Helped Over 500,000 patients with 98%+ satisfaction.
A new question is answered every 9 seconds

Opinion and recommendation on GIFX test.

Resolved Question:

HELLO SIR

I HAVE GIFX TEST FOR MY KIDS AGED 8 AND 10 ., I HAVE ATTACHED THE REPORTS.,
LET ME KNOW THE OPINION AND RECOMMDATION


Category: Gastroenterologist, Medical

Ask Your Own Question

Category: Hepatologist
Dr. Ratnakar Kini is online now

Expert:  Dr. Ratnakar Kini replied 4 Days.

Hi,
Thanks for posting your query at Doctorspring.com
I am Dr.R.K and I am pleased to assist you.
I went through the reports.
The stool elastase which is a marker of pancreatitis is raised for both of them.
I would like to know what symptoms they have and why these tests were done.
Kindly get back to me with more details.
Regards,
Dr.R.K.


Patient replied :

THANKS DR
THEY TWO HAVE CHRONIC CONSTIPATION (LIKE 5 DAYS A WEEK ) AND EXCESS GAS .,
MY PEADIATRICIAN ORDERED AND ASKED US CONSULT GASTRO OPINION


Expert:  Dr. Ratnakar Kini replied 3 Days.

Hi,
Thanks for the additional information.
I find the pancreatic elastase out of range. It is a marker of pancreatitis. But since stool fat is within normal limits, I would not take the elastase value significant.
I do not find any disease causing bacteria in the report.
As far as constipation in children is considered, functional constipation is the most common cause. Poor toilet training most often is the root cause.
A digital rectal examination may be done which may provide a clue to the diagnosis of functional constipation.
High fiber diet and plenty of fluids should be taken to ease bowel movements.
To treat constipation either miralax or lactulose may be given.
You can discuss with your GI doctor about these options.
Let me know if I can assist you further.
Regards,
Dr.R.K.


Patient replied :

HELLO SIR
RECENTLY I HAVE DONE ION PROFILE FOR MY KIDS AGED 10 AND 8 .,
IN THE PAGE NO 12 THERE IS ELEVATION OF DLACTATE , BENZOATE , PHENYLACTATE AND P HYDROXY PHENYLACETATE .,
PLEASE LET ME KNOW HOW TO NEUTRAZLIE THE GUT MICRO BACTERIA
ANY ANTIBIOTICS OR PROBIOTICS YOU RECOMMED

PLEASE ADVICE


Expert:  Dr. Ratnakar Kini replied 2 Days.

Dear parent,
I have analyzed the test results in detail. Based on my literature review, the ION PROFILE has not yet been established as standard. Most of these chemicals can vary significantly among children from different geographical profiles, dietary habits and ethnic origins. I do not think we need to give much importance to these results as most of the chemicals measured as part of these tests have not been validated in Indian children.
I would request you to get in touch with a pediatric neurologist or geneticist. If you are still unconvinced you could consider getting the following tests done to rule out any inborn errors of metabolism.
1. Arterial lactate and ammonia
2. Arterial blood gas analysis
3. Serum and urine ketones
4. Blood tandem mass spectrometry (TMS) and a urine gas chromatography mass spectrometry (GCMS)


Dr. Ratnakar Kini
Category: Hepatologist
Experience: 
Fellowship - DM - TN Dr.MGR Medical UniversityResidency - TN Dr.MGR Medical University Medical School - Stanely Medical College, TN Dr.MGR Medical University
Dr. Ratnakar Kini and 4 other Medical Specialists are ready to help you

Make informed and better medical decisions.

We believe that getting medical questions answered and getting qualified opinions from certified Doctors should be easier.



Specialists from
UK, US, Ind,
Aus & NZ


48000+ consults
in 2015


98.1% Satisfied
users


MEDNET Board,
100% Satisfaction
guarantee

How it works


  • Submit question, upload files, if any
  • Consult is assigned to a specialist
  • Doctor replies, Mean response time: 2 hours
  • Intimation by email, ask follow-ups

Recommendations based on

About DoctorSpring.com

Doctor Spring is a novel online Doctor consultation platform where you can get your medical questions answered by leading Doctors. Just Submit your question and rest assured that you will consult a Doctor easily. Once you submit the question, the Doctor from the concerned specialty will reply within hours. You can always ask more questions or add details with follow-up question options and make it an online doctor chat. You may use this service to consult a specialty or for getting medical second opinion. All paid services come with a MEDNET quality assurance and 100% money back guarantee.

DoctorSpring in News

News

Make informed and better medical decisions.

Close x


Your account has been deleted.

PS: You can unsubscribe from emails from DoctorSpring, by going to
Unsubscribe link provided in them.