Child Specialist

Typhoid is also known as Enteric fever. It is characterized by high grade fever of 101-104 F of at least one week duration. The fever does not touch the baseline. The child gets high grade fever with chills and shivering. There is weakness and the child looks sick. The child is lethargic. There is associated pain in the stomach and diarrhea. There may be nausea and vomiting and the child does not feel like eating. If not treated in time complications may occur. Ulcers may occur in the small intestine. This can give rise to severe abdominal pain. If timely treatment is not started, the ulcers may rupture. This leads to surgical intervention. In some cases encephalitis may occur. According to  Dr Mubina Agboatwalla – A child specialist in Karachi  diagnosis is based on blood culture. Though a CBC can give some indication. Widal is not recommended and Typhidot is non specific. Treatment is mainly antibiotic. The correct anti biotic has to be given as antibiotic resistence has dev...

Dehydration is a condition leading to loss of water from the body. Dehydration occurs in many conditions including diarrhea and vomiting. Any condition causing loss of water from the body leads to dehydration. Children get dehydrated very fast. In vomiting the child is unable to retain water and gets dehydrated. In diarrhea the child loses water very fast. The stools are very watery. A dehydrated child is generally very lethargic. In infants less than 18 months, the anterior fontanelle is depressed. The eyes are sunken and lusterless.   The tongue is dry and the child feels very thirsty.   The child may cry but there are no tears. The skin is dry is dry and lusterless. The child does not pass urine or very little urine. The breathing may become fast. If dehydration persists, the child might collapse. According to Dr Mubina Agboatwalla – A child specialist in Karachi Severe dehydration requires urgent treatment. Intravenous fluids should be given. Not only is there loss of w...