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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Has CAH. On Hydrosortisone And Florinef. Emergency?

My daughter is 6 months old and has CAH (salt wasting) she is on hydrocortisone qnd florinef. The last 2 days she has been very sleepy and when she is awake she is fussy. I am concerned that her electrolytes have dropped and she may be salt wasting or going into shock. I am wondering if I should go to er or if this is normal with a growth spurt / teething . Thanks kim
Mon, 30 Sep 2013
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Pediatrician 's  Response
Hi,
Thank you for your query on Healthcare Magic.
The concerning and emergency things in a child with congenital adrenal hyperplasia are:
1.Dehydration
2.Shock
3.Electrolyte imbalances
4.Hypoglycemia
As the child is very sleepy, fussy and I suggest you to take her to emergency for clinical assessment to look for the above complications and to treat her accordingly.
Hope I have answered your query.
Regards.
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Has CAH. On Hydrosortisone And Florinef. Emergency?

Hi, Thank you for your query on Healthcare Magic. The concerning and emergency things in a child with congenital adrenal hyperplasia are: 1.Dehydration 2.Shock 3.Electrolyte imbalances 4.Hypoglycemia As the child is very sleepy, fussy and I suggest you to take her to emergency for clinical assessment to look for the above complications and to treat her accordingly. Hope I have answered your query. Regards.