Suggest Treatment For OHSS
during ohss management what is the correlation between intake and output.
my wife is suffering from ohss and she was hospitalised for a week.
according to today's record her intake was close to 2.4L and output was 1.8L , is it not good in ohss ???? and what can I do to improve her condition.
This urine output is good. Don't worry.
Detailed Answer:
Hi Mr XXXXXXX
Welcome to Healthcare Magic. I am Dr Ramadevi Wani. I will be answering your concerns today.
This urine output is normal for the intake that she has had( I guess this takes into account both IV fluids and fluids taken with food).
Some amount of fluid is lost through skin, sweating and in breath too. So this urine output is normal for her.
OHSS improves with time. The treatment is only symptomatic. Make sure she drinks at least two liters of water daily. Give her high protein diet ( Dal, eggs, chicken, meat ,fish).
OHSS increases the risk of a woman developing blood clot. So please see to it that she walks around regularly. Even while lying down she should move her toes and legs regularly.
I hope this helps.
If you have further queries, do write to me. I will be happy to answer.
Regards
but doc she is having cough and can't lie down. as soon she lie down she start coughing and can't sleep. I have given her XXXXXXX lozenge and Gill syrup but nothing is working. .. what should I do now
Consult physician at the earliest
Detailed Answer:
Hi,
Welcome back.
Happy to know that you are taking preventive measures to avoid clot formation.
As regards her cough, you need to go to hospital and get examined by physician. May be there is some water collection in the chest cavity. She may need a chest x-Ray too. Consulting physician is very important. Please do it at the earliest.
I hope this helps. If you have further queries do write to me. I will be happy to answer.
Best wishes
Dr Rama
one question.
her hcg came on 24 as 2341 however on 21st it was 1306 ... I am bit tense about it as it's not doubling. this count is 21 dpo.
please advice.
Repeat the serum HCG tomorrow
Detailed Answer:
Hi,
Welcome back.
Good to know that the chest was clear.
It is difficult to comment on the HCG levels since you have not done it after 48 hours.
Repeat the test tomorrow. Usually if there is an increase of >66% in 48 hour period it suggests healthy pregnancy.
If you have further queries do write to me.
Best wishes,
Dr Rama
today's hcg came at 4630.4. last one on 24 was 2341.. is it healthy ??
If you have done the test on 26th, it is a perfectly normal result.
Detailed Answer:
Hi,
Welcome back.
For me it is 27th evening now ( I live in Kuwait).
When did you do the test? On 26th or 27th.
If you have done the test on 26th, it is a perfectly normal result. It is indicative of healthy pregnancy.
Do write to me if you have further concerns.
Best wishes,
Dr Rama
Please repeat the test after an interval of 48 hours.
Detailed Answer:
Hi,
As I have mentioned earlier the test needs to be repeated after 48 hours for correct interpretation. So please repeat the test after 48 hours.
In my experience this rise in 72 hours most probably suggests healthy pregnancy.
Do write back if you need further clarifications.
Best wishes,
Dr Rama