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Considering that it could be left- sided colitis, which may be responsible for the abdominal cramping and bloody stools, it is life threatening and should be paid immediate attention. 3. Vomiting is quite a common reflex especially in infants because they tend to drink too much, especially when feeding from a baby bottle. However, I would find out if the parent was burping the child now and then during feeds. In some cases it could be a serious acid reflux or a hinal hernia (flap of tissue) that is a hindrance in swallowing which may be the cause for vomiting and hence not gaining weight.
In this case I would ask the parent to make an appointment to check with the physician. 4. The child could be suffering from a respiratory distress syndrome which could permanently damage the lungs if not seen to immediately. The fever and cough would serve to aggravate the situation making it worse. Since the physician has left, I would refer her to another physician who is available and ask her to attend to the problem immediately. 5. Considering three children have been reported by the mother for having the same symptoms like fatigue, headache and pain in the joints, muscle and stomach, I would enquire about the kind of food they are fed and the amount of sleep they get.. These symptoms cover a broad range of disease and only when they are thoroughly examined by a physician, can the real nature of their condition be understood.
In this case I would ask her to make an appointment with the physician. 1. Excessive thirst or urination in males clearly shows that it is a hormonal imbalance. Such a condition occurs in the Endocrine system and needs to be attended to at the earliest. I would fix an appointment at the earliest for this patient. 2. Swelling in the neck with difficulty in swallowing could be due to the accumulation of fluid in the tissues of the neck. It is also common for the swelling of the lymph nodes brought about by viral or
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