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

Cerebral palsy, irregular heart beat - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Child Health
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   my 11 year old son with cerebral palsy just woke me up and pointed towards his heart..he 'signed' that it was hurting. I felt it and it's unusually fast and irregular. I took his pulse and it was 99 beats per minute. Should I be concerned and go to the doctor? or just lay with him until it goes away.
- he takes .01 mg of DDAVP for his diabetes insipudus
- he also is on 1.40 humatrope for growth hormone treatment per day.
Doctor :   hi
Doctor :   Dr. XXXXXXXX here.
User :   hi
Doctor :   let me read what you have typed
Doctor :   is he having any other symptoms other than the fast heartbeat?
User :   nothing but he keeps holding his heart with the palm of his hand
Doctor :   does he seem to be in pain?
User :   and when I ask him if it hurts he nods yes (he's non verbal c.p.)
Doctor :   is he sweating? is there any breathing trouble that you can make out?
User :   he seems to be worried about it..and it seems to be pounding
User :   no breathing, a little clamy but it's warm here
Doctor :   yes i understand that he is non verbal, hence i am asking you for signs
Doctor :   try to get him relaxed, and divert his attention to something pleasing, see if his heart rate come down to normal
User :   I put my ear to his chest and it just didn't sound like a normal pattern of thump thump..
Doctor :   ok
Doctor :   wht do you tend to hear when you tried to listen?
Doctor :   could you describe the sound?
User :   it sounded about a dozen fast beats..then a pause and a couple of thuds.
User :   hold a sec, just going to check him again.
Doctor :   ok.
Doctor :   just describe the pattern of sound, the normal is lub-dub-lub-dub-lub-dub. tell me if anything else you hear apart from this
User :   okay. it goes 1,2,3,4,5,6 pause, 1,2,3,4,5,6, pause... almost a footsteps
Doctor :   ok, then he seems to be having arrythmia, it should be confirmed.
User :   first 5 are higher pitched. 6th beat is thud... no lub dub like you hear on a heart monitor.
Doctor :   i would recommend you to take him to ER and have doctor look at him
Doctor :   he might need an ECG to see if any abnormal beats can be picked up
User :   We live in such a remote area and my husband has posted with the military so I'm alone with my children (hence your service seemed very convenient) judging by what I've told you, can an ECG wait until tomorrow?
User :   I'd hate to waste their time and sometimes they want me to travel further because they don't know or have enough experience with C.P.
Doctor :   if the child is not getting worse, as sugested by signs of him having pain or indicating to you that he is still uncomfortable
User :   I was wondering if the growth hormone would increase heart rate
Doctor :   then you can wait
Doctor :   but if he starts to have sweating, or becomes lethargic or restless, do not wait.
Doctor :   growth hormone will increase heartrate to some extent
User :   okay - I will do that and go to E.R. in the morning when the other kids are in school. I'll watch for sweats.
User :   really?
Doctor :   was he sleeping and woke up with his heart feeling bad to him?
User :   so the gh was increased from 1.20 to 1.40 last week
User :   so I thought that might be the cause.
User :   yes
User :   sound asleep
Doctor :   how many doses of 1.40 he has taken?
User :   it's an injection
User :   and I give it to him at 7p.m. every night
User :   it's a mechanical needle that I wind it to the dose of 1.40 (so I'm not really sure mg's?)...
Doctor :   how many injection of 1.40 dose has he got after his last visit to his doctor?
User :   I would say almost a full week now/ once a day
Doctor :   if it was just 1-2 doses of increased medication, then we can think of it being the reason
User :   we don't do it on Sunday nights so it's not straight 7 nights.
Doctor :   since almost a week is over now, possiblities are less
Doctor :   another cause might be a nightmare, with which he woke up suddenly and felt his heart being abnormal
Doctor :   try to divert his attention away from heart, and see if he is feeling better
User :   okay, thanks for your help. I'm going to go lay down with him. Can I ask where you are? - it's first time I've used this service.
Doctor :   if he stil continues to point at his heart, then it might indicate pain
User :   I never thought about him having nightmares.
Doctor :   which will require further urgent attention.
Doctor :   children do get them once in a while, just comfort him
User :   yes. I'm definitely going to put the other kids on the bus in the morning and take him to the walk-in doctor.
Doctor :   if it was due to nightmare, he should feel better with you at his side in another 1 -2 hour time
Doctor :   is there anything else i can help you with?
User :   okay thanks again. just wondered where you are in the world? how long you have practiced
User :   fabulous
User :   thank you
Doctor :   Thanks for consulting me. Bye for now. Please chat with our doctors 24/7 for medical queries. Please refer your friends to our service
Question is related to
Medical Topics
© 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