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Dr. Andrew Rynne

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Exp 50 years

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How exactly to give Iron syrup orally to a 25 day old suffering from G6PD deffeciency and physiological anemia ?

My son IS 25 DAYS OLD, he has G6PD defeciency proved by screening. His Haemoglobin falled from 15 gm/dl at birth to 11.5 at 2 weeks of age. Then to 10.3 gm/dl today (day 25thof age). No manifestations of haemolysis at all and he is generally doing well. His doctor diagnosed this anemia as a physiological anemia due to the initial lack of erythropoietin hormone in neonates and the anemia woul last till age of 8 weeks. the Dr prescribed oral iron supplementation(syrup). My questions are: - Is that diagnosis probably correct? - Shall I transfuse blood to himat 10.3g/dl? and when shall I? - How exactly to give him Iron syrup orally? and then How frequent shall I follow his Hb level from now (10.3 g/dl) and till when? - What milk formulas suite him best? Many thanks
Tue, 27 Dec 2011
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Pediatrician 's  Response
HELLO,
g6pd deficiency can cause hemolytic anemia, usually after exposure to certain medications, foods, or even infections.most have don't have any symptoms.Treatment is usually removing the trigger — that is, treating the illness or infection or stopping the use of a certain drug. However, a child with severe anemia may require treatment in the hospital to receive oxygen, fluids, and, if needed, a transfusion of healthy blood cells.
-best way to care for a child with G6PD deficiency is to limit exposure to the triggers of its symptoms. With the proper precautions, your child can live a healthy, active life.triggers are-
-certain painkillers and fever-reducing drugs
certain antibiotics (especially "sulfa" group)
certain antimalarial drugs (especially those that have "quine" in their names)
-fava beans
now continue only breast milk. dont give outside formulas. it may cause infection which can aggrevate the condition.
If symptoms are mild, no medical treatment is usually needed. As the body naturally makes new red blood cells, the anemia will improve. If symptoms are more severe like pale,rapid heartbeat,rapid,rapid breathe,jundice,dark coloured urine. then he may need to be hospitalized for supportive medical care.so no need to worry.only avoid those triggering factor.you can continue iron syrup as per your physician guidance. take care
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