Appt wif Doc Aziz...

Lil Ranger with Doc. Aziz.

This is my gynae, Doc. Aziz...dialah yang menyambut kedatangan Lil Ranger ke dunia ni 4 years back...encem lagi doc nih eventho he's over 55. this pix was taken last Saturday during my check up.

Daddy Ranger not in town, so, me wif lil ranger and maktok pegila together-gether..now nak g memane kene at least ade another adult..if me n lil ranger 2 orang (kalau area dekat2 takpe lagi)..adehh...mane nak control dia lagi...nak itu..nak ini...dahla now i'm waddling since kepala baby dah engaged..dlm kete mase drive takpe lagi..sbb dia dok kat kusi dia tuh.. especially, mase anto dia g weekend school ..mak aih...nak stop sane la..nak tengok sini lar....mcm nak terberanak mummy dia control keadaan.

My apointment with Dr. Anand, Gastroenterologist...

Well, since last Friday my diarrhea getting worse until Sunday. Teruk sangat sampai takut nak pegi toilet gitu. Nak lepas angin pun takut..so, i called up Dr. Aziz yesterday and he referred me to Dr. Anand to check my condition.

Hmm...ni yang menyeramkan nih...dahla pregnant nak kene check itu ini..adehhh..nervous sampai xleh nak tido malam..yeee..memang saya ni penakut nak jumpe doctor. nak2 kalau nak kene amik darahla buat itu ini...sabar jeklah.

Met up with Dr. Anand and he said that i had an infection..so, need to do a blood test and also..ni yang aku tak sanggup nih....stool sample. My next appointment to see him is next Monday..ni yang lagi xleh nak tido malam nih..ape la agaknye result for both of my "offerings" tadi kehkehkeh..

Before the next appointment, i need to finish up Zinnat (antibiotik) since Lomotil not doing anything to stop my purging.

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Info on Zinnat

Main Use	Active Ingredient	Manufacturer
Bacterial infections	Cefuroxime axetil.	GlaxoSmithKline

How does it work?

Zinnat tablets and suspension contain the active ingredient cefuroxime, which is a type of medicine called an antibiotic. (NB. Cefuroxime is also available without a brand name, ie as the generic medicine.) Cefuroxime is a type of antibiotic called a cephalosporin. These antibiotics are related to penicillin. Cefuroxime is used to treat infections caused by bacteria.


Cefuroxime works by interfering with the ability of bacteria to form cell walls. The cell walls of bacteria are vital for their survival. They keep unwanted substances from entering their cells and stop the contents of their cells from leaking out. Cefuroxime impairs the bonds that hold the bacterial cell wall together. This allows holes to appear in the cell walls and kills the bacteria.


Cefuroxime is a broad-spectrum antibiotic that kills a wide variety of bacteria that cause a wide variety of commonly occuring infections. Cefuroxime is given by mouth to treat infections of the upper and lower airways, ears, nose and throat, and skin and soft tissue. It may also be used to treat urinary tract infections, certain sexually-transmitted infections, and Lyme disease.


To make sure the bacteria causing an infection are susceptible to cefuroxime your doctor may take a tissue sample, for example a swab from the throat or skin, or a urine or blood sample.

What is it used for?

• Bacterial infections of the lungs (chest or lower respiratory tract), eg acute bronchitis, pneumonia
  
  
• Bacterial infection of the nasal passages, sinuses or throat (upper respiratory tract infection), eg sinusitis, pharyngitis, laryngitis, tonsillitis
  
  
• Bacterial infections of the ear, eg otitis media
  
  
• Bacterial infections of the urinary tract, eg cystitis, inflammation of the urethra due to infection (urethritis), kidney infections (pyelonephritis)
  
  
• Gonorrhoea
  
  
• Inflammation of the cervix due to bacterial infection (cervicitis)
  
  
• Bacterial infections of the skin or soft tissue, eg boils, abscesses, impetigo
  
  
• Lyme disease

Warning!

• Unless your doctor tells you otherwise, it is important that you finish the prescribed course of this antibiotic medicine, even if you feel better or it seems the infection has cleared up. Stopping the course early increases the chance that the infection will come back and that the bacteria will grow resistant to the antibiotic.
  
