Hi,I am Dr. Santosh Kondekar (Pediatrician). I will be looking into your question and guiding you through the process. Please write your question below.
8 Year Old Kid, Vomiting. Cloudy Urine, High Ph, Ketones. Diagnosed As Dehydration. Prescribed Zofran, Polythene Glycol. Suggestions?
my 8 year old son has been vomiting for 4 days with no fever or diarrhea. we went to urgent care and his urine was cloudy and had ph 8.5 and ketones of 15, which they contributed to dehydration and on x-ray they said he showed bowel slightly backed up. We were sent home with Zofran and polyethylene glycol which I didn't then know was miralax. I do not feel like this is the best to be giving him if he is dehydrated.... do I give it or will it make things worse for my son?
I suggest that you ensure that your son gets enough of fluids to correct the dehydration first which shall take care of ketosis too. In case vomiting does not get controlled then the best course would be to admit him and rehdyrate by intravenous fluids.
In case your son is constipated then appropriate nutritional changes should correct this problem.
I hope I have answered your query to your satisfaction.
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8 Year Old Kid, Vomiting. Cloudy Urine, High Ph, Ketones. Diagnosed As Dehydration. Prescribed Zofran, Polythene Glycol. Suggestions?
Hi, Thank you for your query. Though Zofran was prescribed to control vomiting, I wonder why polyethylene glycol was prescribed. This medicine is given in constipation. I suggest that you ensure that your son gets enough of fluids to correct the dehydration first which shall take care of ketosis too. In case vomiting does not get controlled then the best course would be to admit him and rehdyrate by intravenous fluids. In case your son is constipated then appropriate nutritional changes should correct this problem. I hope I have answered your query to your satisfaction. Wishing your son an early recovery. Regards, Rajiv K Khandelwal http://goo.gl/SuCjl