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Child has generalized swelling, loose stools, mucus. No blood. Done tests

my child is a two year old male with generalised swelling since 4 monthsand loose stools since 4-6 days with 4 times a day, non foul smell, plenty of mucus, no blood
no history of fever,
gpe is nORMAL
bp- 90/60mmhg
ascitis grade3
esr 76mm at ed of 1 hour
hypoalbunimenia n decreased serum protein
blood urea is also 11mg/dl

Asked On : Tue, 23 Apr 2013
Answers:  3 Views:  40
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Pediatrician 's  Response
Feb 2013

Thank you for your query on Healthcare Magic.
Generalized swelling of the body with ascites, hypoalbuminemia and decreased protein in serum with a normal blood pressure is suggestive of protein loss from the body whether in urine or from the gut.

Most probably your child is suffering from nephrotic syndrome in which fluid retention with loss protein will be there in urine.

In addition to this he is having gastroenteritis.

Nephrotic syndrome patients are more prone for dehydration as they have low intravascular fluid volume to shift of fluid into third space.

Maintain his hydration by giving sips of low osmolarity ORS like Pedialyte to maintain hydration.

Monitor his urine output and daily weight.

Consult your Pediatrician for the examination, assessment, investigations, and treatment for both conditions.

Hope I have answered your query.

Answered: Tue, 23 Apr 2013
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General Surgeon Dr. Ivan R. Rommstein's  Response
Apr 2013
Hi and welcome to HCM.
These findings seems to be very serious and the exact cause should be investigated. Various diseases can be considered. YOu should do detailed lab tests and abdominal imaging. What about live function? Ascites is serious sign. There might be liver disorders, methabolic disorder or blood disorder. ALso some congenital anomalies should be ruled out. I suggest to start with liver ultrasound or CAT scan and liver enzymes,and after this complete gastroenterologic work up. WIsh you good health.
Answered: Tue, 23 Apr 2013
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Pediatrician Dr. Y V Siva Sankara Murty's  Response

Thanks for writing to health care magic.

There are several causes of generalised swelling of the body.

they are
1. Kidney diseases like nephrotic syndrome.
2. Liver diseases
3. Heart problems like Congestive cardiac failure.
4. Anemia hypoproteinemia.

So your baby requires further evaluation what could be the cause of that hypo albuminemia.

What is her urine report like?

Please reply in detail so that we can help you better.
Take care.
Answered: Tue, 23 Apr 2013
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