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Heart size big, cardiomegaly, 2 days old - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Child Health
Answered by

General & Family Physician
Practicing since : 2004
Answered : 37 Questions
Doctor :   how can i help you ?
User :   Hello, my 2 days old baby has a problem. His heart size is big..
Doctor :   ok
Doctor :   does he have any symptoms or distress ?
User :   It's called I think cardiomegaly
Doctor :   yes thats right
User :   He looks perfectly ok like heart beat is normal, respiratory normal.
User :   His sugar is bit low
Doctor :   may i know his birth weight and his delivery history ?
User :   And doctor said that they had ECHO and there is something wrong with pumping in his heart
Doctor :   do you know what was the finding of the echo ?
User :   He was born with emergency c section as baby was in distress.
User :   In echo they said heart is not pumping normally but if you look at the stats like heart beat temp etc they look normal
Doctor :   ok
User :   Just some problem with sugar level
Doctor :   does the baby appear bluish, or pink ?
User :   No he appear normal
Doctor :   ok
Doctor :   was he born premature ?
User :   No
User :   Was due on 19 feb and born on same day
Doctor :   ok
Doctor :   are you a diabetic ?
User :   What do you think about my baby . Is it something to be serious about
User :   No
User :   Hello
Doctor :   no
Doctor :   there is nothing serious
Doctor :   but it is common in diabetic mothers to have a hypoglycemic babies , with cardiomegaly
Doctor :   i just wanted to rule that out
User :   What do you think
Doctor :   is the baby in an ICU or on a respiratory support ?
User :   He is in icu but with out respiratory support since day before yesterday
Doctor :   ok
Doctor :   in that case, there is no need to be worried
Doctor :   is his hemoglobin normal ?
User :   But what about heart not pumping propery
User :   Hemoglobin was bit low I think
Doctor :   if that was the problem, the baby would be breathless, and would be bluish
User :   May be my mistake
User :   What do you think may be the problem
Doctor :   presence of Low Hemoglobin, indicates anemia
Doctor :   and this could be the reason for the enlarged heart
User :   Doctors says that they can't say anything and he will have to bit in icu for couple of weeks
Doctor :   and once the Hb normalises, he will recover
Doctor :   the lack of the exact echo findings, does not help me to know the exact cause
User :   What about his pumping and large heart
Doctor :   that is due to anemia
Doctor :   the doctors are just taking precautionary steps
User :   Will he be alright
Doctor :   since the baby is symptomatically better without any resp support
Doctor :   he will defintielyt recover
Doctor :   hope i have cleared all your doubts
Doctor :   thanks for consulting me here
Doctor :   take care and have a good day
Doctor :   bye for now
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