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

From: Amy (anonymous@obgyn.net)
Tue, 20 Jun 2000 21:07:41 -0500 (CDT)


I do feel dehydrated and I know that the last time I got rehydrated I felt a lot better. What I would like to see happen is for them to rehydrate me then for me to try a new anti-nausea med. (It seems silly for me to take anti nausea meds when being dehydrated aggravates the nausea and prevents the medicine from working.) My doc told me is won't consider me dehydrated until my tounge and eyes are dry and I void less than 3 times a day. My question still is: What are the risks of having large ketones in my urine for the baby? Would it be unreasonable for me to ask for rehydration? How long do doctors let a problem like this go before they do something or is there nothing they can do?

I felt horrible after I left the doctor's office today. I dealt with 3 years of infertility before this miraculous occurance and now I feel like I'm failing because I can't even take care of my baby inutero. I am 25 weeks pregnant and at my wits end. I so desperately want a healthy baby, but feel like my chances diminsh every day I spend throwing up.

At Tue, 20 Jun 2000, Claudia Twisdale RN wrote: >
>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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