What Do These Following Blood Reports Indicate?

Posted on Mon, 31 Aug 2015

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Mon, 31 Aug 2015 Answered on

Wed, 23 Sep 2015 Last reviewed on

Question : We got regular blood tests done for XXXX (2 years 3 months old) particularly for Vitamin D. There are many items where the results are outside the range. Can you please review and let us know what we should do? Some of the results outside range are below:

25-HYDROXY VITAMIN D 16.3 ng/mL (range 30-100)
FERRITIN 6.3 ng/mL (range 22-322)
IRON 40 (range 65-175)
L-LACTATE 3.9 (range 0.4-2.0)
CHOLESTROL HDL 79 (range 40-60)
ALKALINE PHOSPHATAS 241 (range 46-116)

There are few more things outside range. I can provide full report.

Answered by Dr. Archana Verma (56 minutes later)

Brief Answer:
He has poor iron stores and vitamin D deficiency

Detailed Answer:
Hi
Welcome to the HCM

I have gone through your question and the reports attached. The reports suggests that your son has poor iron reserves which needs to be restored by supplements to avoid anaemia in future. Also, he has vitamin D deficiency.

Don't worry as both these conditions can be easily treated by iron and Vitamin d supplements.

I would recommend you to start him on iron supplement (at 6 mg/kg/day elemental iron). You may try Syp. Ferronia XT or Vitcofol iron syrup. Give iron supplement for at least 2 months. Ensure an iron rich diet thereafter.

Also, start him on vitamin d supplement ( cholecalciferol XXXXXXX daily for 10 days or single intramuscular injection). This will also improve his alkaline phosphate levels.

A 5 minute good sunlight exposure daily and sea foods are natural source of vitamin d which are advised there after.

A good healthy diet and plenty of fluids will take care of lactates.

Do not worry about HDL at present.

Hopefully this will be helpful. I would be glad to help you in any further queries.

Take care

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Archana Verma (34 hours later)

Thanks doctor. Few questions:
1. Should we give calcirol every day for 10 days of every weeks for 10 times?
2. Does vitocfol cause constipation? If yes, how to avoid that? Please note that he is already taking Dariloc XXXXXXX every day.
3. What are good iron rich food items for 2 year old?
4. Does any of the deficiencies that he has contribute to developmental delays he is having?

Thanks
XXXX

Answered by Dr. Archana Verma (27 minutes later)

Brief Answer:
You may take the following measures

Detailed Answer:
Hi

1. You may give one XXXXXXX of calcirol every day for first 10 days and then 2 sachets per week for next 2 months. Give sunlight exposure for 5 minutes daily with minimal clothing ( before 11am and after 4 pm) along with sea foods if possible.
2. Yes, Vitcofol has iron which can cause constipation and gastric acidity. To avoid it, give a fibre rich diet with plenty of fluids and always give the dose after food. Rinse his mouth after giving Vitcofol to avoid blackening or staining of teeth.
3. Iron rich foods for your kid are ragi, cooked spinach with lemon, beans, lentils, soya beans, sesame seeds, oysters, liver, red meat, etc. You can use these in various puried forms and give your child.
4. The developmental delays in your child are due to infantile spasms which are not related with these deficiencies. As I had earlier advised, a proper control of seizure is the key to treatment. I am sure that you must have discussed the option of using ACTH, vigabatrin, and prednisolone for his treatment with your neurologist.

Hopefully I replied to your satisfaction. I would be glad to help you in any further health related queries.
Take care

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Archana Verma (12 hours later)

Thanks doctor.

Additional reports have come today which are about food intolerance. Reports indicate intolerance to following food
Dairy products
Almonds
Lentils
Egg white
Soybean
Rice
Caesin
And few others items
Following came under borderline
Pomegranate
Egg yolk
Cherry
Potato

What does food intolerance actually indicate? What kind of doctor should we consult for this. We are concerned that all main items that today we give him are advised to be avoided by the report.
Please advise.

Answered by Dr. Archana Verma (10 minutes later)

Brief Answer:
Food intolerance is different from food allergy

Detailed Answer:
Hi
Food intolerance is different from food allergy. In food allergy, the body cannot tolerate even small amounts of allergen present in foods. But in food intolerance, the child may tolerate the concerned food in normal amounts but not in excess amount.
An allergist may help you out in a better way.

Hopefully this will help you.
Take care

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Archana Verma (10 hours later)

Hi Dr, thanks for the response. Can you please suggest a good Allergist in Gurgaon?

Answered by Dr. Archana Verma (2 hours later)

Brief Answer:
You are welcome

Detailed Answer:
Hi
You may check for allergist online. I am sorry but I cannot promote any particular doctor or hospital on this platform.

Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar