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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Child Has Fever, Weight Loss, Appetite Loss, Pale Complexion. Blood Test Showed Low Hb. Treatment?

My daughter, 6 1/2, has had persistent low grade fever for 2 to 3 weeks. Blood test revealed low hemogloban and fecal occult test revealed trace amounts of blood in her stool. She s lost 3 pounds over the last 6 months and her complexion is very pale. Her appetite has also diminished. We have been referred to pediatric GI doctor for further testing. Any thoughts as to possible dx and treatment plan?
Sat, 30 Mar 2013
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Pediatrician,  's  Response
Hi,

Thank you for your query on Healthcare Magic.

Prolonged fever of 2 to 3 weeks, pale complexion, and the occult blood on stool examination, and weight loss are significant symptoms and needs further evaluation.

The following possibilities should be ruled out initially by doing investigations:

Malaria

Typhoid fever

Tuberculosis

Urinary tract infection

Hematological malignancies

Collagen vascular problems like lupus, rheuamatoid arthritis.

And basic investigations like CBP, malaria, widal test, CUE, ESR, Mantoux test, Peripheral smear for abnormal cells, ANA, rheumatoid factor can be done in the initial stage.

Depending on these initial tests, further investigations are planned to diagnose the problem.

And the definitive treatment depends on the diagnosis.

Therefore I advise you to coordinate with the Pediatrician and the GI doctor to come to a conclusion on the child problem.

Hope I have answered your query.

Regards.
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Child Has Fever, Weight Loss, Appetite Loss, Pale Complexion. Blood Test Showed Low Hb. Treatment?

Hi, Thank you for your query on Healthcare Magic. Prolonged fever of 2 to 3 weeks, pale complexion, and the occult blood on stool examination, and weight loss are significant symptoms and needs further evaluation. The following possibilities should be ruled out initially by doing investigations: Malaria Typhoid fever Tuberculosis Urinary tract infection Hematological malignancies Collagen vascular problems like lupus, rheuamatoid arthritis. And basic investigations like CBP, malaria, widal test, CUE, ESR, Mantoux test, Peripheral smear for abnormal cells, ANA, rheumatoid factor can be done in the initial stage. Depending on these initial tests, further investigations are planned to diagnose the problem. And the definitive treatment depends on the diagnosis. Therefore I advise you to coordinate with the Pediatrician and the GI doctor to come to a conclusion on the child problem. Hope I have answered your query. Regards.