Primary Complex Thread 2

[ankyneMD]

good morning mommies! my baby was diagnosed with pc. naggagamot na sya pero gusto ko lang itanong kung talaga bang kailangan ipainom yung gamot nya ng walang laman ang tyan, pagkagising na pagkagising sa umaga? nagwo-worry kasi kami na baka sobrang lakas at sumakit ang tyan, kawawa naman. tia!

Yes sis kailangan walang laman ang tiyan pag umin0m ng pc meds for better absorption..

[leletmd]

@dredlav:
It's lelet po, not letlet 
Hindi scar ang densities. It may pertain to phlegm or mucus secretions, pero hindi ito scar.
Kaya resolving kasi there is such a thing as "radioloogic lag" na may nakikita ka pang findings sa xray pero clinically, magaling na ang bata. The fact that there is regression of densities and clinical improvement is a good sign.

@myjoy:
Both Isoniazid and Rifampicin need to be given first thing in the morning when the tummy is most empty because the presence of food in the tummy interferes with the absorption of the meds. If you give it with food, hindi lahat ng gamot na aabsorb so most likely mas matagal ang gamutan. It is important that you follow the instructions given by your pedia regarding the timing of the medications.

@rhylie10:
Please edit your post para mas clear ang post mo. No need to limit letters/use text speak kasi wala naman limit ang number of letters dito sa pagpost.
Not all kulani or enlargement of lymph nodes is due to TB or PC. As I said before, lymph node enlargement can happen as a result of any infection, illness such as trauma or allergy, parasites, etc. Basically, lymph nodes enlarge when they are producing antibodies.
No preparation needed for PPD pero aside from PPD test, if gusto mo talaga malaman kung may active disease ang anak mo, kailangan niya rin mag-undergo ng chest x-ray. Hindi enough ang PPD testing to diagnose PC or TB.
Try to backread for the criteria needed to diagnose PC/TB.
I suggest you discuss your concerns with your pedia so you may be guided accordingly.

[dredlav]

please accept my sincere "thank you" dra lelet !!!  grabe po kasi ang takot ko dun sa nagsabi sakin.  lesson learned, do not get so much affected sa mga hearsay, better ask or consult a professional talaga  .. again, dra lelet, thank you for your generosity in sharing your knowledge to moms like me  God Bless po..

[myjoy]

thank you po for your input dra. lelet and ankynemd! so far, maganda naman po ang improvement ni baby. he gained almost 2 kilos in one month na gamutan. minsan, may mga times pa din na hindi kumakain pero sabi ng pedia nya, malaki daw yung tinaas ng weight nya kaya magandang sign daw yun. thank you po ulet!

[rhylie10]

thanks po dra lelet..di po kasi masyadong nadiscuss nung pedia nya yung ppd test, basta ang sabi nya baka gawin po sa kanya yun, kaya niresearch ko lang po at nabasa ko nga po dito sa site na to, and worried po kasi nga po yung timbang nya is between 10.5 - 11.5 lang po she's 32 mos old na po, milk nya po is Gain plus, nakaka - 6 bottles pa po sya sa 24 hours, 8oz po lage nauubos nya, ayaw po kumain ng solid foods, kakain man po sya mga tatlong subo lang po, and ayun nga po halos monthly may ubo po sya.. is it true po ba na dapat 12-24oz nalang po ang consume ng milk nya in 24 hrs?TIA

[leletmd]

@myjoy:
You are welcome. Yes, your pedia is right, 2 kgs in 1 month is a good sign that he is responding well to the meds.

@rhylie10:
Milk consumption for her age should be 16 to 24 oz/day na lang. Baka naman nabubusog siya sa milk kaya wala na siyang appetite sa solids. My suggestion is to slowly decrease her milk intake and not give any milk near meal time so her appetite for solids will increase.

@teri_28:
If there is no response to the montelukast, then I suggest you bring back your twins to the pedia pulmo for follow up. Also, montelukast is not a medication for pneumonia. It is a leukotriene antagonist given for patients with asthma or allergic rhinitis and as second line medication for urticaria (hives or wheals). Was there anything mentioned regarding the possibility of asthma or allergic rhinitis during your consult?

