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Easy fatiguability - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: General Health
Answered by

General & Family Physician
Practicing since : 2004
Answered : 37 Questions

Doctor :   Hi
Doctor :  
How can i help you?
User :   My son is 13 years old and complains of fatigue
Doctor :  
Okay
Doctor :   Is it always ther?
User :   Looks very pale when he is back from school gets tired.This has been the case after he recovered from a viral fever recently.
Doctor :   OK when was that?
User :   About a month ago
Doctor :  
AND Do you know the type of viral fever? If it was diagnosed.
User :   He was given a Anti Botic-Bromolin 250 mg
Doctor :  
OK
User :   for about 5 days-He also had sever cough etc.
User :   Doc,shuold i check his Hemoglobin count?
Doctor :   If he is too pale.
User :   He is.
Doctor :  
right now you can give him healthy diet
Doctor :  
and vitamin and mineral supplement
Doctor :  
and you can get an hemoglobin %
Doctor :  
That can be done easily
Doctor :  
and will rule out anaemia
Doctor :  
Do you reside in a city or a town

Doctor :   Yes
User :   I reside in a city
Doctor :  
Thats good
Doctor :   Has he lost weight?
User :   he is abot 5 kilo less than his avg weight
Doctor :  
Is that the weight he lost
Doctor :  
during this month
Doctor :  
Or compared to the standard?
User :   Difficult to say as no weight check was done in the last 6 months
Doctor :  
Okay atleast by appearance?
User :   I checked his weight lastweek and he is 36 Kg for a 12 year old-but he looks Ok by appearence.He does not look weak.
Doctor :  
Okay till now is
Doctor :   growth was fine
Doctor :  
right from birth
User :   absolutely fine.He has been a very High energy kid.
Doctor :  
Okay
Doctor :  
so now his activity is reduced since a month.
User :   Yes-For about 2-3 weks now.This is the first time he is looking so pale and complains of Bodyache and tiredness.
Doctor :  
He looks pale and tired when he returns home from school.
Doctor :  
What about in the morning ?
Doctor :  
Is it the same ?
User :   He is not fresh when he wakes up.He complains of Dizzyness and legpain when he wakes up.
User :   Not very motivated to go to school.He complains that he cannot play with his freinds.
Doctor :  
Okay how about studies previously and now?
User :   He has been an average student.Not much change.
Doctor :  
OKay let me know if at all anyone is there with similar complaints in the family or in the neighbourhood.
User :   No none in the Neighbourhod.
Doctor :  
Okay then I suggest you to do two tests for your son.
Doctor :  
one is Heamoglobin
Doctor :  
and the another is the peripheral smear study with complete blood count.
Doctor :   this will be his basic investigation to detect Anaemia and any other blood changes

Doctor :  
And the effect of the viral fever.
User :   OK Doc.Will get it done.Is this genetic ?
Doctor :   No I wanted rule out a rare possibility.
Doctor :   In genetics there are certain chances of this symptoms which i wanted to rule out.
Doctor :  
Okay his he having his meals regularly?
Doctor :  
with interest.
Doctor :  
Or doesnt.
User :   Allow me to give you his eating pattern.....
Doctor :   Okay
User :   6:30 Am -Glass of Milk
User :   8:00 Fruit/Half Banana or Apple
User :   11:00 Short Eat in School [Biscuit or a slice of Bread]-he often skips this
User :   12:30 Lunch 2 Chapathis + vegetable [Normally finishes his lunch Box]
User :   4:00 Back Home from School-Eats Rice with Curry & small prtion of Curd/Curd Rice.
User :   6:00 Milk - Sometimes Fruit Half Apple
User :   8:30 Dinner-Chapathi/Dosa/Sandwhich or some Rice Pulao
User :   9:30 Milk and off to Sleep by 10:00
User :   But During Viral Fever-His intake was very low which is improving now.
Doctor :  
Okay that is really a good plan of diet chart.
User :   He hates Curds and avoids
Doctor :  
I would like to give him a multivitamin syrup whichwill help him improve faster.
Doctor :  
If he is not on any.
User :   He has just started taking ZINCOVIT & I bought a Box of Threptin biscuits.Do you want me to chnge this?
Doctor :  
No those are good.
Doctor :  
along with it he might need a change of environment for few days.
User :   He just stated Zincovit Syrup and Threptin Biscuits
Doctor :  
Okay
Doctor :  
Okay that will be sufficient for him.
Doctor :  
you need continue that for a minimum of 1 month
Doctor :  
and maximum even for 3 months
User :   ok
Doctor :  
within a weeks time improvement will be seen
Doctor :  
and the tests will be helpful to make the diagnosis
User :   In the meantime Let me get the tests done and come back to you with the results.
Doctor :  
and if any further refinement is required accordingly to the result.
Doctor :   please fill the feedback form before leaving
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