Dr. Nagasirisha Naredla
Pediatrics
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello doctor,
I know this may be too extreme for this site, but I am seeking all the advice I can get. My 2 months old baby was normal, healthy, happy, smiling. One fine day morning, I walked over to get him and noticed abnormal breathing inhaling but not exhaling. His body was solid gray and unresponsive.
I immediately called emergency service. He was transported to an emergency room. He is in a coma, on life support, the red blood cell count is dropping, fluid on his brain, having seizures, and his blood pressure was at 320 when he was transported. They have run every test for primary infections plus more, and all comes back negative. The pediatric unit has never seen anything like this. They have contacted other specialist, and there has been no diagnosis. If anyone might have any clue of what it could be, please help me. We want him to come home and return to our happy lives.
Hello,
Welcome to icliniq.com.
With the information you have given, I would try to analyze his condition. First, turning gray or blue means the oxygen levels in his body are low. Reasons could be many. From what you mentioned. He seems to be bleeding in the brain, that is why his red blood cells are coming down.
Bleed in the brain also causes seizures and high blood pressure. Or sometimes high blood pressure itself can cause seizures, but the number 320 is very odd, I do not know if it is that much. This condition could be due to
1) Infection.
2) Abnormal bleeding disorders, where the body cannot stop the bleeding process, due to deficiency of some factors responsible for it. It needs special tests.
Example, Late hemorrhagic disease, deficiency of factors 8, 9, etc.
3) High BP could be because of the bleed itself, or high BP could have caused the bleeding, then reasons for high BP should be looked for. This needs special tests and scans, hormonal tests also.
4) Bleeding can be controlled by given FFP, cryoprecipitate in specific conditions.
I know I can only provide you information, because the condition is serious, requiring a lot of tests, and treatment is not so simple. He needs treatment to control the bleeding, control BP, seizures. It involves a few specialties and can be life-threatening also.
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Pediatrics
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