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Suggest treatment for under weight of an infant - Online Doctor Chats

Date : 11-Jan-2015
User rating for this question
Very Good Posted in: Child Health
Answered by

General & Family Physician
Practicing since : 2009
Answered : 983 Questions
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User:hello son is 5 months 10 days old...I am concerned about his growth....
User:his weight and HC parameters are as under:
User:15th july- 2.74 kg
User:15th oct-5 kg
User:15th dec-5.3 kg
User:sorry 15th dec is 5.73 kg
User:like wise, HC parameters are 15th jul-32.59, 15thoct-39 cm and 15th dec 40.6 cm
User:his birth date is 15th july
User:my queries are how to boost up his HC and weight
Doctor:Did you see a doctor for measurement of Head circumference or you measured it yourself?
User:no these are doctors measurements
Doctor:Then what did the doctor advise regarding his HC and weight?
User:to wait for 15 days.,...i am going to visit doc in day or two...but i could not feel much differnce in gorwth parameters in past 15days.
Doctor:Regarding weight, as your sons birth weight is 2.74 kgs and now after 6 months it is 5.73 kgs.
Doctor:Normally the weight of the child doubles in 6 months.
Doctor:And your sons is more than that.
Doctor:SO, nothing to worry regarding that and your son is weighing normally.
Doctor:Regarding head circumference, it looks like there is lack of growth.
Doctor:As per 6 months it should be around 44 cms
Doctor:and according to 15th dec measurement it is 40.6 cm
User:does this mean he is suffering from micrcephaly??
Doctor:44 cm is according to the 50th percentile of the growth chart but more than 3rd percentile is considered to be normal.
Doctor:that would come up to 40.5cm.
Doctor:That means the growth is on the lower range.
Doctor:I wouldn't say microcephaly, but yes growth is considered to be lacking.
Doctor:this link will help in knowing the growth chart.
User:ok...then how to boostup his HC growth??
Doctor:First of all we need to know the cause of the lack of growth.
Doctor:It could be genetic, nutritional or infectious.
Doctor:Is there anyone in your family having some issues with development
Doctor:How about his nutrition?
User:i had done his CMV test...which reported as CMV Igg positive and CMV Igm negative...this was because as my maternal blood at time of birth were showing these reports, and hence got my son tsted as well.
User:till 4th months i was breast feeding him, and post that have started him solids
User:he had craddle cap in between
User:does this mean he has fungal infections and hence his brain growth is slow
Doctor:Did you repeat your tests as I remember the last time I had ask you to confirm infections. discussions with you..,i got testd....he got tested on 23rd oct
Doctor:what were your reports and your sons reports.
User:my sons report were CMV Igg positive and CMV Igm negative on 23rd oct
Doctor:and your reports?
User:my reports were same, when it was tested at time of birth i.e. 15th july...
User:these reports were tested as a part of LIFECELL umbilical cord storage
Doctor:You did not get tests repeated? As I had you too to get the tests repeated.
User:ok....shall i get my self tested for CMV again??
User:any other test for checking infections for brain growth apart from CMV?
Doctor:Yes. Please get tested again to confirm.
Doctor:We can only confirm your child is infected or not after you get tested it again and confirm regarding this.
User:so i shall get tested for CMV right?? or any other test i shall do??
Doctor:Get it for CMV and also upload the reports so that I can suggest you if any other tests is required or not.
User:ok....ill do so....butmy question is , if I was CMV Igg positive, then would not that mean that I was immune?? can this reoccur now?
Doctor:If you were CMV IgG positive that means you had an infection before for which your body has prepared this antibiotics.
Doctor:And as your son is CMV IgG positive it means this could have been your antibodies which has passed to him.
Doctor:Virus is always present in body in a latent phase and can become active any time later in life.
User:ok...ill get myself tested..
User:shall i consult pediatric neurologist rite now??
Doctor:Get it tested and we can have discussion after knowing the reports.
Doctor:Yes, you can see a pediatrician or a pediatric neurologist
Doctor:Any will help.
User:ok..thanks doc
Doctor:Thanks for visiting me here. Bye for now.
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