  
• Broad-spectrum antibiotics can sometimes cause inflammation of the bowel (colitis). For this reason, if you get diarrhoea that becomes severe or persistent or contains blood or mucus, either during or after taking this medicine, you should consult your doctor immediately.
  
  
• Zinnat suspension contains aspartame, which is a source of phenylalanine, and so may be unsuitable for people with the inherited disorder of protein metabolism called phenylketonuria.
  
  
• Reconstituted bottles of Zinnat suspension should be stored in a refrigerator between 2 and 8°C and can be used for up to ten days.
  
  
  

Not to be used in

• Allergy to cephalosporin-type antibiotics.
  
  
• This medicine is not recommended for children under three months of age.
  
  

This medicine should not be used if you are allergic to one or any of its ingredients. Please inform your doctor or pharmacist if you have previously experienced such an allergy.

If you feel you have experienced an allergic reaction, stop using this medicine and inform your doctor or pharmacist immediately.

Pregnancy and breastfeeding


Certain medicines should not be used during pregnancy or breastfeeding. However, other medicines may be safely used in pregnancy or breastfeeding providing the benefits to the mother outweigh the risks to the unborn baby. Always inform your doctor if you are pregnant or planning a pregnancy, before using any medicine.

• This medicine is not known to be harmful when used by pregnant women, but as with all medicines, it should be used with caution during pregnancy and only when considered essential by your doctor, particularly during the first trimester. Seek medical advice from your doctor.
  
  
• This medicine passes into breast milk. It should be used with caution by breastfeeding mothers and only if the expected benefit to the mother is greater than any possible risk to the nursing infant. Seek medical advice from your doctor.
  
  

Label warnings

• Take this medication with or after food.
  
  
• Zinnat tablets should be swallowed whole, not chewed, broken or crushed.
  
  
• Take at regular intervals. Complete the prescribed course unless otherwise directed.
  
  

Side effects


Medicines and their possible side effects can affect individual people in different ways. The following are some of the side effects that are known to be associated with this medicine. Because a side effect is stated here, it does not mean that all people using this medicine will experience that or any side effect.

• Headache
  
  
• Diarrhoea
  
  
• Abdominal pain
  
  
• Nausea and vomiting
  
  
• Overgrowth of the yeast Candida with prolonged use (this may cause thrush infections)
  
  
• Temporary rise in liver enzymes
  
  
• Disturbances in the normal numbers of blood cells in the blood
  
  
• Allergic skin reactions
  
  
• Yellowing of the skin and eyes (jaundice)
  
  
• Inflammation of the kidneys (nephritis)
  
  
• An extreme allergic reaction (anaphylaxis)
  
  

The side effects listed above may not include all of the side effects reported by the drug's manufacturer.

For more information about any other possible risks associated with this medicine, please read the information provided with the medicine or consult your doctor or pharmacist.

Diarrhea during pregnancy

I've been having cases of diarrhea since i got back from Melbourne..and unfortunately, until now the stomach bug still refuse to go away...hmmm...sian baby mummy ..kurang iron n minerals. As a result, mummy terus dapat low blood..8.3 jek..betul2 kurang tuh. So, semalam konon2nye terkobar-kobar la nak masak for my breakfast n lunch. Pergi Giant after work beli itu ini...then, sampai rumah mandi n siap sedia nak amik Little Ranger kat umah Maktok. But...sampai jek rumah terus sume ingatan nak masak tu lenyap. Penat siot. Me and Little Ranger slept quite early last nite..around 10pm. Sabar jeklah. Nampaknya malam ni cuba lagi la yek..kehkehkehkeh..insha allah.

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Diarrhea During Pregnancy

Constipation is a common side effect of pregnancy. But what of diarrhea? No pregnant woman wants to suffer from diarrhea during pregnancy. Unfortunately many do. Diarrhea may result from a number of causes during pregnancy. The more common culprits include a lactose intolerance, dietary or hormonal changes or sensitivities to certain foods while pregnant.

