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Kindly Suggest What Should We Do To Reduce Cholesterol And Medicine For Vitamin D Supplements

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Posted on 1 day ago
Question: Kindly check blood report of my 10 years old daughter. Kindly suggest what should we do to reduce cholesterol and medicine for vitamin d supplements.
doctor
Answered by Dr. Muhammed Aslam TK (18 hours later)
Brief Answer:
Kindly give few more details

Detailed Answer:
Hi ,
To comment on the report, I need a few more details:

1. Her weight and height
2. Reason for doing blood test and any active symptoms at present?
3. Any significant illnesses in the past, or any regular medications
4. Any history of diabetes, high cholesterol or high BP in parents or close relatives

Thank you

Above answer was peer-reviewed by : Dr. LAKSHMI
doctor
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Follow up: Dr. Muhammed Aslam TK (1 hour later)
Please find the details as below:

1. Her weight and height
Ans- weight - 23 kg, height- 133 cm
2. Reason for doing blood test and any active symptoms at present?
Ans- Family history of high cholesterol, dizziness and leg pain
3. Any significant illnesses in the past, or any regular medications
Ans- Pre-asthmatic, Medicines on SOS: Budecart, Livolin puffs
4. Any history of diabetes, high cholesterol or high BP in parents or close relatives
Ans- Her mother has high cholesterol and on medication.
doctor
Answered by Dr. Muhammed Aslam TK (16 hours later)
Brief Answer:
Need regular follow up

Detailed Answer:
Hi XXXXXXX
Thank you for the details given:
The report shows:
1. High total cholesterol, high LDL cholesterol and normal HDL, VLDL, TGL levels
2. Very low vitamin D level
3. Normal liver function test, normal B12 levels

I will explain in two parts:

A) High cholesterol:
Since there is a family history and the onset is at a younger age, this is probably FAMILIAL HYPERCHOLESTEROLEMIA. As there is a chance for early coronary heart disease, this needs regular follow-up apart from an initial evaluation (with basic cardiac evaluation and thyroid function test). This is better done in XXXXXXX consultation with a pediatrician nearby. We may need to add drugs to lower serum cholesterol- your pediatrician will guide you in this. With regular follow-up, this can be well controlled, and she can have a normal life-—no need to worry.
Meanwhile, try to avoid a fatty diet (especially trans fats) and have some regular exercise for 40-45 minutes daily. A diet rich in fiber will be very good (fruits, green leafy vegetables, oats)

B) Low vitamin D level:
Some tiredness and leg pains can be attributed to this. The minimum level needed is 30. So we can supplement the vitamin D. She can take Vitamin D capsules (60000 U)—one capsule every 2 weeks to a total of 10 capsules. Take calcium tablets along with this- T. Shelcal 500 once daily for the same duration. Include nuts and green leafy vegetables in your diet. Sun exposure also helps to replenish vitamin D levels.

I hope this will clarify your doubts.
Let me know if you need further help. We can have a follow-up after 3 months
Take care
Note: For further queries related to your child health, Talk to a Pediatrician. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Answered by
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Dr. Muhammed Aslam TK

Pediatrician

Practicing since :2012

Answered : 2020 Questions

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Kindly Suggest What Should We Do To Reduce Cholesterol And Medicine For Vitamin D Supplements

Brief Answer: Kindly give few more details Detailed Answer: Hi , To comment on the report, I need a few more details: 1. Her weight and height 2. Reason for doing blood test and any active symptoms at present? 3. Any significant illnesses in the past, or any regular medications 4. Any history of diabetes, high cholesterol or high BP in parents or close relatives Thank you