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Opinion about abnormal values in blood test report.

Resolved Question:

hello doctor

i am asking query for my daughter aged 8 years and 2 months , today i have done battery of blood investigation , i need your opinion about the abnormal test values.,
she is clinically ok except her height she is tall when compared to her peers .,
she is in 90th centile of height and 90th centile of weight .,

fathers height 188cms mothers height 164
her height is 135cms and weight is 31 kgs


Category: Endocrinologist

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Category: Diabetologist
 29 Doctors Online

Thanks for your query at DoctorSpring.com
have gone through all the reports.
She is tall for her age because of her excess weight. This is not due to any hormonal imbalance. All the reports are normal.
Low LH is alright for her pubertal status. Vit D is slightly low, and Vit B 12 must be high because of some supplements.
she can take vit D supplements.
She should exercise regularly and avoid junk foods and excess of carbohydrates, sweets etc.
She should try to maintain her weight and she will grow up tall enough to have normal weight for her age and height.


Patient replied :

Thanks doctor for your instant reply and sorry I forgetten her hair issue.. Last year she has undergone trichoscan for her hair fall and grey hair .. And also this year also 2 month back When comparing both reports there is rapid hair loss in hairdensity which I have attached the reports.. Let me know your opinion from endocrine side and advice. . Trichologist advice us to get hair mineral analysis. .and few where were eleveted and few were below which I attached reports. . The following supplements are given and she is having for past 2 months Mvt (b12 content 200mcg) Ca mg cu k se msm Vit e vit c and omega 3 Thanks expecting your opinion and advice


Hair problems are unlikely to be due to endocrine problem. Its a purely a dermatological issue which needs treatment by a trichologist/dermatologist
Regards.


Patient replied :

thanks again dr for your reply.,
finally any thing to be done for high phosporous and high b12 if so please advice .,
for low d3 i have started vit d 1000iu once a day .,
she is complying head ache regularly is that related to phosporous and b12
pls advice


No, Nothing needs to be done for high phosphorus or Vit B12. They are not the cause of her complaints.


Regards
Col (Dr) J Muthukrishnan, SM


Dr. J Muthukrishnan
Category: Diabetologist
Experience: 
Fellowships/Training: 
1. 10th Asia-Pacific Pediatric Endocrine Society  Fellows meeting, Seoul, Korea, Oct 2008
2. Eighth ICMR Course on Genetics and Genetic Counseling – Jul 2008 – SGPGI, Lucknow
3. Annual Certificate Course on Endocrinological Laboratory Techniques at National Institute of Nutrition (ICMR) Hyderabad,India, ( Aug-Sep 2006) 
Fellowship: Endocrinology, Diplomate of National Board, National Academy of Medical Sciences, New Delhi, 2008, Medwin Hospital, Hyderabad
Senior Residency: Diplomate of National Board (General Medicine), National Academy of Medical Sciences, New Delhi, 2002
Residency: MD, General Medicine, 1997-2000, Armed Forces Medical College, 2nd position in University
Medical School: MBBS, Armed Forces Medical College, 1992
Dr. J Muthukrishnan and 4 other Medical Specialists are ready to help you

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