G6PD Deficiency, A Simple Guide To The Condition, Treatment And Related Conditions
By Kenneth Kee
3.5/5
()
About this ebook
G6PD is an enzyme glucose-6-phosphate dehydrogenase
Lack of this enzyme can cause the red blood cells to hemolyze
G6PD Deficiency major which is a serious illness
Loss of blood may cause hemolytic anemia sickness
G6PD Deficiency is an inherited sex linked disease
Male patients are more common than female and not related to age
Red blood cells may burst when certain food, herbs or medicines are taken.
Medicines such as anti-malaria drugs and certain food such as fava beans
It is a lifelong disease and there is no cure for it
Symptoms may be due to anemia such as fatigue
There is pallor, mild jaundice and dark colored urine
There may shortness of breath or fast breathing
Prevention of G6PD Deficiency is as important as treatment.
Folic acid is use for G6PD deficient patient supplement
Diagnosis of G6PD Deficiency is check the G6PD enzyme level
Avoid triggers such as five beans, sulphonamides and antimalarials
-An original poem by Kenneth Kee
G6PD Deficiency
The reason why I have wrote about G6PD deficiency is because I have a patient about 30 years ago.
He was only 3 years old when he started vomiting in the evening and began to pass dark tea colored urine which becomes redder as the night passed.
The parents called me early in the morning because of his condition.
I quickly made an appointment for him to see Prof. Wong Hock Boon who was the expert on G6PD deficiency and was the one who introduce screening of babies through their placental blood for G6PD deficiency in 1970.
The child was confirmed as G6PD deficient through a blood test which was examined by Prof. Wong himself.
The mother was found to be a carrier of the G6PD gene.
The 2 older sisters and father were found to be all normal.
Due to his low hemoglobin of 4 (normal is 13.5 to 17.5), he was admitted and given 2 packets of blood transfusion .
Within one day he recovered and was kept in the hospital for another 2 days until his hemoglobin was more than 10mg%.
He was given a list of drugs, herbs and fava beans and moth balls to avoid.
In fact the trigger in his case was fava beans given to him to eat by his older sisters.
The problem was that his obstetrician had received a report from his pediatrician that his G6PD was normal.
The mystery was solved when the obstetrician managed to find the original laboratory report which showed that his blood showed G6PD deficiency.
The pediatrician was called up by the obstetrician to explain why he wrote that the child was G6PD normal when the result very clearly showed that the child was confirmed to be G6PD deficient.
The pediatrician was made to apologise to the parents of the child.
It was all the carelessness of the pediatrician which did not check the laboratory report and told the obstetrician that the child was G6PD normal.
It is one of the most dangerous medical error done by a doctor because the parents thought that their son was normal and that led to his hemolytic anemia.
Luckily for the pediatrician the parents did not sue him.
G6PD Deficiency is an inherited disorder of the Red blood cells which has a lack of the G6PD enzyme.
This causes the red blood cells to burst in certain circumstances when certain food, herbs or medicines are taken.
Kenneth Kee
Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"
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G6PD Deficiency, A Simple Guide To The Condition, Treatment And Related Conditions - Kenneth Kee
G6PD
Deficiency,
A
Simple
Guide
To
The Condition,
Treatment
And
Related Conditions
By
Dr Kenneth Kee
M.B.,B.S. (Singapore)
Ph.D (Healthcare Administration)
Copyright Kenneth Kee 2015 Smashwords Edition
Published By Kenneth Kee at Smashwords.com
Dedication
This book is dedicated
To my wife Dorothy
And my children
Carolyn, Grace
And Kelvin
This book describes the G6PD Deficiency, Treatment and Associated Diseases or in vernacular terms
(What You Need to Treat and Cope with G6PD Deficiency)
This eBook is licensed for the personal enjoyment only. This eBook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader.
If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.
Thank you for respecting the hard work of this author.
Introduction
Ode To G6PD Deficiency
G6PD is an enzyme glucose-6-phosphate dehydrogenase
Lack of this enzyme can cause the red blood cells to hemolyse
G6PD Deficiency major which is a serious illness
Loss of blood may cause hemolytic anemia sickness
G6PD Deficiency is an inherited sex linked disease
Male patients are more common than female and not related to age
Red blood cells may burst when certain food, herbs or medicines are taken.
Medicines such as anti-malaria drugs and certain food such as fava beans
It is a lifelong disease and there is no cure for it
Symptoms may be due to anemia suc as fatigue
There is pallor, mild jaundice and dark colored urine
There may shortness of breath or fast breathing
Prevention of G6PD Deficiency is as important as treatment.
Folic acid is use for G6PD deficient patient supplement
Diagnosis of G6PD Deficiency is check the G6PD enzyme level
Avoid triggers such as five beans, sulphonamides and antimalarials
-An original poem by Kenneth Kee
Interesting Tips about the G6PD Deficiency
A Healthy Lifestyle
1. Take a well Balanced Diet
2. The goal of G6PD Deficiency treatment is the prevention of hemolytic anemia.
Therefore prevention of G6PD Deficiency is as important as treatment.
G6PD Deficiency treatment and prevention measures are:
a. Medicines to treat an infection, if present
b. Stopping any drugs that are causing red blood cell destruction
c. Transfusions in some cases
d. Treatment for shock
e. Rest
f. Adequate fluids
g. Good nutrition to replace blood
3. Keep bones and body strong
Bone marrow produces our blood
Eat foods rich in calcium like yogurt, cheese, milk, and dark green vegetables.
Eat foods rich in Vitamin D, like eggs, fatty fish, cereal, and fortified milk.
Eat food rich in Vitamins B and C such as green vegetables and fruits
Zinc and other minerals are important to the body
4. Get enough rest and Sleep
Avoid stress and tension
5. Exercise and stay active.
It is best to do weight-bearing exercise such as walking, jogging, stair climbing, dancing, or lifting weights for 2½ hours a week.
One way to do this is to be active 30 minutes a day at least 5 days a week.
Begin slowly especially if a person has not been active.
6. Do not drink more than 2 alcohol drinks a day for a man or 1 alcohol drink a day for a woman.
Alcohol use also increases the chance of falling and breaking a bone.
Alcohol can affect the neurons and brain cells.
7. Stop or do not begin smoking.
It also interferes with blood supply and healing.
Chapter 1
G6PD Deficiency
The reason why I have wrote about G6PD deficiency is because I have a patient about 30 years ago.
He was only 3 years old when he started vomiting in the evening and began to pass dark tea colored urine which becomes redder as the night passed.
The parents called me early in the morning because of his condition.
I quickly made an appointment for him to see Prof. Wong Hock Boon who was the expert on G6PD deficiency and was the one who introduce screening of babies through their placental blood for G6PD deficiency in 1970.
The child was confirmed as G6PD deficient through a blood test which was examined by Prof. Wong himself.
The mother was found to be a carrier of the G6PD gene.
The 2 older sisters and father were found to be all normal.
Due to his low hemoglobin of 4 (normal is 13.5 to 17.5), he was admitted and given 2 packets of