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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Feeling Sick Due To The History Of Anemia

i am 32 years old and 10 weeks pregnant due to me being temporarily displaced from the state which i have medicaid from till mid feb. no one in georgia will see me, however i am epileptic have had 6 pregnancies with only 3 births i am concerned about my tegretol not being increased and i have been extremely sick with this pregnancy and hae never had any sickness before, also i have a history of anemia with ppregnancies, do you know who would take florida medicaid in georgia on an emergency basis for me to get my tegretol
Mon, 29 Feb 2016
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OBGYN,  's  Response
Hi
Dr. Purushottam welcomes you to HCM virtual clinic!
Thanks for consulting at my virtual clinic. I have carefully gone through your query, and I think I have understood your concern. I will try to address your medical concerns and would suggest you the best of the available treatment options.

Please do not worry.
Sorry to hear about your pregnancy losses.

I will suggest to start with a healthy diet and regular exercise like walking.
Start in Antiemetics like Doxylamine.
Supplements of B12 and folic acid and Omega3 need to be started.
This will help in supporting baby's organ formation.
Also, yo need them as your anti epileptic medicines have effect on liver metabolism, B complex group of vitamins will be of great help.

starting these supplements will also help to overcome anaemia.
After 14 weeks you can add Iron supplements.
Till then Dark green leafy vegetables, citrus foods , dates, jaggery, black currents with seeds should be included in diet. This will help you to raise hemoglobin now.

I will suggest to follow your medicine doctor regarding dose of antiepileptic drugs. Do not alter doses on your own.

I hope my answer helps you.
Thanks.
Wish you great health.
Dr Purushottam S Neurgaonkar
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Feeling Sick Due To The History Of Anemia

Hi Dr. Purushottam welcomes you to HCM virtual clinic! Thanks for consulting at my virtual clinic. I have carefully gone through your query, and I think I have understood your concern. I will try to address your medical concerns and would suggest you the best of the available treatment options. Please do not worry. Sorry to hear about your pregnancy losses. I will suggest to start with a healthy diet and regular exercise like walking. Start in Antiemetics like Doxylamine. Supplements of B12 and folic acid and Omega3 need to be started. This will help in supporting baby s organ formation. Also, yo need them as your anti epileptic medicines have effect on liver metabolism, B complex group of vitamins will be of great help. starting these supplements will also help to overcome anaemia. After 14 weeks you can add Iron supplements. Till then Dark green leafy vegetables, citrus foods , dates, jaggery, black currents with seeds should be included in diet. This will help you to raise hemoglobin now. I will suggest to follow your medicine doctor regarding dose of antiepileptic drugs. Do not alter doses on your own. I hope my answer helps you. Thanks. Wish you great health. Dr Purushottam S Neurgaonkar