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Question Asthma Diagnosis - Appetite Enhancing "Vitamins"

Discussion in 'Dumaguete City' started by Rye83, Oct 10, 2017.

  1. Rye83

    Rye83 with pastrami Admin Secured Account Highly Rated Poster SC Connoisseur Veteran Army

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    Can you diagnose a child with asthma while he is currently suffering from pneumonia? (This is reoccurring case of pneunomia. Twice in less than 60 days.)

    Diagnosing asthma:
    Pneumonia symptoms:
    The doctor said he had asthma because he was coughing and wheezing....which is kind of expected with a case of pneumonia. Am I wrong to be irritated with this doctor?

    I'm no doctor but I think there are other things that are causing the recurrent pneumonia since the kid never has any symptoms of asthma when he is not sick. The child has problems eating and drinking. He regularly gets liquid and food down the wrong hole. I believe this is called pulmonary aspiration and is the most common reason for recurrent pneumonia in children.

    After 2 hospitalizations (4-5 days each time because of a 39C temperature :shifty:) in less than 60 days....and 3 in the last 6 months....I think the doctor should probably be doing other tests or asking more questions. This "admit him to the hospital and give him IVs and antibiotics" is obviously not solving the underlying issue.

    As for the vitamins:
    The kid is underweight. The doctor prescribed 90 days worth of vitamin B12 capsules to increase his appetite. This also irritates me as I feel that switching to a healthy diet (by completely cutting out the sweets and junk food the kid is always asking for....and given) and eating more organ meat, fish, eggs, avocados, nuts, etc would give the kid sufficient B12 intake and help him gain some weight. I personally think the vitamin pills are encouraging bad parenting and an easy out for a sh*t diet. (Treating the symptoms instead of the real problem.)

    BTW: there was no mention by the doctor of the kid being anemic.

    Note: I know doctors hate people like me who think they know something about giving treatments....but I don't think they should be completely left off the hook and operate like a shady car mechanic that doesn't give proper explanation to their customers. (And I consider the average doctor in the Philippines no more trustworthy than a scummy/sleezeball car mechanic....which is why I do so much Googling before/after a visit to one.)

    /rant

     
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  2. Best Answer:
    Post #21 by okiebound, Oct 12, 2017 (5 points)
  3. Brian Oinks

    Brian Oinks That's Mr. Pig to you Boy! :) Highly Rated Poster

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    I agree wholeheartedly regards the Vitamin thing here! IF they eat a balanced diet then there is NO NEED for vitamins unless they have some sickly ailment! I have refused point blank to take anymore Vitamins my Wife keeps trying to stuff into me and I am trying to get her to look at forcing the daughter into eating MORE healthy vegetables and LESS Rice! The wife was terrible embarrassed when the PUBLIC SCHOOL diagnosed our Daughter as malnourished and anemic because she did not measure up to their graph! ARRGGHH!! :rage: I went through this BS back in Oz back in the 90's when our Son was undersize according to School Graphs and we were forced to take him to a Pediatrician to look at giving him growth hormones so he would be 'normal'... I REFUSED and TF I did as it later turned out as it was later linked to Creutzfeldt-Jakob disease (CJD) so I would have in effect given him a death sentence!

    Sorry but my 2 cents;
    Children SHOULD eat a balanced Diet of Vegetables and Meat for Protein, Fruits and drink lots of water AFTER their meal not before and during as it fills them up too quickly! The Daughter here eats Rice, TOO MUCH RICE! The other thing I have done is stopped them eating the fat from Pork! too many bad habits form early in age, I have friends back in Oz who's children did not know what to do with a normal meal of Meat & Vegetables I shared with my children as all they ever ate was take-away and those kids were terribly obese and ADD/ADHD from the sh*t they pushed down their throats!

    STOP ALL JUNK FOODS SOFT DRINKS AND OTHER RUBBISH and get back to basics!

    Oh and my Brother was a Chronic Asthmatic spending the first few years of his life mainly in Hospital, one day a Naturopath told my Mother to take him to the Salt water (River/Sea) and find someone who could teach him to swim as it would strengthen his lungs and the salt is better than Asthma medications, within a couple of years there was no looking back! He went on to become a professional Fisherman and Skipper and never suffers from Asthma anymore, he was probably 8 or 10 when he was last sick from it.

