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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Esophageal Congestion, On IVF For Hydration. Inability To Swallow, Exhausted. What Does It Suggest?

My daughter was On an african tour andhas endedup in a zambian hospital with o has not eaten for 15 days, on ivf for hydration . Not improving after iv abs and omeprazole , unable to swallow , is there any other intervention u can suggest. I have suggested small amts of honey, xylocaine viscus is not available, she is becoming exhausted. Thanks
Thu, 31 Oct 2013
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Psychiatrist 's  Response
Welcoem to HCM!

After reading your question carefully I found that your daughter is hospitalized in Zambia, has difficulty in swallowing, on IV antibiotics, fluids, Omeprazole.

It would really help if I can know her age, the antibiotics given to her. However, in my experience I have seen that even severe cases of infections respond greatly to cephalosporins antibiotics like, cefpodoxime, for five days, twice a day, given Intra muscular.

along with it some anti inflammatory drugs is a must. If the treating doctor thinks that there is lot of inflammation and pt. is weak, then one can use steroids to curb and control the infection, this also gives rest to the body ( by reducing inflammatory response, and helps the drug act.). Actually steroids are a boon in such cases , can be safely given for a week or ten days without any dependence or withdrawal.
if she is able to take warm water along with honey, it will help her. but first it is important to stop the infection.

I can understand that it is difficult for you, but with correct antibiotics I have seen even worst of the cases becoming absolutely well.

Hope the reply helps your daughter.
feel free to ask more if you have any query regarding this.
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Esophageal Congestion, On IVF For Hydration. Inability To Swallow, Exhausted. What Does It Suggest?

Welcoem to HCM! After reading your question carefully I found that your daughter is hospitalized in Zambia, has difficulty in swallowing, on IV antibiotics, fluids, Omeprazole. It would really help if I can know her age, the antibiotics given to her. However, in my experience I have seen that even severe cases of infections respond greatly to cephalosporins antibiotics like, cefpodoxime, for five days, twice a day, given Intra muscular. along with it some anti inflammatory drugs is a must. If the treating doctor thinks that there is lot of inflammation and pt. is weak, then one can use steroids to curb and control the infection, this also gives rest to the body ( by reducing inflammatory response, and helps the drug act.). Actually steroids are a boon in such cases , can be safely given for a week or ten days without any dependence or withdrawal. if she is able to take warm water along with honey, it will help her. but first it is important to stop the infection. I can understand that it is difficult for you, but with correct antibiotics I have seen even worst of the cases becoming absolutely well. Hope the reply helps your daughter. feel free to ask more if you have any query regarding this.