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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest treatment for Hypocalcaemia and β thalassemias minor for a 3 year old boy

Name: Saarthak          Age: 03 Years 10 Months     Weight: 15KG(Male) Medical history: Hypocalcaemia at the age 01 months, β thalassemias minor. Symptoms:      1.     On 3rd November 2013 high fever with shivering. ibuprofen & paracetamol suspension subsided the fever. 2.     Next day near about same time high fever with shivering restriked. 3.     Doctor suspected this with malaria & suggested the medicine-------- 4.      After two days of medicine starting fever didn’t come again. 5.     Three consecutive days high fever in nights of nov month end. 6.     On December 22 high fever 101, subsided after giving crocine. 7.     20th Jan high fever &coughing 8.     3rd Feb. High fever & coughing 9.     On 12th & 18th Feb high fever with cough consulted with doctor. Doctor once again suspected about malaria and prescribed syrup combither dry 15ml 10.     Doctor 1 also prescribed for Widal test, urine culture & X-ray of chest. The WIDAL test was negative, however based on X ray report ( left hilum Prominent? Enlarged glands) Doctor suspected patient with Primary Complex of Tuberculosis & Suggested the medicine for T.B. MACOX ZH & start the medication after 10 to 15 days. He also suggested taking another opinion. 11.     With no history of TB in our family & also suggested by a relative doctor we have gone for Blood test to negate the typhoid & TB. The Typhi dot serum result shows negative. And the AFB culture Mycobactrium , rapid ( MGIT method) interim result states” No acid fast bacilii grown after two week incubation”. However β thalassemias minor detected. 12.     For second opinion we consulted other doctor on 3rd march 2014. He physically examined chest, back & stomach by stethoscope for enlarged organs & negated the previous doctor suggestion of Primary Complex of Tuberculosis stating that hilum may be prominent due to cough & sore throat. And started the treatment for typhoid by medicine amoxicillin. He also suggested to go for vaccine of typhoid after two three weeks. 13.     On 14th march 2014 with cough & fever complain visited to doctor. He suspected it as viral fever and warned that fever may go high. 14.     On 16th march 2014 night high fever & cough, started feeling uncomfortable and about 10 PM was attacked with convulsion. We rushed to a nearby child care hospital. Doctor there examined him and said that the convulsion was because of high fever also stated that fever is due to throat infection. He then prescribed one anti convulsion……….medicine, one syrup for cough and ibuprofen & paracetamol suspension as anti fever.
Thu, 6 Aug 2015
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Pediatrician 's  Response
Hi read ur question
Ur baby had febrile convulsion or may be hypocalcemic convulsion as febrile convulsion may present with hypocalcemic convulsion

. for hypocalcemia u hav to start syrup calcimax-p 5 ml two times a day and
Also start ultra D3 drops 1 ml. O ce a day
Both drug given for atleast 6 month

Thalasemia minor has not required any treatment
It is not dangerous and it is not required to give any Medicine for that

For thalasemia u have to regular check up ur baby to paediatrician

Febrik convulsion is may be present any time with fever
For that u have to give ur baby
Tab frisium (5mg ) 1 tab to o times a day whenever fever present along with ibuprofen and paracetamol suspension .
If convulsion present show ur nearest paediatrician to ur baby ASAP
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