Detailed opinion on attached IRON PROFILE of kids.

Resolved Question:

HELLO DOCTOR

RECENTLY I HAVE DONE ION PROFILE FOR MY KIDS AGED 8 AND 10 ., I NEED YOUR DETAILED OPINION IN THIS .,
I HAVE ATTACHED BOTH THE NEW REPORTS AND OLD ONES


Category: Pediatrician

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Category: ICU/ Critical Care Specialist
Dr. Saptharishi L G is online now

Expert:  Dr. Saptharishi L G replied 4 Days.

Dear Parent,
Thanks for your query at DoctorSpring.com
I understand your concern.
I can understand your need for a detailed interpretation of the report. In medicine, every test has an interpretation only in the context of why it has been done. Without any clinical indication, tests can pick up random deviations in metabolites.
So, what were the symptoms in your children that took you to the doctor? What is it that bothers you about their condition? What were the other tests that your doctor ordered? What were their results? What prompted your paediatrician to order ION PROFILE for your children? Kindly clarify these queries so that I can interpret the results in the context of the clinical situation.
Regards
Dr. Saptharishi L G


Patient replied :

For my son .. He is weak in studies hyperactive and low iq 74. He has bloating and excess gas..
For my daughter heavy hair Loss and mild depression.


Expert:  Dr. Saptharishi L G replied 3 Days.

Dear Parent,
I request you to provide me at least 48 hours. The report is very complex and needs to be looked into carefully. I would not like to rush into conclusions. It is imperative that we give adequate importance to a huge panel of biochemical markers such as this.
Regards
Dr. Saptharishi L G


Patient replied :

hello doctor
waiting for reply


Expert:  Dr. Saptharishi L G replied 2 Days.

Dear Parent,
I have done a reasonable analysis of the report. Before I send back my
final opinion, do any of your two children take any medications? Are
they on any supplements? What about their diet?

Regards
Dr. Saptharishi L G


Patient replied :

YES SIR THEY ARE ON SUPPLEMENTS AS MENTIONED JAN-2015 ION REPORT (OLD ) :
MVT + MG 200MG +CAL 250 + D3 800IU + FLAX 500MG AND FISH OIL 500MG + NAC 100MG+ B6 10MG
ONLY SUPPLEMENTS NO MEDICATION ( EVEN PARACETAMOL OR ANY KIND ANTIBIOTIC FOR THE PAST 6 MONTHS )
FOOD GLUTEN FREE DIET, EGG AND MILK ( THEY ARE SENSITIVE )
NO ISSUES HEALTH ISSUES OTHER HAIR LOSS GREY HAIR MILD TO MODERATE DEPRESSION , HYPERACTIVE
EXPECT THE FAMILY HISTORY OF ( FATHER , FATHERS BROTHERS AND GRAND FATHER ) SCHIZOPHERNIA , DEPRESSION AND BIPOLAR DISORDER

THANKS


Expert:  Dr. Saptharishi L G replied 1 Day.

Dear parent,
I must admit that I am amazed at the kind of investigations that we order for our kids these days.. Before any test is done, there is always a pretest probability of a disease, meaning there is a disease in the doctor's mind based on the clinical history and examination. The test then rules in or rules out the disease with a certain degree of confidence. All tests have been designed in such a manner. Suppose, I get hold of a few hundred healthy children and run one thousand tests on these kids. Around 80-90 of these tests will return abnormal, purely by chance. This is the rule of ptobability. Now, if based on these tests, I start diagnosing these kids as diseased, does it make sense? To me, it does not. So, I do not believe in this kind of blind medicine, wherein you run a battery of tests without any indication and start running behind the results it throws around.
Coming to your case scenario,
Has anyone standardised the normative standards of dilactste, benxoate, phenylacetate and p-hydroxy phenylacetate for Indian children? How does anyone know that this variation is only because of gut microbacteria?
The answer is no one knows.. So focus on feeding healthy food substances to your children. Use plenty of curd in your diet.
This is my personal opinion and am sure most pediatricians would agree with me in this regard.
Regards
Dr. Saptharishi L G


Dr. Saptharishi L G
Category: ICU/ Critical Care Specialist
Experience: 
Senior Residency: DM,  Pediatric Critical Care, PGIMER

Residency: MD, Pediatrics, Postgraduate Medical Education & Research (PGIMER), Chandigarh, 2013

Internship: JIPMER, 2009

Medical School: MBBS, Jawaharlal Institute of Post-graduate Medical Education & Research (JIPMER), Puducherry, 2008
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