l********n
发帖数: 4 | 1 不知道发到这里是否合适，这里有没有儿科医生啊？
【 以下文字转载自 NextGeneration 讨论区 】
发信人: lifegoeson (家有小子), 信区: NextGeneration
标 题: 请教：值得带宝宝回国看病吗？
发信站: BBS 未名空间站 (Wed Apr 9 02:26:39 2008)
不知道这里有没有JM带宝宝回国看过病。我们家有个大难题，JM们帮我看看吧。
我儿子早产两个月，出生时就小，喝奶一直又喝得不好，现在一岁了还没到20磅。他非
常容易吐，我们喂奶时都特别小心，常Ｅ泥茫雇炅耸疟鹇?0-40分钟，胆战心
惊的，但往往到最后他还是吐个一干二净，其实常常是吃的过程中或吃完5分钟之内就
吐了。看他吐的很可怜，常常会吐到干呕为止，我看着很心痛可也没什么办法。宝宝因
为难受，喝奶一向喝的不多，到现在一岁了，一天也喝不到30盎司，常常是26、7（辅
食很少，因为不吃）。这还是最近两个月才到这么多，以前常常一天都只能喝到20盎司
，甚至更少。带他去看了专科，医生说是REFLUX，开了药对抑吐有用，但奶量增加不多
，而且副作用似乎很大，就是抑制 |
s****i
发帖数: 2993 | 2 1 years old under 20 lb and you think it's big problem?
our daughter was about 15 lbs.
as long as he's healthy otherwise, there's no need to worry much.
disclaimer: I'm not a doctor and I don't think we have any
pediatricians here, good or bad. listening to his doctor is
much better than listening to any one here. |
c***u
发帖数: 5501 | 3 既然在这边没什么好办法，我觉得还是带回去看吧
老美的医生很多都是很蠢很美经验的，临床经验确实差得多。 有好医生，不过一般平
民百姓看不到也看不起。带回国内，找个大点医院看看吧。
祝福宝宝健康。
现在先换个奶粉牌子试试？
不知道发到这里是否合适，这里有没有儿科医生啊？
【 以下文字转载自 NextGeneration 讨论区 】
发信人: lifegoeson (家有小子), 信区: NextGeneration
标 题: 请教：值得带宝宝回国看病吗？
发信站: BBS 未名空间站 (Wed Apr 9 02:26:39 2008)
不知道这里有没有JM带宝宝回国看过病。我们家有个大难题，JM们帮我看看吧。
我儿子早产两个月，出生时就小，喝奶一直又喝得不好，现在一岁了还没到20磅。他非
常容易吐，我们喂奶时都特别小心，常Ｅ泥茫雇炅耸疟鹇?0-40分钟，胆
战心
惊的，但往往到最后他还是吐个一干二净，其实常常是吃的过程中或吃完5分钟之内就
吐了。看他吐的很可怜，常常会吐到干呕为止，我看着很心痛可也没什么办法。宝宝因
为难受，喝奶一向喝的不多，到现在一岁了，一天也喝不到
【在 l********n 的大作中提到】
: 不知道发到这里是否合适，这里有没有儿科医生啊？
: 【 以下文字转载自 NextGeneration 讨论区 】
: 发信人: lifegoeson (家有小子), 信区: NextGeneration
: 标 题: 请教：值得带宝宝回国看病吗？
: 发信站: BBS 未名空间站 (Wed Apr 9 02:26:39 2008)
: 不知道这里有没有JM带宝宝回国看过病。我们家有个大难题，JM们帮我看看吧。
: 我儿子早产两个月，出生时就小，喝奶一直又喝得不好，现在一岁了还没到20磅。他非
: 常容易吐，我们喂奶时都特别小心，常Ｅ泥茫雇炅耸疟鹇?0-40分钟，胆战心
: 惊的，但往往到最后他还是吐个一干二净，其实常常是吃的过程中或吃完5分钟之内就
: 吐了。看他吐的很可怜，常常会吐到干呕为止，我看着很心痛可也没什么办法。宝宝因
|
l********n
发帖数: 4 | 4 奶粉换过无数，现在吃的豆奶是能找到的唯一一种肯吃而且不是吃了狂吐的奶粉。
【在 c***u 的大作中提到】
: 既然在这边没什么好办法，我觉得还是带回去看吧
: 老美的医生很多都是很蠢很美经验的，临床经验确实差得多。 有好医生，不过一般平
: 民百姓看不到也看不起。带回国内，找个大点医院看看吧。
: 祝福宝宝健康。
: 现在先换个奶粉牌子试试？
:
: 不知道发到这里是否合适，这里有没有儿科医生啊？
: 【 以下文字转载自 NextGeneration 讨论区 】
