What Do These Lab Reports Indicate?

Posted on Thu, 24 Sep 2015

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

Thu, 24 Sep 2015 Answered on

Wed, 14 Oct 2015 Last reviewed on

Question : My 9 year old son labs works from 2013 to present: 2013 lab work: AST - 34 High u/l and Thyroglobulin - 39 High iu/ml 2014 lab work: Bilirubin 0.9 High mg/dl, AST - 39u/l High, Total Cholestrol-205 mg/dl, LDL Chol- 122 mg/dl and Non HDL Chol-135 mg/dl 2015 lab work: AST-50u/l High, ALT 34u/l, Total Cholesterol - 188 mg/dl and HDL Chol-77mg/dl - Should I be concern?

Answered by Dr. Archana Verma (1 hour later)

Brief Answer:
Your son needs lifestyle changes

Detailed Answer:
Hi
Welcome to the HCM

I have gone through your question and reports. I completely understand your concerns but don't worry. These reports are suggestive of mild derangement of lipid profile and associated liver enzymes. As you have not mentioned about any symptoms, I presume that he must be asymptomatic at present.

I see such cases routinely in my clinical practice and recommend lifestyle changes to current the derangements naturally. There is no need for any medication at present. I would recommend:
- Regular physical exercises or healthy sports such as swimming, cycling, other outdoor games.
- Healthy eating habits. This should include lots of fibres and plenty of water.
- Healthy sleeping habits

Avoid unhealthy fast foods, saturated fats, too much carbohydrates.

Hopefully this will help. You may repeat the blood tests after following above mentioned measures after 3 months.

I would be happy to help you in any further questions.
Take care

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

Follow up: Dr. Archana Verma (15 minutes later)

Thank you. My son is very active. He plays basketball, football, soccer and baseball all year round. He eats healthy, but I did noticed he gained 10 pounds this year. Constipated at times with blood in his stool. One of his bowl movement he did passed a small blood clot (I believe it was a blood clot) my husband said no and also noticed at times very dark urine.

Answered by Dr. Archana Verma (6 minutes later)

Brief Answer:
Plenty of water

Detailed Answer:
Hi

I appreciate the activity and nutrition. The only thing lacking is plenty of water and fibres which I suggested. So, try that as well.
This will help in constipation and dark urine both.
Also, Syp Lactulose or naturolax is useful for constipation.

Take care

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

Follow up: Dr. Archana Verma (6 minutes later)

Thank you, Doctor.

Answered by Dr. Archana Verma (1 minute later)

Brief Answer:
My pleasure

Detailed Answer:
I would be happy to help you in any future child health related questions.
Take care

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