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Should I get dd1 referred to the pead <again>?

33 replies

SheSellsSeashellsByTheSeashore · 16/03/2009 10:55

We took dd1 to the doctors concrened about several problems she has. My doctor was less than supportive claiming he had never seen her before and that she had been to a and e and the gp's too many times for him to read all of her notes

He told us to write a letter outlining all of her concerns and he would refer it the pead.

Our concerns about her are;
She has had a poor appetite since by birth accompanied by poor weight gain and will go days without eating a thing.

She doesn't sleep, yet rarely seems tired. I put her to bed at 8pm and she is still awake at midnight when I go to bed, so god knows what time she sleeps.

She complains all the time of 'stinging' wee and often has dirroreah or constipation.

She is constantly ill. Probably due to not sleeping and not eating but it is starting to affect her schooling. Her illness inc coughs, cold, flu, high temps, rashes, dirroreah, sickness, lethargy. If anything is going around dd1 gets it to the extreme, she has just gotten over flu like symptoms with a temp of 39.8 degrees. All her friends had colds.

And the final thing is she complains about her feet and legs aching and 'paining', which she has seen the doctor about and he said they were growing pains, which they could be, but they could also be something else.

OP posts:
Are your children’s vaccines up to date?
Chellesgirl · 16/03/2009 12:17

I recon she may have diabetes, and the sickness etc... could be due to going 'hypo'.

"The main symptoms of diabetes are:

feeling very thirsty,
producing excessive amounts of urine,
tiredness, and
weight loss and muscle wasting (loss of muscle bulk).
Symptoms of type 1 diabetes can develop quickly, over weeks or even days. Other symptoms are:

itchiness around the vagina or penis or getting thrush regularly,
blurred vision (caused by the lens of your eye becoming very dry),
cramps,
constipation, and
skin infections.

Hypoglycaemia (low blood glucose)

If you have diabetes, your blood glucose levels can become very low. This is known as hypoglycaemia (or a 'hypo'), and happens because any insulin in your body has moved too much glucose out of your bloodstream.

In most cases, hypoglycaemia occurs if you take too much insulin, although it can happen if you skip a meal, exercise very vigorously or drink alcohol on an empty stomach.

Symptoms of a 'hypo' include:

feeling shaky and irritable,
sweating,
tingling lips,
feeling weak,
hunger, and
nausea (feeling sick).
A hypo can be brought under control simply by eating or drinking something sugary (see 'treatment'). If a hypo is not brought under control it can lead to confusion, slurred speech and unconsciousness.

If this occurs, you will need to have an emergency injection of a hormone called glucagon. This hormone will raise the level of glucose in your blood.

Hyperglycaemia (high blood glucose)

As diabetes occurs as a result of your body being unable to produce any, or enough, insulin to regulate your blood glucose level, your blood glucose levels may become very high. This happens because there is no insulin to move glucose out of your bloodstream and into your cells to produce energy.

If your blood glucose levels become too high, you may experience hyperglycaemia. The symptoms are similar to the main symptoms of diabetes, but they may come on suddenly and severely. They include:

extreme thirst,
a dry mouth,
blurred vision,
drowsiness, and
a frequent need to pass urine.
If left untreated, hyperglycaemia can lead to diabetic ketoacidosis, which can eventually cause unconsciousness and even death. Diabetic ketoacidosis occurs when your body begins to break down fats for energy instead of glucose, leading to a build-up of acids in your blood.

Seek urgent medical attention if you have diabetes and you develop:

a loss of appetite,
nausea or vomiting (feeling or being sick),
a high temperature,
stomach pain, or
a fruity smell on your breath, which may smell like pear drops or nail varnish."

Chellesgirl · 16/03/2009 12:21

true. If they didnt ask for the urine to be tested for glucose levels then they wouldnt know.

SheSellsSeashellsByTheSeashore · 16/03/2009 12:22

No her urine was only tested for infection as they thought she had cystitis. This was at the time when she having to sit in cold baths clutching your hands to urinate.

Diabetes does sound like a possibilty, I will make sure they test for that. She does drink a lot, it's just the tiredness that trips it up. She is never tired unless she is ill. But I guess like everything not every symptom will be present.

The others all add up.

OP posts:
tiggerlovestobounce · 16/03/2009 12:22

The standard dipstick does test for glucose.

Chellesgirl · 16/03/2009 12:30

tiggerlovestobounce "No her urine was only tested for infection as they thought she had cystitis."

shesells I would ask for that test to be done.

morningsun · 16/03/2009 12:36

tigger,in gps surgeries they don't always dipstick when sending off for mssu

SheSellsSeashellsByTheSeashore · 18/03/2009 12:15

Okay the letter is in at the gp's with a urine sample. Hopefully we will be listened to.

It would seem the school are concerned about her now. I don't always pick her up because I work, but they have been questioning how tired she has been this week. As I said earlier she is just getting over a fever and is not eating again.

They have sent a letter about a new school nurse that they have. Do you think it would be worth seeing her too?

I have not had much support from the school untill now. They seem to think that I just cannot be bothered to bring dd1 in and get all snotty with me when I tell them she is ill again.

OP posts:
Chellesgirl · 18/03/2009 12:44

Yeh speak to the nurse, she can refer you to someone too if you need.

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