: 发信人: lifegoeson (家有小子), 信区: NextGeneration
: 标 题: 请教：值得带宝宝回国看病吗？
|
gq
发帖数: 321 | 5 值得
胆战心
【在 l********n 的大作中提到】
: 不知道发到这里是否合适，这里有没有儿科医生啊？
: 【 以下文字转载自 NextGeneration 讨论区 】
: 发信人: lifegoeson (家有小子), 信区: NextGeneration
: 标 题: 请教：值得带宝宝回国看病吗？
: 发信站: BBS 未名空间站 (Wed Apr 9 02:26:39 2008)
: 不知道这里有没有JM带宝宝回国看过病。我们家有个大难题，JM们帮我看看吧。
: 我儿子早产两个月，出生时就小，喝奶一直又喝得不好，现在一岁了还没到20磅。他非
: 常容易吐，我们喂奶时都特别小心，常Ｅ泥茫雇炅耸疟鹇?0-40分钟，胆战心
: 惊的，但往往到最后他还是吐个一干二净，其实常常是吃的过程中或吃完5分钟之内就
: 吐了。看他吐的很可怜，常常会吐到干呕为止，我看着很心痛可也没什么办法。宝宝因
|
u*****d
发帖数: 1009 | 6 It's too hard to give an opinion on this. What you need is an experienced
pediatrician.
Btw, GERD (gastroesophageal reflux disease) is very common in little kids. I
used to make a lot of prevacid suspensions for children.
I don't know much about the pediatric growth curve. Where does your son fall
on the curve?
胆战心
【在 l********n 的大作中提到】
: 不知道发到这里是否合适，这里有没有儿科医生啊？
: 【 以下文字转载自 NextGeneration 讨论区 】
: 发信人: lifegoeson (家有小子), 信区: NextGeneration
: 标 题: 请教：值得带宝宝回国看病吗？
: 发信站: BBS 未名空间站 (Wed Apr 9 02:26:39 2008)
: 不知道这里有没有JM带宝宝回国看过病。我们家有个大难题，JM们帮我看看吧。
: 我儿子早产两个月，出生时就小，喝奶一直又喝得不好，现在一岁了还没到20磅。他非
: 常容易吐，我们喂奶时都特别小心，常Ｅ泥茫雇炅耸疟鹇?0-40分钟，胆战心
: 惊的，但往往到最后他还是吐个一干二净，其实常常是吃的过程中或吃完5分钟之内就
: 吐了。看他吐的很可怜，常常会吐到干呕为止，我看着很心痛可也没什么办法。宝宝因
|
l********n
发帖数: 4 | 7 My son tried Zantac and Prevacid. He still vomited on Zantac. Prevacid
seemed to help limit vomiting. But while he was on Prevacid for 4-5 weeks,
he didn't gain weight at all, although his milk intake was more and didn't
vomit. So we stopped Prevacid. After we stopped it, he started to gain
weight again although slowly because of the limited intake as well as the
vomiting.
He has never made onto the chart. Both his weight and length are far below 3
%.
I
fall
【在 u*****d 的大作中提到】
: It's too hard to give an opinion on this. What you need is an experienced
: pediatrician.
: Btw, GERD (gastroesophageal reflux disease) is very common in little kids. I
: used to make a lot of prevacid suspensions for children.
: I don't know much about the pediatric growth curve. Where does your son fall
: on the curve?
