kos_mom Posted November 7, 2012 Report Posted November 7, 2012 On 8/27 DD tested for myco P. Results: IGG 3.88, IGM 339 Dr. T said recent infection probably winding down, but could be going up. On 9/14 Dr. L ordered new IGM: 372. (No IGG ordered.) Just got last result today. Looks like Myco P was going up, not down. DD on clindamycin, which I understand is not effective for myco P. Should I be trying to get another abx? She had IVIG two weeks ago. DD has occasional cough and persistent nausea and vomiting--perhaps myco P related? Was in hospital with her all last week and noted normal size pupils. Today they look dilated. Perhaps making too much of this...but would appreciate insights.
EmilyK Posted November 10, 2012 Report Posted November 10, 2012 On 8/27 DD tested for myco P. Results: IGG 3.88, IGM 339 Dr. T said recent infection probably winding down, but could be going up. On 9/14 Dr. L ordered new IGM: 372. (No IGG ordered.) Just got last result today. Looks like Myco P was going up, not down. DD on clindamycin, which I understand is not effective for myco P. Should I be trying to get another abx? She had IVIG two weeks ago. DD has occasional cough and persistent nausea and vomiting--perhaps myco P related? Was in hospital with her all last week and noted normal size pupils. Today they look dilated. Perhaps making too much of this...but would appreciate insights. Can you get Biaxin, Doxy, or zithromycin?
kos_mom Posted November 10, 2012 Author Report Posted November 10, 2012 Emily, Thanks for the response. I think I can get these one way or another. The question to me is do these numbers call out for immediately dosing with abx, or for rerunning the IGG and IGM (either before rx'ing abx or for monitoring purposes), or am I over-reacting? Thanks, Ko's Mom
EmilyK Posted November 10, 2012 Report Posted November 10, 2012 I'm not sure. Our IGGs were higher (between 5 and 10) but our IGMs were lower; and we all were treated. Since it's been several weeks, maybe check levels again?
kos_mom Posted November 10, 2012 Author Report Posted November 10, 2012 (edited) Emily, Confirming my intuition--time to get retested. Thanks. Ko's mom Edited November 10, 2012 by ko's mom
minimaxwell Posted November 17, 2012 Report Posted November 17, 2012 Just curious, who wrote the Clinda for MycoP?
kos_mom Posted November 17, 2012 Author Report Posted November 17, 2012 Clindamycin was for strep (ASO was 660)--originally prescribed by ENT Dr. H in early August, and continued by Dr. T and Dr. L. DD frequently has low grade fever (between 99 and 100) in addition to ongoing nausea and vomiting. Last night woke me at 4 with itchy rash on back.
philamom Posted November 17, 2012 Report Posted November 17, 2012 Clindamycin was for strep (ASO was 660)--originally prescribed by ENT Dr. H in early August, and continued by Dr. T and Dr. L. DD frequently has low grade fever (between 99 and 100) in addition to ongoing nausea and vomiting. Last night woke me at 4 with itchy rash on back. ko's mom- may I ask what you use for the nausea?
kos_mom Posted November 17, 2012 Author Report Posted November 17, 2012 She is now taking Zofran. She's had the nausea/vomiting for months and was initially told to take pepcid, which didn't help, then Prilosec, which also didn't help. She ended up in the hospital with a blood infection and the nausea and vomiting became problematic for releasing her (as she might end up throwing up maintenance meds for infection). They gave her IV Zofran in the hospital and let her go home with a scrip for oral. It's pretty effective, but we need to figure this out or at least find a new source as the hospital prescription is not refillable.
philamom Posted November 17, 2012 Report Posted November 17, 2012 She is now taking Zofran. She's had the nausea/vomiting for months and was initially told to take pepcid, which didn't help, then Prilosec, which also didn't help. She ended up in the hospital with a blood infection and the nausea and vomiting became problematic for releasing her (as she might end up throwing up maintenance meds for infection). They gave her IV Zofran in the hospital and let her go home with a scrip for oral. It's pretty effective, but we need to figure this out or at least find a new source as the hospital prescription is not refillable. Thanks. Do you give the zofran daily? I am looking for alternatives as well. I've been giving nux vomica by Bioron when nausea is not as bad.
kos_mom Posted November 17, 2012 Author Report Posted November 17, 2012 The scrip is for as needed up to 3 times a day. Often DD takes it as soon as she gets up. Are you concerned about the strychnine in nux vomica?
philamom Posted November 17, 2012 Report Posted November 17, 2012 The scrip is for as needed up to 3 times a day. Often DD takes it as soon as she gets up. Are you concerned about the strychnine in nux vomica? Wow. I am now that I googled it - thx.
philamom Posted November 17, 2012 Report Posted November 17, 2012 How about Emetrol? Saw it at Rite Aid last week - didn't purchase it though.
kos_mom Posted November 17, 2012 Author Report Posted November 17, 2012 Emetrol sounds pretty safe. I know my DD has bought something at the CVS--perhaps it is that. I'd try ti before going on to Zofran--I suspect this is a prescription doctors give out only reluctantly.
philamom Posted November 17, 2012 Report Posted November 17, 2012 Emetrol sounds pretty safe. I know my DD has bought something at the CVS--perhaps it is that. I'd try ti before going on to Zofran--I suspect this is a prescription doctors give out only reluctantly. We're already using zofran. I try to use it sparingly.
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