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Baby Kingdom - 親子王國香港討論區 › 首頁 › 醫護健康 › 嬰兒醫護› To : Dr. Yonex tk you

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To : Dr. Yonex tk you [複製鏈接]

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Dr.Yonex

大宅

積分: 2947

881^#

發表於 07-5-16 16:51 |只看該作者

Re: To : Dr. Yonex, Thank you!

gym 寫道:
Dr Yonex, I'd like to seek your kindest opinion.

My son is 4 years old, 17 kg. His running nose (with yellowish/greenish mucus) has lasted for nearly a month and has coughs occassionally (every hour) but worsened for the last few days (every 15 min).

Ans.: Probably allergic rhinitis complicated with Sinusitis.

The paed I usually visited determined that his chest was clear and said that his coughs have been due to the "reflux" of the mucus from the nose. But since the symtoms have lasted for so long, the paed suspected that my son might be suffering from sinusitis or allergic rhinitis.

Ans.: Yes, Pst-nasal drip and cough.

Do you share the same view? Would there be any other possible diagnosis?

Ans.: to exam the nose, we shall have some clue of allergic rhinitis. Secondly, check X-rays sinuses required in his case.

For sinusitis, he prescribed augmentin. I understand that it's an antibiotics. Does it have any adverse effect if my son isn't really suffering from sinusitis?

Ans.: I will do the similar thing but after confirmation with X-rays.

He also said that my son would need to try nose sprays if he had allergy. But the nose sprays contain steroids. Based on the paed's prescription, I felt that it is not something preferable (as compared to antibiotics).

Ans.: Yes, he may need that spray. some preparation is OK for his age.

A similar question as above: does it have any adverse effect if my son isn't really suffering from allergy?

Ans.: No problem for a few months treatment.

Actually, my son has runny nose every now and then (runny nose for 3-4 weeks and then fully recovered for 3-4 weeks and runny nose again...) Are there any preventive measures I can do?

Ans.: Apart from medication and spray, do thick about the environmental factors: Dusty house? Dog/cat? carpet in house, dolls in bed? House-dust-mite allergy?
Food allergy??

Thank you so much for your precious time. You are very kind indeed.

(聲明: 應先向家庭醫生查詢是否適合及有否藥物敏感!)

私人傳訊

Dr.Yonex

大宅

積分: 2947

882^#

發表於 07-5-16 16:54 |只看該作者

Re: To : Dr. Yonex, Thank you!

ky205catho 寫道:
Dr. Yonex,

上個星期, 工人姐姐發覺一歲大的bb, 肛門附近多了一些肉粒, 我看了之後覺得好似痔瘡,
但是, 我從來未曾聽過bb都會有痔瘡, 已經幫他擦了蘆薈gel, 但是一個星期過了, 但是都沒有好的
跡象, 應否給他擦小小痔瘡膏呢!!

Ans.: 應該不是痔瘡. (Very rare for his age!)
應該是"Anal tag" due to 硬大便.

(聲明: 應先向家庭醫生查詢是否適合及有否藥物敏感!)

私人傳訊

Dr.Yonex

大宅

積分: 2947

883^#

發表於 07-5-16 16:58 |只看該作者

Re: Doctors at St Teresa's

BBbian 寫道:
Dr.Yonex
Thank you very much for your kind answer.

But my BB is already 6month and 15days old.
is it safe if she eat another dose ?
Ans.: Yes, safe and should go for it asap.

but I still worried that國內的小兒痲痺糖圓不安全

Ans.: Understandable. How about bring him back to HK, or get an 5-in-1 from HK Dr, and ask the China-Dr. for the jab.

如果給bb食這個，我應該買些什么給bb食來增強抵抗力呢？
thanks lot

(聲明: 應先向家庭醫生查詢是否適合及有否藥物敏感!)

私人傳訊

ky205catho

別墅

積分: 527

884^#

發表於 07-5-16 17:02 |只看該作者

Re: To : Dr. Yonex, Thank you!

Dr.Yonex,

咁, 我可以怎樣做呢?
1) 唔理它?
2) 可以用什麼藥膏?
3) 還是仍用蘆薈gel??

多謝解答!!!

私人傳訊

manyeebb

男爵府

積分: 6557

好媽媽勳章

885^#

發表於 07-5-16 17:04 |只看該作者

Re: To : Dr. Yonex, Thank you!

Dr. Yonex,

我家p.son便秘已3個多月, 睇左4次醫生, 但每次都雖要用藥先去得好d, 肛門出血已習以為常, 每次便便都有, 呢幾次d血仲跟埋d便便出黎, 睇到佢咁我好心痛, p.son得15個月大, 某醫生叫我同佢轉返1號奶粉, 我已轉了1week, 但好像沒有多好轉, 飲多了水都一樣, 他的便便有時一粒粒, 有時一舊舊, 每2-3日先一次, 他已食好多水果, 果汁, 菜粥, 乳酪...但都沒有改善, 請問佢條腸會唔會有問題架???
仲有, 佢每次去親都出血, 會唔會引致痔瘡架??