Fortunately diarrhea during pregnancy is typically short lived and not something to cause concern. If however you experience diarrhea accompanied by severe nausea or vomiting, it is important you consult with your healthcare provider. You may need medical intervention to help prevent dehydration.

Diarrhea in Late Pregnancy
Many women report having diarrhea right before they start labor. This may be the body's way of preparing room for delivery. Diarrhea that is severe may also result from viruses or food poisoning. Some women find that sugar free candies or other artificial products can contribute to bowel problems in late pregnancy. If you find you suffer from chronic diarrhea during pregnancy you may want to re-evaluate your diet.

Some women suffer from diarrhea for a period of time only to suddenly develop watery diarrhea. While unpleasant, this is often the body's way of readjusting itself properly. Chronic constipation can result in a condition called fecal impaction, where the stool partially obstructs the bowels. Typically women experiencing this have other symptoms like nausea, vomiting or abdominal bloating. You may need to seek the advice of your caregiver if this is the case.

You can suspect food poisoning as the culprit if your diarrhea comes on suddenly and violently but clears up within a 24 hour time frame. Pregnant women are also more susceptible to stomach flu and related disorders during pregnancy.

Treating Diarrhea During Pregnancy
If you do come down with diarrhea during pregnancy you'll want to make sure you remain hydrated. Be sure to drink plenty of water or hydrating fluids like Gatorade. Bland foods that can help bind and resolve mild cases of diarrhea include rice, toast or bananas. Be careful you don't consume too much of these products however, as you might find yourself constipated in a few days.

If you ever experience diarrhea accompanied by pain or fever you should be sure to contact your healthcare provider immediately. The same is true if you notice that your stool contains mucous or blood in it. This is a sign that something more complicated is happening that may require treatment.

Preventing Diarrhea During Pregnancy
You can prevent constipation related diarrhea from impacted bowels by eating a diet that is well balanced and contains plenty of fiber. Many women find they are constipated during pregnancy in part because of their prenatal vitamins, which contain high levels of iron that is often binding.

Foods rich in fiber include fruits and vegetables. Some women find it helpful to drink prune juice or eat plenty of salads during pregnancy, which can help alleviate constipation during pregnancy. You should also be sure to drink plenty of water during pregnancy, which will help keep things regular and flowing. Constipation often results from dehydration or too little fluid intake during pregnancy. Be sure to watch your intake of caffeinated beverages including pop or coffee, which can contribute to dehydration. Eating foods high in fiber and drinking plenty of water will also help reduce any side effects of constipation, which may include hemorrhoids during pregnancy.

Low hemoglobin...gosh..

Yesterday, i went for my medical check up..nak masuk 7 bulan kenela ambik darah...Dr. Aziz cakap if there is nothing unusual about the result, he'll see me in a month's time. Tup..tup pagi nih pukul 9 Kak Midah called me up. My blood test result shows that i have low hemoglobin. Dr. Aziz suruh makan Pramilet twice a day since i kurang iron...huwaaaa..sabar jeklah. Kene makan byk green leafy veges/liver...ape lagi ekk...takpe nanti boleh google..

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Anemia and the Pregnant Woman

Iron deficiency occurs in 20% of pregnant women in developed countries. Even worse, 50% or more of women in nonindustrialized nations become iron deficient and between 30% and 50% are deficient in folic acid. Severe anemia is associated with a higher mortality rate among pregnant women. Mild to moderate anemia, however, does not pose any elevated risk.

Pregnancy increases the risk for anemia in different ways:

• Pregnancy increases the body's demand for folic acid and, therefore, poses a risk for deficiencies and an increased risk for megaloblastic anemia. Low levels of folate during pregnancy increase the risk of neural tube defects in newborns.
• Pregnancy also increases the demand for iron, thus posing a risk for iron deficiency anemia. Pregnant or nursing women require 30 mg of iron per day. Maternal iron deficiency anemia is associated with increased weight or size of the placenta, a condition that may pose a risk for later high blood pressure in the offspring. Pregnant women with low hemoglobin levels (the iron-bearing component in the blood) have an elevated risk for pre-term or low birth weight infants. (However, iron supplements do not appear to have any effect on these complications.)
• Pregnancy is also associated with fluid retention, which in turn may produce high volumes of plasma (the fluid component of blood). This can dilute red blood cells, which may lead to anemia.
• After delivery, heavy bleeding, which occurs in 5% to 10% of women who have given birth, can cause symptoms of anemia.

