Conversation: The conversation between human and AI assistant.
[|Human|] My soon to be 7 yr old, was kinda clumsy as a child and use to fall about 3 times a week, he often will zone out for about 30 sec. at times, in Kinder, he started to fall about the same as usual but this last school yr. he s worsened. His vision decreased, and he now needs glasses, he falls 2-4 times a day and there are always a few bruises on him but he can never tell you how he got them, this summer he had a pt eval and she diagnosed him with hypotonia, this weekend he s complained of dizziness twice (both times after a few minutes of stretching or exercising), he gets plenty of sleep at night (at times he can be restless and snore), but is tired by 2:00pm, he got diagnosed with add/adhd this summer due to behaviors he started exhibiting towards the end of school. Last week he had a renal ultrasound and it came back that both of his kidneys are dialated. Tomorrow he under goes a catherator being inserted for further testing. Tonight, I noticed blood in his urine. As far as bowel movements go, since he was a baby he would have 5-7 a day and it s still that way. When he has to go, he has to go immediately or he ll have a mess in the rr to clean. He had blood test done and it came back good. What could be causing all these symptoms? In two weeks he sees a neurologist but is that too long to wait?
[|AI|]  Thank you for consulting Healthcare. He really has hypotonia, but you can control it:1. Contrast shower in the morning -hot and cool water, in the end -cool water, rubber his back from bottom to the top, this direction of massage will increase blood pressure2. Normal breakfast every morning, vegetables, soup+black tea with bread and butter, 1 chocolate to school every day.3. He should eat 4 times every 4 hours between fruits, better Apple,pomegranate4. Fresh juices with carrot, beets roots,ooranges5. About blood in urine- if it is red color- it can be from urethra, penis, has he fibrosis, pay attention. If it is not fresh blood we can't see this it can be like as meat water. You repeat analysis of urine-if there AR RBC, it can be gloglomeruphritis or more often dismetabolic nephropathy, because some salts6. Remind him to urinate every 2-3 hours7. You should do cartographic for excluding of nephroureteral influx, because he has dilatation in kidney, also nephrologist can propose program for exception pathology of kidney8. For treatment without examination I can advise vitamin E 1 capsule 1 time 1 month for stabilizing of membrane of glomeruli addition-zincovit 1 teaspoon 1 time 1 month