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Newborn baby having a heart problem - 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 : 2008
Answered : 3397 Questions
Doctor :   Hi
Doctor :   How can i help you today ?
User :   i think i spoke to you day before yesterday regarding my new born baby born with big heart
Doctor :   Yes
Doctor :   i do remember
User :   initially my wife had a c section because he baby was distressed .
Doctor :   ok
User :   when he came out he had poo in his mouh he might have swollowd it
Doctor :   ok
Doctor :   that is called meconium staining
User :   so doctors had to use suction to take it out
Doctor :   and occurs when the baby passes meconium, within the uterus due to distress or delayed delivery
User :   initially he was having difficulty breathing but he improved in that
Doctor :   ok
User :   and is normal but they found that baby heart size is big and heart not pupming properly but all the stats such as BP,heart beat,temp,ect looks nornal
User :   he was born on 19 feb
Doctor :   ok
User :   only they are having controlling his blood sugar levels
Doctor :   may i know his birth weight ?
Doctor :   and age of the mother ?
User :   which keeps going low if decrease the fluids and incerase breast milk
User :   2.62
User :   kg
Doctor :   OK
Doctor :   that is actually a bit low for babies ,
Doctor :   babies born at term should have a expected wt of 2.75 to 3.5 Kg
Doctor :   Was any echo done for the baby ?
Doctor :   any blood tests like TSH , CBC, done ?
User :   he had some blood tests done and they came out normal
Doctor :   ok
User :   echo showed heart not pumping properly
Doctor :   Is the baby fine, or having any symptoms as of now ?
User :   no he looks normal
Doctor :   May i know the age of the mother of the baby, please ?
User :   hat what i mean alll stats are normal except sugar
User :   31
Doctor :   ok
Doctor :   what were the impression of the pediatrician ?
User :   what does that means
Doctor :   and what point makes you think that the baby has something to worry about ?
User :   blood sugar not holding and big heart and not pumping properly
Doctor :   I meant, what did the pediatrician , tell you about the baby, did he give any diagnosis ?
Doctor :   Is the mother of the child having diabetes ?
Doctor :   and can you tell me about the blood sugar levels of the child ?
User :   she is not diabetic
User :   he is having high concentration fluid to maintain blood sugar....
User :   it goes down to 2.8
User :   is we increase his feed and lower his fluid
User :   i mean if
User :   he is ithink right now on 15 ml milk and 10.5 ML FLUID
User :   BUT THIS FLUID IS 17.5%
Doctor :   how is he being fed ?
User :   THROUGH a line through his nose
Doctor :   ok
Doctor :   can you tell me if the baby was born at 40 weeks or preterm
User :   he was due on the same date
User :   19 feb
Doctor :   ok
User :   but as i saiid baby as distressed so had to do c stection
Doctor :   ok, that point i got that
Doctor :   this neonatal hypoglycemia is due to the fact that the baby has a low birth weight
User :   k
User :   what is your opinion
Doctor :   and this can cause low glucose level
Doctor :   she will grow out of it as she grows
Doctor :   and there is no need to worry
User :   what about the heart not functioning properly
Doctor :   all this issues including the heart could be due to a weak body, due to LOW birth weight
Doctor :   you have not mentioed the exact anatomic finding on the ECho
Doctor :   do you have the echo with you ?
User :   no
Doctor :   the heart of the baby in a LBW baby, is weaker
User :   al that they said was heart not pumping properl
Doctor :   a weak heart will not pump well
User :   u recon thats all the cause
Doctor :   yes
Doctor :   since the echo, just mentioned that the heart is not pumping well, and there are no anatomic defects, there should not be any worry
User :   k
User :   what would u recomend
Doctor :   if not done earlier, evaluation for thyroid anamolies should be done
User :   wha is this
Doctor :   low thyroid can cause issues like low blood sugar and weak heart too
Doctor :   so this test can help to rule this condition as well
Doctor :   this is just a evaluation test and there is nothing to worry about
User :   k
User :   thx dr
Doctor :   you are most welcome
Doctor :   take care and bye for now
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