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Transcripts

Following are the transcripts of the chat with Dr. Aabha Nagral held on
Aug 1, 2000 at 1400 hrs IST.

Dr Aabha Nagral Good Afternoon, Hello! Anyone out there?
Rani Doctor tell us about Hepatitis A vaccine. Should we give it or not?
Dr Aabha Nagral Hepatitis A vaccine may be given in early childhood though it is not recommended as a compulsory vaccine. This is because; most individuals in India would be naturally exposed to the virus and be protected from it by the age of 15 yrs.
Smita Hi! My child is 6 months old  has constipation. Doctor says Liver is weak. True?
Dr Aabha Nagral No! The liver does not directly control bowel movement. Constipation is more often seen due to deficiency of fibre in diet and lack of fluid and water intake
Smita Doctor, Can you recommend something beside figs?
Dr Aabha Nagral Papaya and guava do wonders for the bowel movement. Also increase green leafy vegetables and raisins.
Priya Can vaccine be given if the child has slight illness?
Dr Aabha Nagral Which vaccine?
Priya Hepatitis B second dose
Dr Aabha Nagral Mild cough and cold - you can give the vaccine. Avoid if Fever is present
Harsha Doctor 3 doses of Hepatitis B vaccine protect for life?
Dr Aabha Nagral It is not yet definitely proven. You may give a booster dose every 5 yrs. People with lower immunity require more booster doses
Sonia Kachroo Doctor my son 8 yrs old had jaundice 6 months ago. We didn't do any test then. Is it required now to see if he is fully all right?.
Dr Aabha Nagral You may get a liver profile done. He most probably had an attack of acute Hepatitis A. If these tests are normal you need not do anything further.
Sonia Kachroo Can I give him non-veg item?
Dr Aabha Nagral Yes Sonia you can
Sandhya What prevention is available for hepatitis right now?.
Dr Aabha Nagral Sandhya there are 5 types of Hepatitis viruses A-E. The vaccines are available for A and B. A and E type can be prevented by avoiding eating outside and drinking sugarcane juice. Give boiled water as far as possible. Infected needles spread the other viruses. A Hepatitis B Positive child can transmit the infection to other children in the family through saliva. So mouthing of toys should be avoided. Hepatitis B can be transmitted sexually - use condoms. Positive pregnant women should vaccinate child at birth..
Sandhya But vaccines are available only for A&B What about the rest?
Dr Aabha Nagral Sandhya, In C same precautions as B. No specific vaccine
Priya If a child has fever for a day, we give crocin drops after consulting the doctor next day there is no fever, third day it appears again. Is there any cause for concern?
Dr Aabha Nagral Priya, intermittent fever may occur in malaria. If it persists confirm with blood test.
Ajitha Doctor Keral banana is hefty. Can I give it in jaundice?
Dr Aabha Nagral Give whatever the child likes in food and tolerates.
Deepa My son has amebic liver. What is it?
Dr Aabha Nagral Hi Deepa. Is there an abscess in the liver? If so, it is caused by a parasite called E-Histolytica, which is spread by contaminated food and water.


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