[rhylie10]

hi dra let...nagpunta na po kami sa pedia, nilipat ko po sya ng pedia sa CGH na po sya.. nireseta po is cefexime (ultaxime), Procaterol (meptin), Disudrin, and Cetirizine, ang cetirizine po para po sa allergy diba?? take po ng 32 mos old kong daughter yun for 7 days po lahat yun , and then may nebulization schedule din po siya, 6am and 6pm 1/2 nebule ventolin plus 1/2 nebule asmavent plus 1.0 cc NSS, and then sa 12noon and 10pm po is 1/2 nebule ventolin plus 1.0 cc NSS for 3 days po yang nebulization nya, and then after that po meron pa pong 1/2 nebule asmavent plus 1.0 cc NSS for 7days at bedtime, so bale po 10 lahat gamutan before pa x-ray, may request na po kami sa x-ray.. ask ko lang po yung sa nebulization, need poo ba talaga abutin ng 10 days yun?? kasi po sabi nila pangit daw masobrahan sa nebulization ang bata, is it true?? dapat po ba pedia pulmo ang tumitingin pag may PC..ask lang po..thanks in advance po. god bless po

[leletmd]

^ I suggest you follow the instructions of your pedia regarding all the meds since siya ang naka-examine ng maayos sa anak mo and siya ang nakaka-alam kung ano ang kailangan na meds ng anak mo.

[cheezecake]

my sons zcure has stopped at last 2meds na lang up to aug20 pa matatapos meds niya.

[lenjei]

possible po ba na may tb ang lola ng baby ko? Kasi ubo ng ubo,ilang weeks na,ayaw pacheck up. Sabihin nya natuyuan lang daw sya ng pawis. She's 60y/o na po. Natatakot ako baka magkaprimary complex si baby. Hirap pa naman ng gamutan.

First daughter ko din po kasi,nagkaprimary complex,nahawa lang po sa dati naming kapitbahay. Tapos na sya sa 6months medication nito lang march po.

[puglover]

Sino dito pinrescribe yun curazid and natricin sabay sa morning before breakfast?
Ok lang ba pagsabayin yun 1hour before meal or dapat talaga may pagitan na 30minutes?
Madalas kasi late na sa morning magising baby ko, inaabutam na ng gutom. Kaya minsan 10-15minutes passed palang pinapakain na agad.

And then ZCure ok lang kahit may laman tummy ni baby?

[leletmd]

@lenjei:
Only way to find out is to have your lola checked up. There are a lot of causes of chronic cough, hindi lang TB.

@puglover:
Isoniazid and Rifampicin should be given first thing in the morning, when the tummy is most empty to ensure good absorption of the meds. Breakfast should be given at least 30 minutes after the 2 meds are given.
If you give it with breakfast, then you run the risk of the meds not getting absorbed properly and not working properly.
Pyrazinamide can be given after a meal.

[ankyneMD]

Doctora lelet, question po ulet ako. Bakit po parang napakadaling ubuhin ng anak ko 5 years old po. Sometimes po paggising nya sa umaga, minsan naman kakaumpisa palang ng tulog nya sa gabi biglang uubuhin, minsan naman sa kalagitnaan ng gabi, madalas po siya ubuhin kapag natutulog siya sa tanghali at gabi. At minsan naman din after niya maligo ubo na ng ubo... as in sobrang dali nya po kapitan ng ubo... bakit po kaya ganun? May kinalaman po ba yon sa malamig na tubig panligo niya? Masama po ba maligo ng malamig ang bata at magbabad? Summer naman kasi ngayon kaya hinahayaan ko siya magbabad sa batya pero nilalagyan ko naman ng oil yung likod at dibdib nya. Pero after niya maligo ubo na ng ubo. Dahil po kaya don? Nalalamigan po kaya ang baga niya since may pc siya?? Thanks in  advance po doctora...

