
What Causes Vomiting And Breathing Difficulty In A Premature Baby?

Probably septicemia or pneumonia due to aspiration
Detailed Answer:
Hi,
Welcome to HCM.
Can understand your concerns.
In premature babies with very low Birth weight there are more chances of getting infection. There are also increased chances of aspiration during vomiting.
Since the child has still very low Birth weight, it is better to admit the child. During admission, child is given fluids and intravenous antibiotics.
According to the current situation of your child, I think that this is the best treatment that he is getting. Blood samples needs to be taken at the time of admission to rule out infection.
You have to keep some patience.
Keep us updated with daily reports and medication so that we can help you in a better way.
I hope this will help you.
Wishing your child good health.
Take care.


Treatment is correct.
Detailed Answer:
Hello and welcome once again to this forum.
Can understand your concerns.
I think that the treatment of your child is going in right direction. when the weight of child is very low, there are chances of infection.
And during infection, antibiotics needs to be given. When the weight increase above 2 kg, chances of infection becomes less.
I hope this will help you.
Take care.


10 days will be better
Detailed Answer:
Hi,
Since, child is very small, it takes more time for the infection to settle.
If all things improves, then only 5 days treatment can be given.
Since, blood is also low, it suggests that infection is more and child will need blood transfusion.
Considering all the facts, it will be better if treatment is given for 10 days.
Review with blood culture and crp levels report.
Take care.


Brain Imaging should be done
Detailed Answer:
Hi,
If there is seizure than definitely situation is not good and child is not responding to the treatment.
Cause of seizure could be non responding infection, hypoglycemia, brain ischemia.
Brain Imaging is mandatory to see if there is any brain injury.
You should enquire about the cause of seizure from doctors.
If child is not responding to antibiotics then they should be upgraded according to blood culture report.
Take care.


Shift to a better hospital
Detailed Answer:
Hi,
First of all, don’t be in tension. Tension will not help you in anyway.
If you feel that treatment is not correct or care of child is not upto mark, you should shift the child to a better hospital.
First, ask the doctor of current hospital to give a summary of treatment, investigations. Go and show the summary to other hospital doctor and then shift the baby.
Don't worry, everything will be allright.
Take care.


Infection or metabolic cause
Detailed Answer:
Hi,
I have seen the report that you have attached.
Crp and tlc count is raised which suggests infection. But Crp levels earlier were higher and now they are lower, suggest improvement but still it is raised.
Lactate and ammonia is also raised suggesting metabolic cause.
Cause of seizure could also be metabolic.
Further investigation is necessary.
Take care.


Very difficult to comment upon
Detailed Answer:
Sir,
I am really sad for your demise.
Sir, it is very difficult to comment whether the tests that were done were necessary or not. It is the treating doctor who knows the actual condition.
For me it is very difficult to comment about it.
Take care.

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