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Medications for aplastic anemia - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Blood Disorders
Answered by

Orthopaedic Surgeon
Practicing since : 1984
Answered : 3 Questions
User :   i was on a session but got cut off
User :   do i need to start again?
Doctor :   no thats fine
Doctor :   ur mom had aplastic anemia
User :   um ok
Doctor :   i rem
User :   yh
User :   will she be ok?
Doctor :   cant say
Doctor :   i need to clinically examine
Doctor :   to know the exact physical condition of the patient
User :   she takes about 120mg of ormorph a day physically she can still walk ect but not as much as before
Doctor :   ok
User :   and has a lot of adomnal pain
Doctor :   the treating physician can examine
Doctor :   her and he is best person
Doctor :   whom u can ask regarding prognosis
User :   they have told us that she has 2 weeks left?
User :   i dont accept that they cant do nothing for her
Doctor :   it depends how well she will respond to treatment
User :   they are not giving her any treatment for the ischaemic jejunun?
User :   just antibiotics for the aplastic anemia due to low white cells
Doctor :   yes
User :   ok do you know wat would happen if they never treated the ischaemic jejunum?
Doctor :   yes
Doctor :   it might lead to gangrene
Doctor :   its a life threathing condition
Doctor :   they have to do something active
User :   they cant due to risk of pancytopaenia?
Doctor :   cant say
Doctor :   there might be other reasons as well
User :   ok
User :   will she lose control of her bowels?
Doctor :   depends on the extent of involve of ischaemic loop in the bowel
User :   in your opinion do u feel she may only have 2 weeks left?
Doctor :   cant say without examining
Doctor :   if they dont treat her for the ischaemic
Doctor :   her condition will worsen
User :   how so?
User :   i mean what can we expect next?
Doctor :   ischaemia loop is nottreated
Doctor :   might go in for gangrene and systemic infection
Doctor :   following that
Doctor :   septicemia
Doctor :   septic shock might set
User :   what will that mean for her? i mean what are the symptoms for all this?
Doctor :   symptoms depend on the patient
User :   she allready has lose stools
Doctor :   ok
User :   like diyarhiew
Doctor :   high fever
Doctor :   low bp
User :   sometimes
User :   yes low bp
Doctor :   low low volume pulse
User :   about 98
Doctor :   ok
Doctor :   chills
User :   pulse is normal
User :   no chills
Doctor :   blackening of skin
Doctor :   tense abdomen
User :   feet skin yeah
User :   and hands
Doctor :   are few of then
Doctor :   i suggest u please take her to hospital
Doctor :   she needs emergency care
User :   they discharged her
Doctor :   however sick patient is patient
Doctor :   its duty of doctor to look after her
User :   so apparently she can die with her family
User :   nurses come home now an then
Doctor :   ok
User :   but they told us we should take her home an try to keep hey home even if temp is high?
User :   is that right?
Doctor :   physician can visit her at home
User :   she sleeps alot due to the ormorph
Doctor :   if not
User :   they refused
Doctor :   atleast gp can see her
User :   they said once she is un capable to go hospital they will stop the platlets infusion as well
Doctor :   ok
User :   she has no chance does she doc?
Doctor :   difficult to say without examining her but general condition is bad
Doctor :   deteriorating
User :   her hospital is the queen elizabth
User :   ment to be best in treatment
User :   wat can i do
Doctor :   only doctors treating can say
User :   to make it better the consultants keep saying differnet things one is saying she has 2 weeks another is saying she has months
Doctor :   regarding her recovery
Doctor :   it is difficult to predict how she will respond to any treatment
Doctor :   Is there any thing else that I could help you with?
User :   no
User :   sorry
Doctor :   thats fine
Doctor :   no sorry please
Doctor :   we are here to service people
Doctor :   serve people
Doctor :   sorry
Doctor :   ur welcome to ask any medical queries anytime
User :   its ok
User :   thanks
Doctor :   We are available from 9AM to 9PM IST everyday
Doctor :   ur welcome
User :   sorry to keep you so long
Doctor :   thats fine, no sorry please
User :   ok
Doctor :   this is my duty as physician
User :   guess ill let you see others
Doctor :   ok
Doctor :   Thanks for consulting Health care magic.
Doctor :   have XXXXXXXX day
User :   youtoo
Doctor :   thank u
User :   bye
Doctor :   bye
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