Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
160 Doctors are Online

Full term neonate with early sepsis, vomit of a clot of blood, Dicynone any help?

Hi ,I am a neonatologist and I have neonate ,who is full term, with an early sepsis , he was on a ventilator and weaned from it after 3 days ,suddenly he vomits a clot of blood ( hematemesis ,melema which soon became hematochesia),blood was given ,no lab was performed as it is an emergency right now,I aske about Dicynone could it help till cryo and platelet were tranfused (he is thrombocytopenic plt 60.000/cmm),
Asked On : Sat, 12 May 2012
Answers:  1 Views:  122
Report Abuse
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Diseases and Conditions
General & Family Physician 's  Response
Hi , Dr Khaled,

Welcome to HCM.

You can definitely go for Dicynone ( Etamsylate) to halt the on going GI bleeding. I think you know the dose to be given in neonates ( 12.5mg/kg body weight every 6th hrly).

If the child is on ryle's tube, infusing cold normal saline though ryles's tube shall help in controlling GI bleeding in some cases ( can be tried in emergencies . Succesfully tried personally in few cases).If possible try to confirm whether the bleeding is of variceal or non variceal in origin. You can perform a bed side Ulatrsonogram.

Hope the baby recovers soon.

Take Care

Answered: Sun, 13 May 2012
I find this answer helpful
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]


Loading Online Doctors....
© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor