3 months
Doctor:has he been given any treatment ?
User:fast heart beat noted today
Doctor:does he have any swelling of his feet, or other part of the body ?
User:generally is very active baby
User:he did have boils about a month ago
Doctor:the most likely causes of such issues , could be a lung infection, causinng pneumonia
Doctor:other causes of a fast hear tbeat, can be heart arrhythmias,
Doctor:has he lost consciousness any time ?
User:what steps can be done to dignose this
Doctor:anemia (less production of blood), thyroid issues can also cause palpitations
Doctor:first and foremost, a complete hemogram will help to know if any infection is there or not
User:we did see a doc here- by looking at his eyes . the doc said his blood appears to be thin
Doctor:if clinical examination, detects any issues, a Chest X XXXXXXX EKG, might be needed
Doctor:in that case, it could be due to anemia
User:what could be reasons for anemia
User:he is a breastfed baby for 2 yrs
Doctor:hookworm infestation, iron deficiency could be the most common causes
User:how can we be sure of hookworms
Doctor:a complete hemogram and a peripheral blood smear will be very helpful to diagnose it
Doctor:presence of elevated eosinophils in the blood smear, and if needed a Stool examination can also be done
User:what else?
Doctor:these will help to diagnose the hookworm infestation
User:i also have a daughter- 1yr 5 months old
User:her weight is 8.4kg
Doctor:does she also have any other issues ?
User:she is breastfed too. only eating problem. not gaining weight
User:this really worries us. she is a active baby otherwise
Doctor:is she being only breast fed , or is she getting supplemental feeds ?
User:cant see gain in weight
User:what could be reasons
Doctor:has she been examined by her pediatrian regularly ?
Doctor:was she born normal or did he have a low birth weight ?
User:low birth weight - 2.7kg
Doctor:the best way to deal with this, is to try and have her eat more of proteins
Doctor:and a high carbohydrate diet
Doctor:like egg whites, chicken soup, etc
User:we are doing that. still not much gain
User:can there be any other issue affecting her weight gain
Doctor:it is common that young kids may not like the taste, so making it a bit sweeter, or adding chololate flavour to it, might help
Doctor:worm infestation , or malabsorption syndromes are the common cause in such kids
Doctor:but this is easily ruled out by a clinical examination
User:what is malabsorption?
Doctor:if your doctor has examined her, and ruled out such issues, There would be nothing to worry about
Doctor:malbsorption is intestinal disorder, where the absorption of food is affected , resulting in low weight gain
User:what is the treatment for malbsorption disorder
User:going back to my sons case - during my wife pregnancy docs have detected that she had thelasmiya- can this be a reason for thin blood
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