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Urine and blood test report analysis after high fever - Online Doctor Chats

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

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
Doctor :   Hi
Doctor :  
How can I help you?
User :   Hi
User :   my son has fever and as doctor suggested we got urine and blood test got done.
Doctor :  
User :   i need help in understanding the reports and also suggestions form you
Doctor :   Sure

Doctor :  
Go on
User :   Blood test - everything is normal except 2 things
User :   Kid age 9 months
Doctor :   Ok

User :   Haemoglobin - 10.9 gms%
Doctor :  
User :   RBC 4.0 XXXXXXXX /cmm
User :   platelet count 2.10 lakshs /
Doctor :   Ok

User :   rest of the vlaues are in the range given in report
User :   comments on the report show as
User :   RBC - normocytic / hypochromic
User :   heampparasites - not found in the smear
Doctor :   Ok

User :   thats about blood test
User :   reg. urine test
User :   sediment - present, pus cells 6-8 / HPF
User :   EP cells 2-4 /HPF
User :   bacteria - present
Doctor :   Ok
User :   albumin - trace
User :   specific gravity 1.020
User :   reaction - acidic 6.5
User :   thats' the data from urine test
Doctor :   Ok

User :   please let me know your comments/suggestions
Doctor :   There is a slight urinary infection
User :   i do have a doc visit tomorrow, but usually they dont explain details
User :   ok
Doctor :   Is is a male/female child?
User :   yesterday he had high fever 103.. (fever on and off for last 2 weeks)
User :   male
Doctor :  
Doctor :  
How is he in terms of activity/playfulness?
User :   normally very active, but now weak.
Doctor :  
Doctor :   It is an indication to start active intervention
User :   when fever goes totally down, then he palys well, but not eating/driking well
Doctor :  
Like antibiotics
Doctor :  
User :   ok. we gave one does of antibiotics 2 weeks ago
Doctor :  
So, tomorrow, your doctor will prescribe some antibiotics tomorrow as well
Doctor :  
which will have to be taken for 5 days
Doctor :   Nothing much to worry

User :   hmm! is it good for a 9 month baby for 2 times antibiotics
Doctor :  
User :   or can i delay and wait for 2 more days?
Doctor :  
Problem I mean
Doctor :  
No problem
User :   ok
Doctor :  
sorry i split it and carried a different meaning
User :   can i wait & watch for 2 more days?
Doctor :   Since he has infections, antibiotics need to be started

User :   understood.. (antibiotics 2 times ok)
User :   ok..
Doctor :  
Otherwise, usually I wont suggest it
User :   how about blood test results
Doctor :  
Only when there is fever and/or child becomes inactive
User :   low haemoglobin and RBC
Doctor :  
then it is required
Doctor :  
Since there is infection as well
Doctor :  
You really cant come to a conclusion as Anemia
Doctor :  
But ofcourse the Hb is less
Doctor :  
for which a supplement will be required
User :   ok. doctor would suggest?
Doctor :   Does the urine report show positivity for RBC's

User :   urine report says RBC - NIL
Doctor :   Ok, thats fine

Doctor :  
There will be a lot of immune resoponse in the body
Doctor :  
to infections like this
User :   ok.
Doctor :  
which does alter the blood chemistry
User :   oh ok.
Doctor :  
so you need not worry much about the Hb content now
User :   ok. thats good to know. thank you.
Doctor :   Is there any thing else I can help you with?

User :   summary - only antibiotics as of now?
Doctor :   Yes
User :   over the counter or prescribed
Doctor :  
and iron supplement as Hb is low
User :   thank you very much for your help. it was very helpful.
Doctor :  
No over the counter for children
Doctor :  
I avoid that
User :   ok. understand. thank you
Doctor :  
and antibiotics not for anyone including adults
Doctor :   Please fill the feedback form say done when done.

Doctor :   Should be taken only after prescription
User :   done. thank u very much
Doctor :   I would like you to update your mobile no. in your account

User :   yes
Doctor :   Thanks for consulting HealthcareMagic. Bye for now. Please refer your friends to our service.

User :   thank u
User :   bye
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