Easy fatiguability - Online Doctor Chats
Doctor : Hi
How can i help you?
User : My son is 13 years old and complains of fatigue
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
AND Do you know the type of viral fever? If it was diagnosed.
User : He was given a Anti Botic-Bromolin 250 mg
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.
right now you can give him healthy diet
and vitamin and mineral supplement
and you can get an hemoglobin %
That can be done easily
and will rule out anaemia
Do you reside in a city or a town
Doctor : Yes
User : I reside in a city
Doctor : Has he lost weight?
User : he is abot 5 kilo less than his avg weight
Is that the weight he lost
during this month
Or compared to the standard?
User : Difficult to say as no weight check was done in the last 6 months
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.
Okay till now is
Doctor : growth was fine
right from birth
User : absolutely fine.He has been a very High energy kid.
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.
He looks pale and tired when he returns home from school.
What about in the morning ?
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.
Okay how about studies previously and now?
User : He has been an average student.Not much change.
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.
Okay then I suggest you to do two tests for your son.
one is Heamoglobin
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
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.
Okay his he having his meals regularly?
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.
Okay that is really a good plan of diet chart.
User : He hates Curds and avoids
I would like to give him a multivitamin syrup whichwill help him improve faster.
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?
No those are good.
along with it he might need a change of environment for few days.
User : He just stated Zincovit Syrup and Threptin Biscuits
Okay that will be sufficient for him.
you need continue that for a minimum of 1 month
and maximum even for 3 months
User : ok
within a weeks time improvement will be seen
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.
and if any further refinement is required accordingly to the result.
Doctor : please fill the feedback form before leaving
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