    With my second Wife and the boys being Mama's boys getting/doing what they wanted, meant some very bad behaviour, after a long period with Pediatricians etc we went down the ADD/ADHD route and following what was in the books, we changed their diet from Junk Foods/ Red Foods/ Over-ripe Fruits etc that are high in sugar and the change in their behaviour was nothing short of a miracle! The sh*t you get in packaged Foods today is I believe a BIG PART of the problem!

    Get back to basics like we once lived, FRESH Vegetables FRESH Meat More Water instead of Sodas etc... A lot of this seems to be the New Epidemic, when I went to School there were maybe TWO Fat kids in the whole of Primary and High School, look today and TRY and find the SKINNY KID! :o o:
     
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  4. Jack Peterson

    Jack Peterson DI Forum Luminary Highly Rated Poster SC Connoisseur Veteran Air Force

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    Agree on most of the last 2 posts but having done some research over the last 2 days on something it would appear AMOXICILLIN is a known penicillin Good for children
     
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    Rye83

    Rye83 with pastrami Admin Secured Account Highly Rated Poster SC Connoisseur Veteran Army

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    It is in the same family of antibiotics. The kid was prescribed Cefixime for the pneumonia. (The antibiotics prescribed was not what irritated me.)
     
  6. cabb

    cabb DI Forum Patron Highly Rated Poster ✤Forum Sponsor✤

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    Asthma and Pneumonia: What Are the Differences?
    Asthma and Pneumonia: What Are the Differences?

    If your symptoms point toward pneumonia, your doctor will probably start by listening to your lungs. One of the hallmarks of pneumonia is that your lungs make a crackling sound when you breathe. In most cases, a chest X-ray can confirm the diagnosis. If necessary, a CT chest scan can get a more detailed look at lung function.

    Has the child been given a chest X-ray or CT chest scan?
     
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    Rye83

    Rye83 with pastrami Admin Secured Account Highly Rated Poster SC Connoisseur Veteran Army

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    Chest x-ray. He has pneumonia.
     
  8. cabb

    cabb DI Forum Patron Highly Rated Poster ✤Forum Sponsor✤

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    Seems simple enough to me.......cure the pneumonia and see if there are still breathing issues. One thing at a time. Asthma isn't a curable disease, so give them an inhaler for the time being. If they need it after the pneumonia resolves itself, then they probably have asthma.
     
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  9. Plainspoken

    Plainspoken DI Forum Adept

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    You may have your reasons to stay with this guy but I drop a doctor like a hot potato if I don't like what I see. You are intelligent enough to tell if he is any good or not and if you are not happy, you need to find someone you are happy with. The parents may be typical in that they think all doctors know what they are doing. The truth is that a good doctor is almost as hard to find as a good mechanic. For reference, I was in automotive manufacturing and distribution big and deep in the USA from Mississippi to New York City for over 50 years and I may have known 2 or 3 good mechanics. I probably know 6 or 8 good doctors in the USA. I don't know any mechanics here that I would trust but I do know a pretty good pulmonary guy if you want his name. I don't know if he works on kids but I'll ask him if you like. He's at Silliman. Don't take chances with a kid if you have any say, just jump in.
     
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    Rye83

    Rye83 with pastrami Admin Secured Account Highly Rated Poster SC Connoisseur Veteran Army

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    The issue is it is recurrent. The kid has never needed an inhaler or any medication for asthma in the past. I think the choking on food and drinks, which is a known issue the kid has, is responsible for the pneumonia. I'm suggesting an old school GP in Valencia for future visits. Hopefully his practice, ran out of his home, is still open and he hasn't retired. (I have used him myself in the past and really liked the way he ran his practice. No making a mountain out of a mole hill. No 4 day hospitalization for IVs. Just "you have pneumonia, take these antibiotics, drink lots of water, you'll live". He just gave off that feeling of "experience".)
     
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  11. okiebound

    okiebound DI Forum Adept Showcase Reviewer

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    Nurse here...husband had chronic COPD for over 30 years and asthma, 2 kids with asthma. NO, they cannot definitively diagnose asthma (if there is no prior history) with a current diagnosis of pneumonia. They must first resolve the pneumonia, and after given a certain amount of time for complete healing of the pneumonia, if symptoms recur or persist, lung function tests can then be performed to effectively diagnose asthma. What doctor are you seeing?
     
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