私人傳訊

Dr.Yonex

大宅

積分: 2947

886^#

發表於 07-5-16 17:06 |只看該作者

Re: BB crying hourly at night

pfwongella 寫道:
Hi Dr. Yonex

1) My son was 1 year old, sometimes he sleeping condition is crying hourly, I check his body is normal, not hot or cold. I think maybe his 尿片 need to change, after change is better but 1 hour later he cry again, please kindly help.

2) Furthermore, I want to ask whether this age need to inject 肺炎鏈球菌針???

Tks a lot

Ans.:
1) Try to give him more security by having your pajama(with your smell) on his bed. And check the position of the bed whether there's light/sound of traffic through the windows. Besides, do not fulfil his "desire" to early, I mean hug, milk and pacifying by moving in your arms so enjoyably. Since he will continue asking for it every night as this is such a good return of the "cry".

2) Yes, two doses, 2 months apart.

(聲明: 應先向家庭醫生查詢是否適合及有否藥物敏感!)

私人傳訊

coco媽咪

大宅

積分: 2151

887^#

發表於 07-5-16 17:12 |只看該作者

Re: BB crying hourly at night

Dr.Yonex~
我今日打左電話去你介紹既兒科醫生到問,原來佢地都無『輪狀病毒』食

麻煩你仲有無第二個兒科醫生介紹呢

私人傳訊

Dr.Yonex

大宅

積分: 2947

888^#

發表於 07-5-16 17:13 |只看該作者

Re: To : Dr. Yonex, Thank you!

If it's due to constipation, we need to think about the diet, and use some lubrication for defication, such as Microlax tube. If you cannot manage, see ur doctor.

ky205catho 寫道:
Dr.Yonex,

咁, 我可以怎樣做呢?
1) 唔理它?
2) 可以用什麼藥膏?
3) 還是仍用蘆薈gel??

多謝解答!!!

(聲明: 應先向家庭醫生查詢是否適合及有否藥物敏感!)

私人傳訊

Dr.Yonex

大宅

積分: 2947

889^#

發表於 07-5-16 17:18 |只看該作者

Re: BB crying hourly at night

Oh~ Sorry. Check PM again

coco媽咪寫道:
Dr.Yonex~
我今日打左電話去你介紹既兒科醫生到問,原來佢地都無『輪狀病毒』食麻煩你仲有無第二個兒科醫生介紹呢

(聲明: 應先向家庭醫生查詢是否適合及有否藥物敏感!)

私人傳訊

Dr.Yonex

大宅

積分: 2947

890^#

發表於 07-5-16 17:26 |只看該作者

Re: To : Dr. Yonex, Thank you!

Ans.: Think about taking him to see Paed-surgeon, to rule out a disease called " Toxic Megacolon" , he may need more laxative to prevent continuous painful defecations.

manyeebb 寫道:
Dr. Yonex,

我家p.son便秘已3個多月, 睇左4次醫生, 但每次都雖要用藥先去得好d, 肛門出血已習以為常, 每次便便都有, 呢幾次d血仲跟埋d便便出黎, 睇到佢咁我好心痛, p.son得15個月大, 某醫生叫我同佢轉返1號奶粉, 我已轉了1week, 但好像沒有多好轉, 飲多了水都一樣, 他的便便有時一粒粒, 有時一舊舊, 每2-3日先一次, 他已食好多水果, 果汁, 菜粥, 乳酪...但都沒有改善, 請問佢條腸會唔會有問題架???
仲有, 佢每次去親都出血, 會唔會引致痔瘡架??

(聲明: 應先向家庭醫生查詢是否適合及有否藥物敏感!)

私人傳訊

Dr.Yonex

大宅

積分: 2947

891^#

發表於 07-5-16 17:34 |只看該作者

Re: To : Dr. Yonex, Thank you!

Try Faktu ointnment. It helps anal pathology other than hemorrhoid, too.

ky205catho 寫道:
Dr.Yonex,

咁, 我可以怎樣做呢?
1) 唔理它?
2) 可以用什麼藥膏?
3) 還是仍用蘆薈gel??

多謝解答!!!

(聲明: 應先向家庭醫生查詢是否適合及有否藥物敏感!)

私人傳訊

coco媽咪

大宅

積分: 2151

892^#

發表於 07-5-16 17:44 |只看該作者

Re: BB crying hourly at night

thank you x 1000

私人傳訊

manyeebb

男爵府

積分: 6557

好媽媽勳章

893^#

發表於 07-5-16 19:08 |只看該作者

Re: To : Dr. Yonex, Thank you!