:
: 胆战心
|
s****i
发帖数: 2993 | 8
this is why all american are coming to chinese when they are sick? :) |
s****i
发帖数: 2993 | 9
poor people on welfare and can't afford a trip to china :) |
d*g
发帖数: 16592 | 10 人家说的是中国医生的临床强，怎么你就引申成中国的医疗水平了？
偶觉得中国大城市医生临床平均水平高于相同大小城市的美国医生。这没什么，因
为见的病例多。
而且在中国通过关系可能找到高于平均水平的医生看病，多花些钱也看得起。在美
国，大家的保险很难让偶们去挑一个什么水平的医生。
不要觉得这里什么都好，偶认得很多两面都做过大夫的，如果国内做的比较成功然
后过来考board当医生的，大多都不会把国内一概否定，反而觉得国内病人和医疗制
度其实很锻炼医生的技能。
牛，真牛！中国的医疗水平真好！ |
|
|
d*g
发帖数: 16592 | 11 这个最后一句到是，国内除了癌，无论什么毛病都说能治，这里比较客观些，大夫
会把各种治疗对比告诉病人，病人来选择，大夫最多提建议。
不过因为偶算和医沾边，家里医生也不少，偶觉得医生的水平还是要靠多看病例，
这边就差很多。这边的medical school是你只要刻苦努力天赋一般就可以做比较成
功的大夫了。国内比较成功的还是要有天赋的，而且因为有天赋，有上进心，看病
时候动脑子，很多长进很快。这边的大夫呢，背protocol的比较多，很多病例没见
过，虽然检测手段丰富，设备精良，不过还是不觉得那么有底。
还有就是在国内好歹能通过钱和关系看好大夫，这里有好大夫，偶也知道，但是很
难真的遇到。 |
c***u
发帖数: 5501 | 12 nod
在美国我们只是小屁叉，没人没钱，好医生找不着，容易被人糊弄。
到了国内花点钱找到好医生，经验足些。
人家说的是中国医生的临床强，怎么你就引申成中国的医疗水平了？
偶觉得中国大城市医生临床平均水平高于相同大小城市的美国医生。这没什么，因
为见的病例多。
而且在中国通过关系可能找到高于平均水平的医生看病，多花些钱也看得起。在美
国，大家的保险很难让偶们去挑一个什么水平的医生。
不要觉得这里什么都好，偶认得很多两面都做过大夫的，如果国内做的比较成功然
后过来考board当医生的，大多都不会把国内一概否定，反而觉得国内病人和医疗制
度其实很锻炼医生的技能。
牛，真牛！中国的医疗水平真好！
【在 d*g 的大作中提到】
: 人家说的是中国医生的临床强，怎么你就引申成中国的医疗水平了？
: 偶觉得中国大城市医生临床平均水平高于相同大小城市的美国医生。这没什么，因
: 为见的病例多。
: 而且在中国通过关系可能找到高于平均水平的医生看病，多花些钱也看得起。在美
: 国，大家的保险很难让偶们去挑一个什么水平的医生。
: 不要觉得这里什么都好，偶认得很多两面都做过大夫的，如果国内做的比较成功然
: 后过来考board当医生的，大多都不会把国内一概否定，反而觉得国内病人和医疗制
: 度其实很锻炼医生的技能。
:
: 牛，真牛！中国的医疗水平真好！
|
s****i
发帖数: 2993 | 13
that's why in many area china is systematically lagging behind.
all advanced technologies require establishing protocols and procedures.
while chinese culture always make people believe in some genius who
know next to God.
【在 d*g 的大作中提到】
: 这个最后一句到是，国内除了癌，无论什么毛病都说能治，这里比较客观些，大夫
: 会把各种治疗对比告诉病人，病人来选择，大夫最多提建议。
: 不过因为偶算和医沾边，家里医生也不少，偶觉得医生的水平还是要靠多看病例，
: 这边就差很多。这边的medical school是你只要刻苦努力天赋一般就可以做比较成
: 功的大夫了。国内比较成功的还是要有天赋的，而且因为有天赋，有上进心，看病
: 时候动脑子，很多长进很快。这边的大夫呢，背protocol的比较多，很多病例没见
: 过，虽然检测手段丰富，设备精良，不过还是不觉得那么有底。
: 还有就是在国内好歹能通过钱和关系看好大夫，这里有好大夫，偶也知道，但是很
: 难真的遇到。
|
d*g
发帖数: 16592 | 14 真的不这么觉得,建议你读读一本小书:
现代物理学与东方神秘主义
和医学部太有关,是一个人类认知世界的世界观的书.
