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Can an online doctor suggest any treatment or medicines for mildly retarded due to neonatal asphyxia with iron deficiency ?

My daughter is 30 yrs old.wt.34 kg. Mildly retarded due to neonatal asphyxia .Treated for Pul.Kochs 10 yr back. Has rectal prolaps, ulceration + nodularity in lower rectum,Solitiary rectal ulcer syndrome.Biopsy : NAD. External large haemorrhoids Has loss of control over anal sphincter .She is unable to maintain her hemoglobin count & oral iron does not suit her.Many a time blood transfusions have been done but again Hb/RBC counts go down.Has drop-dawn of left eye(partial close) but vision not affected. Kindly explain modern treatment-Medical and / or surgical available in Mumbai-India. Also furnish names & addresses of charitable hospitals,institutions and doctors who treat such retarded persons free of charge 0r at concessional fees ,expenditures. I shall remain obliged.
Asked On : Sat, 23 Jul 2011
Answers:  1 Views:  81
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Orthopaedic Surgeon 's  Response
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Firstly her haemorrhoids should be controlled. Give her plenty of fresh fruits and vegetables, also Ispaghulla husk in water to prevent constipation as haemorrhoids will increase with constipation. Once haemorroids controlled, even rectal prolapse will improve, but rectal prolapse needs proper care and dressing to prevent bleeding and infection. She could be having parasite infection causing anaemia. Get her stool tested. She may be having abnormal haemoglobin, Doctor can recommend haemoglobin electrophoresis testing if necessary to treat appropriately. You need to consult Rehabilitation Centre as this will improve her quality of life, any Govt. sponsored centres will do.
Answered: Sat, 23 Jul 2011
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