What Do Cold Sensation In The Hands And Severe Fatigue In A Child Indicate?

Posted on Fri, 31 Mar 2017

Question: My 13 year old son has red hands ice cold to the touch for about 2 months. His labs were abnormal with a +2 protein in the urine, protein/creatinine ratio of 1043, and on the paper it says normal is between 22-128, high red blood cell count of 5.86, low absolute lymphocytes of 832 and a protein,total,random ur, of 171. He has been EXTREMELY tired doesn't want to eat and has subsequently lost weight. What do the labs mean

Answered by Dr. Matthew J. Mangat (30 hours later)

Brief Answer:
Acute glomerulonephritis or a nephropathy is likely.

Detailed Answer:
Hello Mllamas and welcome to HCM.
As an Urologist, I can understand your concern.

Your son's vital signs like,pulse,temperature,B.P. should be written.
Your son has got proteinuria,as seen on urine PC ratio.
These symptoms are seen in acute glomerulonephritis or a nephropathy.
He should get examined by a nephrologist and do the following tests :
1. urine routine and 24 hour urine protein.Urine should be tested for casts also.
2. blood routine,creatinine,urea,uric acid,RBS,LFT and platelets.
3. ultrasound scan-KUB.

According to these reports,an expert opinion can be given.
In some cases,a renal biopsy may be advised.
His diet will be advised after seeing all the reports.

Wishing him well.
Dr.Matthew J. Mangat.

Note: For further queries related to kidney problems and comprehensive renal care, talk to a Nephrologist. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Raju A.T