【在 s****i 的大作中提到】
:
: that's why in many area china is systematically lagging behind.
: all advanced technologies require establishing protocols and procedures.
: while chinese culture always make people believe in some genius who
: know next to God.
|
u*****d
发帖数: 1009 | 15 I just had a 2-hour lecture on GERD in pediatric patients this morning. I
will organize all my notes and give you some information on treatment
options.
3
【在 l********n 的大作中提到】
: My son tried Zantac and Prevacid. He still vomited on Zantac. Prevacid
: seemed to help limit vomiting. But while he was on Prevacid for 4-5 weeks,
: he didn't gain weight at all, although his milk intake was more and didn't
: vomit. So we stopped Prevacid. After we stopped it, he started to gain
: weight again although slowly because of the limited intake as well as the
: vomiting.
: He has never made onto the chart. Both his weight and length are far below 3
: %.
:
: I
|
u*****d
发帖数: 1009 | 16 I can only provide some pharmacologic and non-pharmacologic treatment
options for 楼主。Other than that, there's not much I can do. No one can
diagnose a disease over the internet, and diagnosis is not within my scope
of practice. |
l********n
发帖数: 4 | 17 unnamed, thanks so much in advance for your input. The GI specialists we saw
did diagnose it to be GERD by listening to my description of the symtoms. No procedure was done such as upper GI study or ultrasound.
I am frustrated because they can't provide more constructive treatment
proposals other than what I have already known and that have been proven to be ineffective, including changing to hypoallergenic formula, burping frequently and
medication (zantac and prevacid). I am hoping there are s
【在 u*****d 的大作中提到】
: I can only provide some pharmacologic and non-pharmacologic treatment
: options for 楼主。Other than that, there's not much I can do. No one can
: diagnose a disease over the internet, and diagnosis is not within my scope
: of practice.
|
u*****d
发帖数: 1009 | 18 Here's some information:
First of all, there's some esophageal tests that can be done to confirm the
presence of GERD. pH monitoring is one example and is usually done during
treatment when there's poor response. I don't know whether you can request
your pediatriatrian to at least administer a test to rule our other possible
causes.
Some non-pharmacological strategies include dietary changes and positioning
of the child:
Dietary changes: try not to feed in a completely supine position, make sure
【在 l********n 的大作中提到】
: unnamed, thanks so much in advance for your input. The GI specialists we saw
: did diagnose it to be GERD by listening to my description of the symtoms. No procedure was done such as upper GI study or ultrasound.
: I am frustrated because they can't provide more constructive treatment
: proposals other than what I have already known and that have been proven to be ineffective, including changing to hypoallergenic formula, burping frequently and
: medication (zantac and prevacid). I am hoping there are s
|
u*****d
发帖数: 1009 | 19 As far as medications used, you mentioned your son has tried both zantac and
prevacid, which are the most commonly used drugs for GERD in kids. Another
option is metoclopramide (Reglan), but it's not labeled in ped. patients of
any age, so its place in therapy is really reserved for pediatric patients
with stomach motility problems. It can, however, be combined with zantac or
prevacid in treatment.
Erythromycin can also be used to increase gastric motility, but there's a
lot of stomach side effe
【在 u*****d 的大作中提到】
: Here's some information:
: First of all, there's some esophageal tests that can be done to confirm the
: presence of GERD. pH monitoring is one example and is usually done during
: treatment when there's poor response. I don't know whether you can request
: your pediatriatrian to at least administer a test to rule our other possible
: causes.
: Some non-pharmacological strategies include dietary changes and positioning
: of the child:
: Dietary changes: try not to feed in a completely supine position, make sure
|
