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What Does My Child's Report Suggest?
Question: i want to know about the disease and its risk on the basis of following reports of my 2 yrs child. he was in fever from last 10 days but now fever is mild but he is very weak now. reports as follw:
serum bilirubin direct 1.8 mg/dl , indirect 2.5 , total 4.3 mg/dl and sgpt 1860.7. sgot 2490 and ultrasound report is as follows : bilateral mild pleural effusion , mild hepatospleenomegaly, thicken edematous gall bladder wall, mild ascites.
i am worry about him please tell me the risk and recovery time of all this.
serum bilirubin direct 1.8 mg/dl , indirect 2.5 , total 4.3 mg/dl and sgpt 1860.7. sgot 2490 and ultrasound report is as follows : bilateral mild pleural effusion , mild hepatospleenomegaly, thicken edematous gall bladder wall, mild ascites.
i am worry about him please tell me the risk and recovery time of all this.
Brief Answer:
Rule out dengue fever/Hepatitis
Detailed Answer:
Hi dear
welcome to the HCM,
Requires to rule out Hepatits & its cause/Dengue.
All the symptoms suggest that there is a further need of evaluation of the child in terms of CBC, PLATELET COUNT, ESR, TYPHI DOT TEST. LFT, HbsAg, dengue NS1 antigen,& dengue serology.
Recovery it may take one week or more,it depends on your child body response to treatment.
I suggest you get all investigations done for proper treatment and for speedy recover.
Proper consultation with pediatrician and hospitalization to be considered.
Hope the query is answered.
thanks
Rule out dengue fever/Hepatitis
Detailed Answer:
Hi dear
welcome to the HCM,
Requires to rule out Hepatits & its cause/Dengue.
All the symptoms suggest that there is a further need of evaluation of the child in terms of CBC, PLATELET COUNT, ESR, TYPHI DOT TEST. LFT, HbsAg, dengue NS1 antigen,& dengue serology.
Recovery it may take one week or more,it depends on your child body response to treatment.
I suggest you get all investigations done for proper treatment and for speedy recover.
Proper consultation with pediatrician and hospitalization to be considered.
Hope the query is answered.
thanks
Above answer was peer-reviewed by :
Dr. Bhagyalaxmi Nalaparaju
please find report
Brief Answer:
Hepatitis present, Exclude Dengue/Enteric Fever
Detailed Answer:
Hi
Raised SGPT CONFIRMS LIVER PATHOLOGY ( HEPATITIS) , Type of hepatitis can be known by some specific DNA test.
But few things not to be overlooked are B/L pleural effusion. gall bladder swelling, ascitis and enlarged liver and spleen etc. These all findings are quite concerning and my opinion is to rule out Dengue fever by simply doing a blood test Dengue NS1 antigen and dengue serology and also typhi dot test (igm& igg).
Presently hospital care is the need for proper management.
Hydration and nutrition of the child to be cared.
Thanks
Hepatitis present, Exclude Dengue/Enteric Fever
Detailed Answer:
Hi
Raised SGPT CONFIRMS LIVER PATHOLOGY ( HEPATITIS) , Type of hepatitis can be known by some specific DNA test.
But few things not to be overlooked are B/L pleural effusion. gall bladder swelling, ascitis and enlarged liver and spleen etc. These all findings are quite concerning and my opinion is to rule out Dengue fever by simply doing a blood test Dengue NS1 antigen and dengue serology and also typhi dot test (igm& igg).
Presently hospital care is the need for proper management.
Hydration and nutrition of the child to be cared.
Thanks
Above answer was peer-reviewed by :
Dr. Ashwin Bhandari
morning we have done bilirubin test , haemoglobin test , pcv and platelets. and his report as follows :
Haemoglobin is 12, pcv is 36 , sbilirubin total 6 direct 1.7 and indirect is 4.3 and platelets are 3.76 lacs.. so please suggest
Haemoglobin is 12, pcv is 36 , sbilirubin total 6 direct 1.7 and indirect is 4.3 and platelets are 3.76 lacs.. so please suggest
Brief Answer:
Bilirubin rising.platelets ok,may fall late on
Detailed Answer:
Hi
Serum bilirubin is gradually increasing, but more specific will be the SGPT and PROTHROMBIN TIME for the hepatitis current status.
Still I would like to remind about the exclusion of a little more complicated disease (dengue) by a test--> dengue NSi antigen and serology.
Platelets are quite variable, at this moment they are ok. but one should be vigilant about there gradual fall. and also the regular blood pressure monitoring is of utmost importance.
Nutrition and adequate hydration to be given much care.
Hope for the speedy recovery of the child.
Thanks
Bilirubin rising.platelets ok,may fall late on
Detailed Answer:
Hi
Serum bilirubin is gradually increasing, but more specific will be the SGPT and PROTHROMBIN TIME for the hepatitis current status.
Still I would like to remind about the exclusion of a little more complicated disease (dengue) by a test--> dengue NSi antigen and serology.
Platelets are quite variable, at this moment they are ok. but one should be vigilant about there gradual fall. and also the regular blood pressure monitoring is of utmost importance.
Nutrition and adequate hydration to be given much care.
Hope for the speedy recovery of the child.
Thanks
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. Shanthi.E
Answered by
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