Diagnosing of Iron Deficiency During Pregnancy

A diagnosis of iron deficiency is problematic in pregnant women. The standard test is a measurement of ferritin levels, which are low in most people with iron deficiency. Pregnant women, however, may have high ferritin blood levels into their third trimester but still be iron deficient. A newer test that measures a factor called serum transferrin receptor may prove to be a useful way of diagnosing iron deficiency in women.

Preventing Anemia in Pregnant Women

Iron Supplements. For the past 40 years, iron supplements have been recommended for all pregnant women. This practice has been challenged recently, however. There is no clear-cut evidence that the mild iron deficiency in most pregnant women experience is harmful. In addition, iron supplement causes gastrointestinal side effects and may not be completely harmless. On the other hand, a 2003 study reported that women who took iron supplements had children with higher birth weights than those who received placebo. (Iron pills had no affect on anemia, however.)

Some experts suggest iron supplements for the following women:

• All pregnant women whose hemoglobin levels are less than 11 g/dl, and
• Pregnant women whose serum ferritin levels are low beginning in their 20th to 24th weeks of pregnancy.

Vitamin Supplements. Women who are trying to conceive, who are pregnant, and who are breastfeeding should take 400 mcg of folic acid a day. (They should be sure this is folic acid and not folate, which is the natural form -- but supplements at the same dose are half as potent.)

Pregnant and nursing women who are vegetarians should be sure to have supplements of folic acid and other B vitamins as well, since many of these nutrients are found primarily in animal products. Of particularly importance, vitamin B12 deficiencies during pregnancy can also produce anemia in both mother and child.

Diets Rich in Vitamin C. Eating foods rich in vitamin C can help absorb iron.

Treating Anemia During Pregnancy

Pregnant women who become anemic and require treatment may be given oral iron supplements or transfusions in severe cases. Intravenous iron sucrose is a newer form of IV iron and may be prove to be effective and safe for pregnant women with anemia.

Article from: http://adam.about.com/reports/000057_1.htm

week 23....

20 weeks check up....

Week 20: Congratulations, you now have a mini-baby!

Fetal development in pregnancy week 20:fetus in fifth month

This week you're carrying about 10.5 inches and 10.5 ounces of solid baby-miracle-goodness! Their little delicates bones continue to ossify and toughen while their itsy bitsy finger and toe pads are finishing up. Your little monkey now has teeth buds, although they’re hidden beneath the gum line. And finally! Their limbs have reached their relative proportions—no more alien baby! Their cute pink lips are more defined, and might be helping out in a bit of prenatal thumb-sucking. If you have a little boy, then their tiny testes are descending, though they have not yet passed the abdominal wall. What’s more, eyelashes and eyebrows are also visible. At this point, your little one really looks like a miniature baby—and we do mean miniature as your little swimmer currently weighs a mere eighth of their final birth weight. With half the pregnancy behind you, the most significant gains are yet to come!

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Last Saturday, we went to see Dr. Aziz for monthly check up. I only gained 1kg and total weight gain for 5 months is 2kg!! He's very concerned since i gain only 2kgs n my tummy is consider small for 5 mths. But alhamdullilah when he did the scan, the baby develop accordingly and now weigh 400grams and the head to toe measurement pun ok. Masa time pregnant with Little Ranger dulu tiap2 bulan pun naik..kehkehekh..sampai over gitu..takpa janji my lil princess sihat mental fizikal and cukup sifat.

opps did i say lil princess?? yes correct, 2x dr aziz scan and the result still the same. and he showed us the 2 lines indicating its a vagina. i dun mind actually gal or boy..janji semua selamat and sihat. amin. Pandai abang dia teka gender dalam perut mummy kan...