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What Causes Vomiting, Fever, Swollen Legs And Face In A Child?
Question: My 8month daughter is having non bilious vomiting once or twice a day since last one month, i have noticed swelling in her legs n feet since last 7 days, and fever since last 5 days. Urine examination ordered by doctor is normal, urine output is ok, hb is 11.5, doctor says her heart is normal and he noticed mild facial puffiness and abdominal distension and has written in prescription L-np,S-np in abdominal examination. Ordered a cbc rft lft stool for fat globules, usg kub. My daughter is otherwise active playful, drinks only mothers milk, her wt is 6.6kg. What should i do? What is she suffering from?
Brief Answer:
Battery of investigation is needed
Detailed Answer:
Hello
Thanks for the query
Swelling in legs/face in a well child can be due to loss of protein in urine(kidney disease),in stool(enteropathy)or decreased formation of protein in body(liver disorder).
Few conditions unrelated to decreased protein can also cause swelling.These are heart disorder,thyroid problem,anemia(low hemoglobin).
You have mentioned that clinical examination is normal except the swelling.
There is no history of jaundice,decreased urinary output or loose stool.
Considering all this I would like to get serum protein level(albumin and globulin),24 hour excretion of urinary protein,liver function test and thyroid test done.Your physician has already advised CBC,USG KUB.
Sometimes simple urine test does not show protein and in this condition 24 hour urinary test can help.
Please consult your physician to get all these tests done.
Continue giving lanzol junior tablet for next two to three days.
I hope this helps.
Please do ask if you have any more query.
Regards
Battery of investigation is needed
Detailed Answer:
Hello
Thanks for the query
Swelling in legs/face in a well child can be due to loss of protein in urine(kidney disease),in stool(enteropathy)or decreased formation of protein in body(liver disorder).
Few conditions unrelated to decreased protein can also cause swelling.These are heart disorder,thyroid problem,anemia(low hemoglobin).
You have mentioned that clinical examination is normal except the swelling.
There is no history of jaundice,decreased urinary output or loose stool.
Considering all this I would like to get serum protein level(albumin and globulin),24 hour excretion of urinary protein,liver function test and thyroid test done.Your physician has already advised CBC,USG KUB.
Sometimes simple urine test does not show protein and in this condition 24 hour urinary test can help.
Please consult your physician to get all these tests done.
Continue giving lanzol junior tablet for next two to three days.
I hope this helps.
Please do ask if you have any more query.
Regards
Note: For further queries related to your child health, Talk to a Pediatrician. Click here to Book a Consultation.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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