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Re: Ketones in urine (Docs what do you think?)

From: Claudia Twisdale RN (anonymous@obgyn.net)
Tue, 20 Jun 2000 13:02:02 -0500 (CDT)

The problem here is that plain and simple you are dehydrated! I do not understand with that much protein and ketones MD did not opt for a bag or 2 of IV fluid. Perhaps Docs here have other med ideas, as I said before, I have been in your shoes, did all typical nausea meds, none worked, 13 lb wt loss in 10 days... 6 days in hospital, 3 different meds, finally thorazine did some good, but need to get it under control, probably IM (shots) and get you hydrated. I think if you could get hydrated, it would help alot. Why MD not suggest some IV fluid??

At Tue, 20 Jun 2000, Amy wrote: >
>I've posted before about the problems I've been having with nausea and
>vomiting and your insights have been very helpful. Thank you. I went
>to my MFM doc today and tested positive for protein and large ketones in
>my urine although I haven't lost any weight over the last week. I left
>his office feeling extremely frustrated. None of the meds are working
>and he essentially told me that my inability to keep foods down (I vomit
>20+ times a day) is posing a tremendous risk to my baby, but he had no
>solutions for me other than to try to eat and to try the new medicine
>(Zofran, which is more than $25/pill. We don't have prescription
>insurance and I have no idea how I am going to afford it--I can't). I
>have to see him every week now, even though they can never do anything
>for me when I'm there, except tell me to hang in there. Here are my
>questions:
>1. What's a normal course of treatment for someone like me? 2. What
>are the risks to the baby of having ketones in my urine?
>3. How long do they let a problem like this go without doing something
>about it or isn't there anything they can do?

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