Brief Answer:
Lets treat anemia to get read of its main symptom- fatigue

Detailed Answer:
Hello,
Thank you for using HCM,

Ok, lets start with your complaints. I will answer them according the information you will give to me.

Anemia is one of the most common problems that causes weakness and fatigue. So treating anemia, may resolve this feeling. Dehydration can cause it also.
If I was your caring doctor I would recommend to consider drinking plenty of water during the day, and also use Ferrous Sulphate 100mg 2 times/day for one month, and then do a complete blood count to check if anemia is better. Take it before food, but if it upsets your stomach you can take it with food or after it.

Hope this is helpful.
Let me know if you have further question. I would be happy to answer.

Take care,
Dr. Papaqako.

---

Brief Answer:
Sure, lets discuss about your son

Detailed Answer:
Hello,

Of course that we can discuss about your son.

Let me know which are your concerns about him. As many details as possible would help me more to give you an accurate answer.

Looking forward to your reply.

Regards,
Dr. Papaqako

---

Brief Answer:
Advises for some steps and recommendations

Detailed Answer:
Hello,

I'm sorry to hear about your concerns with your son.
Surgery for pyloric stenosis is not supposed to be a complicated one, but your son is only 3 month old, so its very important to follow-up with the local pediatrician that knows his case.

Is he gaining weight, dear? Is he drinking milk? Are you breastfeeding, or just formula?
I would be worried about the sunken soft spot (with this you mean the one in his frontal part of the head, right?), because it may mean that he is dehydrated, and if he is not drinking enough he may need to get hospitalized and take IV fluids.

So, from what you are describing, and if I was his caring doctor, I would give these advises and recommendations:
-- Check his weight and see if he is gaining according to his age. If yes, the a little vomiting may be normal in babies. If he has not gained enough weight, I would go with him to the local pediatrician and consider doing further evaluations.
-- Use a cream for the rash- econazole 1% or ketoconazole 2%, twice/day to treat the diaper rash/fungal infection.
-- Don't give to him anything else other then formula prepared for his age, or breastfeeding. No water or other foods added until he becomes 4-5 months old.

Hope this is somehow helpful.
If you need more clarifications, please let me know more details, and I would be happy to advise accordingly.

Regards,
Dr. Papaqako

---

Brief Answer:
Colic in babies is very common until 5 moths of age

Detailed Answer:
The fact that he is gaining weight is a very positive sign. Means that he is taking enough nutrients and is vomiting the excess part he is taking. So continue to follow up with that- if he is gaining weight, he is taking nutrients.

Also, diarrhea and constipation are not abnormal in babies his age. He may not pass any stool for 5 days (formula causes constipation) and then suddenly he may have stool that seems like diarrhea, but in fact in babies is just normal stool.
...You should be worried about it if you see blood with the diarrhea or if he has fever with it. Otherwise its normal.

Babies his age need to take only formula (since he is not getting breastfeeded in his case). You may need to feed him every 2 hours...and that is normal. He may vomit the excess milk he takes after every meal...that is normal too.

Babies have XXXXXXX ache or discomfort from time to time. Use simeticone drops mixed with his formula according the instructions in the box for his age. It will help a lot for him to feel better. Also after meals, moving with the baby around, using methods of trying for him to swallow less air, ect may help. If you want check online about practical advises about "colic in babies". He should be better after his 5th month.

If you have further questions, feel free to write me again with any other question you have..

Dr. Papaqako

---