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Re: Help! Urgent!//Bill

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Bill,

Thanks for suggestion about reflux, but what is it?

And when you say treat it by other means, what are the

" other means " ?

Alice is eating and drinking again. She still has

some temperature. She sweats a lot during her

sleep--there are sweat on her nose, her hair is wet,

and T-shirt is wet, which is unusual. She did a blood

test last Friday, her dr told us it was usual. Now I

am guessing maybe it is a bacteria infection... We

don't know if the fever changed her metabolic rate or

other, her Dilantin level dropped from 16 last month

to 7, which might be the reason why the seizures are

going on like crazy. We did increase her calorie by

25cal, and added Carnitine since her level was " very

low " .

Any thoughts?

--- Bill Barber torontobarber@...> wrote:

> With a 4:1 ratio, red throat and refusing food and

> water, it sounds like

> it could be reflux, very common on the diet. It

> should be treated as it

> can be very painful and cause a lot of unnecessary

> misery. You don't

> have to use medications, but treat by other means.

>

> Bill

>

> Quan Tang wrote:

> > Thanks you for your concern and thoughts about my

> > little Alice. She had a fall this morning, quite

> like

> > a drop one, so we went in to see her neuro. Thank

> > goodness, her blood work is normal--I don't know

> what

> > they checked. Her throat is kind of red, so may

> be a

> > throat infection, which explained why she refused

> food

> > and water, I hope. And for the fall, we will just

> > keep an close eye on her. The good thing was

> after

> > the strggling for getting blood work and seeing

> her

> > neuro, Alice got very exhausted. After a long

> nap,

> > she started to eat and drink again. It may just be

> > some hospital magic. Alice usually gets well

> after

> > seeing her docter, having a good cry. I am so

> > relieved, and hope the trend will continue to be

> good.

> >

> >

> > She is on 4.1:1 ratio, 875cal. We will reduce it

> to

> > 4:1 to lower the ketosis. And if she drinks well,

> I

> > am sure her stick will not look that terrible

> dark.

> >

> > Thanks,

> >

> >

> >

> > __________________________________________________

> >

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For someone on a normal diet, reflux occurs if too much food and drink

are ingested and then the person lies down. Some of that food and drink

plus stomach acid comes back up the throat. It burns and is very

uncomfortable. For someone on the ketogenic diet, the high amount of

fat, even though the quantities are small can have the same result of

coming back up with stomach acid.

By other means, I mean having more, smaller meals, using milk of

magnesia, upping water intake, giving soda water at the end of the meal,

raising the head of the bed 4 to 6 inches, keeping the child upright for

a while after meals, etc. If it is very bad and includes vomiting, you

might have to reduce the ratio for some time. Hopefully after the body

adjusts to the the high fat content, the reflux will gradually

disappear. I mean other than using medications to counter reflux.

My thoughts are that there are more questions than answers on the diet.

You try something and see if it makes things better or worse. You

increased calories and added Carnitine. One or the other or both made

things worse. You are using medications. They can interfere with the

diet. They could be making things worse. Sorry I can't help you more.

Bill

Quan Tang wrote:

> Bill,

>

> Thanks for suggestion about reflux, but what is it?

> And when you say treat it by other means, what are the

> " other means " ?

>

> Alice is eating and drinking again. She still has

> some temperature. She sweats a lot during her

> sleep--there are sweat on her nose, her hair is wet,

> and T-shirt is wet, which is unusual. She did a blood

> test last Friday, her dr told us it was usual. Now I

> am guessing maybe it is a bacteria infection... We

> don't know if the fever changed her metabolic rate or

> other, her Dilantin level dropped from 16 last month

> to 7, which might be the reason why the seizures are

> going on like crazy. We did increase her calorie by

> 25cal, and added Carnitine since her level was " very

> low " .

>

> Any thoughts?

>

>

> --- Bill Barber torontobarber@...> wrote:

>

>

>>With a 4:1 ratio, red throat and refusing food and

>>water, it sounds like

>>it could be reflux, very common on the diet. It

>>should be treated as it

>>can be very painful and cause a lot of unnecessary

>>misery. You don't

>>have to use medications, but treat by other means.

>>

>>Bill

>>

>>Quan Tang wrote:

>>

>>>Thanks you for your concern and thoughts about my

>>>little Alice. She had a fall this morning, quite

>>

>>like

>>

>>>a drop one, so we went in to see her neuro. Thank

>>>goodness, her blood work is normal--I don't know

>>

>>what

>>

>>>they checked. Her throat is kind of red, so may

>>

>>be a

>>

>>>throat infection, which explained why she refused

>>

>>food

>>

>>>and water, I hope. And for the fall, we will just

>>>keep an close eye on her. The good thing was

>>

>>after

>>

>>>the strggling for getting blood work and seeing

>>

>>her

>>

>>>neuro, Alice got very exhausted. After a long

>>

>>nap,

>>

>>>she started to eat and drink again. It may just be

>>>some hospital magic. Alice usually gets well

>>

>>after

>>

>>>seeing her docter, having a good cry. I am so

>>>relieved, and hope the trend will continue to be

>>

>>good.

>>

>>> She is on 4.1:1 ratio, 875cal. We will reduce it

>>

>>to

>>

>>>4:1 to lower the ketosis. And if she drinks well,

>>

>>I

>>

>>>am sure her stick will not look that terrible

>>

>>dark.

>>

>>>Thanks,

>>>

>>>

>>>

>>>__________________________________________________

>>>

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