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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Glucose Drops The Only Option In Dehydration?

I am parent of 20 days old baby which have the following symptoms 1. Stool C/S : Wet Mount shows plenty of Budding Yeast Cell. 2. Stool Reducing: ++ 3. On zerolac from last 7 days. 4. Have some fever (Around 100 +/- 1) After series of anibiotic, Docs Suggested to give Piptaz(INJ) and Taxim (INJ) and for Fever (Crocin). Is Piptaz is necessary for such problem? In case of dehydration, Is Glucose drops is the only option?
Mon, 26 Sep 2016
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Pediatrician 's  Response
fist of all we are dealing with an infant who is suspected to have sepsis because of the fever , so blood, urine and CSF cultures must be obtained first .
the choice of antibiotics is very important since this is considered a late onset sepsis , the use of ampicillin + cefotaxim with or without vancomycin OR another combination of tienam + vancomycin is the most appropriate combinations .
the results of stool : budding yeast is seen when the stool samples are left forever before testing it , I recommend repeating that , the reducing substance is suggesting a carbohydrate malabsorption and is confirmed by a hydrogen breath test , and milk should be changed into lactose free milk , soy-based formula is useless. .
this malabsorption can lead in some cases to dehydration and intravenous fluid contains glucose and saline is needed .
I hope this helps
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Is Glucose Drops The Only Option In Dehydration?

fist of all we are dealing with an infant who is suspected to have sepsis because of the fever , so blood, urine and CSF cultures must be obtained first . the choice of antibiotics is very important since this is considered a late onset sepsis , the use of ampicillin + cefotaxim with or without vancomycin OR another combination of tienam + vancomycin is the most appropriate combinations . the results of stool : budding yeast is seen when the stool samples are left forever before testing it , I recommend repeating that , the reducing substance is suggesting a carbohydrate malabsorption and is confirmed by a hydrogen breath test , and milk should be changed into lactose free milk , soy-based formula is useless. . this malabsorption can lead in some cases to dehydration and intravenous fluid contains glucose and saline is needed . I hope this helps