唔好意思, 可唔可以用中文呀, 我睇唔明呀

Dr.Yonex 寫道:
Ans.: Think about taking him to see Paed-surgeon, to rule out a disease called " Toxic Megacolon" , he may need more laxative to prevent continuous painful defecations.

[quote]
manyeebb 寫道:
Dr. Yonex,

我家p.son便秘已3個多月, 睇左4次醫生, 但每次都雖要用藥先去得好d, 肛門出血已習以為常, 每次便便都有, 呢幾次d血仲跟埋d便便出黎, 睇到佢咁我好心痛, p.son得15個月大, 某醫生叫我同佢轉返1號奶粉, 我已轉了1week, 但好像沒有多好轉, 飲多了水都一樣, 他的便便有時一粒粒, 有時一舊舊, 每2-3日先一次, 他已食好多水果, 果汁, 菜粥, 乳酪...但都沒有改善, 請問佢條腸會唔會有問題架???
仲有, 佢每次去親都出血, 會唔會引致痔瘡架??

[/quote]

私人傳訊

MAYLOW

民房

積分: 20

894^#

發表於 07-5-16 19:13 |只看該作者

Re: To : Dr. Yonex

Hi Dr.Yonex,
我想問一下bb 係咪唔可以聞香薰油架,因為我想買些香薰油驅蚊, 其實是否真的有用, thanks!

私人傳訊

Dr.Yonex

大宅

積分: 2947

895^#

發表於 07-5-16 19:27 |只看該作者

Re: To : Dr. Yonex, Thank you!

Dr.Yonex 寫道:
Ans.:巧慮帶佢睇兒童外科 (Paed-surgeon), 有個病叫" Toxic Megacolon", 要做啲檢查才斷到症咖.
他可能要常用瀉藥來減少痛.

manyeebb 寫道:
Dr. Yonex,

我家p.son便秘已3個多月, 睇左4次醫生, 但每次都雖要用藥先去得好d, 肛門出血已習以為常, 每次便便都有, 呢幾次d血仲跟埋d便便出黎, 睇到佢咁我好心痛, p.son得15個月大, 某醫生叫我同佢轉返1號奶粉, 我已轉了1week, 但好像沒有多好轉, 飲多了水都一樣, 他的便便有時一粒粒, 有時一舊舊, 每2-3日先一次, 他已食好多水果, 果汁, 菜粥, 乳酪...但都沒有改善, 請問佢條腸會唔會有問題架???
仲有, 佢每次去親都出血, 會唔會引致痔瘡架??

[/quote][/quote]

(聲明: 應先向家庭醫生查詢是否適合及有否藥物敏感!)

私人傳訊

Dr.Yonex

大宅

積分: 2947

896^#

發表於 07-5-16 19:33 |只看該作者

Re: To : Dr. Yonex

OK咖~ 但不要太濃烈啦. 蚊帳都有用咖(睡覺)

MAYLOW 寫道:
Hi Dr.Yonex,
我想問一下bb 係咪唔可以聞香薰油架,因為我想買些香薰油驅蚊, 其實是否真的有用, thanks!

(聲明: 應先向家庭醫生查詢是否適合及有否藥物敏感!)

私人傳訊

heihei媽

子爵府

積分: 14243

897^#

發表於 07-5-16 19:36 |只看該作者

Re: To : Dr. Yonex

Dr. Yonex

小女腳趾有啲itchy 同想爛咁, 咁醫生開左呢隻cream, 想問下啱唔啱用, 同埋有無類固x架.

canesten 10g + hydrocortisone cream 10g

唔知亞女幾時先會叮一聲

私人傳訊

Dr.Yonex

大宅

積分: 2947

898^#

發表於 07-5-16 19:37 |只看該作者

Re: To : Dr. Yonex

Ans.: 啱, 有類固x.

heihei媽寫道:
Dr. Yonex

小女腳趾有啲itchy 同想爛咁, 咁醫生開左呢隻cream, 想問下啱唔啱用, 同埋有無類固x架.

canesten 10g + hydrocortisone cream 10g

(聲明: 應先向家庭醫生查詢是否適合及有否藥物敏感!)

私人傳訊

heihei媽

子爵府

積分: 14243

899^#

發表於 07-5-16 19:40 |只看該作者

Re: To : Dr. Yonex

dr yonex

咁要搽幾耐呀?????????

唔知亞女幾時先會叮一聲

私人傳訊

gym

洋房

積分: 501

900^#

發表於 07-5-16 20:02 |只看該作者

Re: To : Dr. Yonex, Thank you!

Dr Yonex, I refer to your earlier answer:
Ans.: to exam the nose, we shall have some clue of allergic rhinitis.

The paed did exam my son's nose (with the "pointed torch") before finalising the prescription. Do you mean this simple examination or something else? May I know what actually are the clues/observation for allergic rhinitis?

Thank you very much!