[lenjei]

thanks doc lelet.. sana nga pumayag sya magpacheckup..

[leletmd]

^ You're welcome.

@ankyneMD:
I don't think it has anything to do with the water temperature or in taking a bath. In fact, we recommend 2 to 3 baths/day now that it is summer and it is very hot.
From what you posted, it sounds as though your son's cough is episodic and occurs only on certain times of the day, I highly suggest a visit to the allergologist. As I mentioned before, there are allergologists in UP PGH OPD and also in UST OPD.

[rhylie10]

good afternoon po dra. lelet..nakapagpa-xray na po yung anak ko nung Wednesday, then katatawag ko lang po sa pedia nya andun na daw po yung result, sabi ko kung pupunta pa kami dun sabi nya hindi na daw po, kasi ang tanong po nya is kung may ubo pa daw po ba yung anak ko sabi ko po wala na, so no need na daw po bumalik dun maya ok naman daw po yung xray nya..weird pero yun lang po yun?? wala na pong ubo then ok xray, ok na po yun? sa xray po ba nalalaman kung may PC ang bata.. gaya po ng nasabi ko po may mga kulani po sya.. pag nakuwa po ba sa gamut yung ubo wala po bang PC yung bata? kasi po sabi diba pag yung ubo ehh matagal gumaling..di ko parin po magets ehh..salamat po in advance

[yanmae]

hello po doc let. yung baby ko po kasi kakagaling lang sa 2weeks na pag ubo pero may halak pa din sabi ng pedia magaling na daw pero niresetahan nya ng gamot para sa halak (ketotifen - zaditen) hindi ko po agad napainom nun. 1 week after ng check up umuwi po kame dito sa province. mga 2 days po kame dito bumalik ang ubo nya. pinainom ko po ng ambroxol saka nebulize di parin po nawala. 1week na po syang inuubo. ngayon gusto ko po syang painumin ng antibiotic na nireseta before ni pedia kaso kasi wala pang advice si doc. clarithromycin po ang antibiotic. ask ko po sana doc kung pwede ko painumin na si baby? wala po kasi akong cp number ni pedia by monday pa po uwi namin at tuesday pa madadala for check up si baby .. TIA doc anf Godbless

[leletmd]

^ Pasensya na but I suggest that you do not self medicate. Medications should only be given after a thorough history and physical examination. Hindi dahil binigay before e magiging effective ngayon. Please have your child checked up by a doctor there in your province.

@rhylie10:
I suggest that you go back to your pedia with your child for a follow up check up and so that your concerns may be addressed.
Not all cough na matagal na ay dahil sa PC. It can also be due to allergy, GER or other infectious organisms.
Please also back read for the criteria to diagnose PC. I posted it in the earlier pages of this thread.

[yanmae]

@leletmd - thank you po doc sa pagsagot. Godbless po

[myjoy]

Doc Lelet, question po ulet. nung first month na umiinom ng gamot si baby for Koch's, nag gain sya ng almost 2 kilos. pero this past 2 weeks, biglang huminang kumain at mag milk, kahit na yung mga paborito nyang ulam ang binibigay ko, ayaw pa din kumain at nakaka-24 oz maximum lang sya na milk everyday.
ang vitamins nya, Heltine, ang formula nya Enfagrow A+. I asked the pedia kung pwedeng appebon ang vitamins kasi pampalakas daw kumain yun. pero ang gusto nya palitan ko yung gatas ng Gain Plus Advanced.
He was checked thorougly, and walang nakitang problema sa kanya kung bakit biglang humina sa pagkain. except sa may pc sya.
Ang mga tanong ko po:
1) Bakit biglang humina ng pagkain ulet kung maganda naman yung response nya the first month? Does it have anything to do with his pc ba talaga?
2) Is Gain a good formula also? Mas trusted ko kasi ang enfa at laking enfa din po kasi ako.
3) Can I change his vitamins na lang to appebon instead of his milk?

Thank you po in advance!