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क्या हमें बेबी परी को इलाज के लिए भर्ती करना पड़ेगा? - #46940
Medical laboratory report ke mutabik Baby Pari, jo 9 saal ki hai, ke results kuch is prakar hain: - *Bilirubin Total*: 4.40 mg/dl (reference interval: 0.30 - 1.20 mg/dl) - *Bilirubin Direct*: 2.87 mg/dl (reference interval: 0.00 - 0.20 mg/dl) - *Bilirubin Indirect*: 1.53 mg/dl (reference interval: 0.00 - 0.70 mg/dl) - *SGOT (AST)*: 2137.50 U/L (reference interval: 0.00 - 31.00 U/L) - *SGPT (ALT)*: 4111.00 U/L (reference interval: 0.00 - 34.00 U/L) Please suggest ki admit krwane ki jrurt h kya nhi Aur kitne din me thik ho jaegi Rest kitne din kre Khane me kya khae
How long has Baby Pari been experiencing these symptoms?:
- Less than 1 weekHas she shown any other symptoms?:
- Nausea/VomitingWhat is her current diet like?:
- Limited varietyइस स्थिति के लिए डॉक्टर द्वारा सुझाए गए उपचार
डॉक्टरों की प्रतिक्रियाएं
It’s best you should see the paediatrician at the earliest and let the doctor after examining decide whether admission in hospital is required. Meanwhile you can start with Syrup Liv-52 -DS 5 ml. Twice daily after food with water. Avoid fried foods & snacks. Avoid processed foods fast foods.
Please take the opinion of her PEDIAT only.
Hello, It is very important to take her to a doctor so that, physical examination can be done and symptoms can be correlated with the above given blood reports. If the attending doctor feels she requires the admission and special care, please follow the instructions. Take care, Kind regards.
I have carefully seen Baby Pari report and these values show severe liver inflammation and acute liver stress Very high liver enzymes mean liver cells are injured and leaking enzymes into blood High direct and indirect bilirubin explains deep yellow eyes dark urine vomiting and weakness This is most commonly seen after viral infection like hepatitis A or post viral liver injury especially after recent cold or flu At this level this condition is serious and needs close medical supervision
First and most important Please keep Baby Pari under hospital care or daily pediatric monitoring Avoid any unnecessary medicines pain killers antibiotics or home remedies without advice
Ayurvedic support can be given only as supportive care along with modern monitoring
If vomiting increases stop oral medicines and inform immediately
Diet instructions Only light soft freshly cooked food Rice water thin rice porridge boiled apple mashed banana Moong dal water only Coconut water small sips Plenty of boiled cooled water
Avoid Oil ghee butter fried food bakery items junk food outside food chocolates packaged juice eggs meat spicy food
Rest is mandatory No school no physical activity screen rest
Please share other investigations urgently Hepatitis A IgM Hepatitis E IgM Complete blood count Prothrombin time INR Ultrasound abdomen liver and gallbladder Blood ammonia if drowsiness present
Please share Number of vomiting episodes,Urine color stool color Abdominal pain location Fever presence Level of sleepiness or irritability
This condition usually improves well in children with proper rest diet and monitoring Early care prevents complications
वह खसरा से भी पीड़ित है।
1. न्यूट्रोफिल: 55.00% (सामान्य सीमा 40.00–60.00%) – सामान्य सीमा के अंदर। 2. लिम्फोसाइट: 40.00% (सामान्य सीमा 20.00–40.00%) – ऊपरी सीमा पर, हल्के संक्रमण या इम्यून प्रतिक्रिया का संकेत हो सकता है। 3. इओसिनोफिल: 2.00% (सामान्य सीमा 1.00–6.00%) – सामान्य। 4. मोनोसाइट: 3.00% (सामान्य सीमा 2.00–10.00%) – सामान्य। 5. बेसोफिल: 0.00% (सामान्य सीमा 0.00–0.10%) – सामान्य। 6. प्लेटलेट काउंट: 2.49 लाख/cmm (सामान्य सीमा 1.70–4.50 लाख/cmm) – सामान्य सीमा के अंदर।
Vomiting stops from yesterday Fever from last 5 days in evening but not yesterday and today Urine colour - dark yellow
The CBC report for Baby Pari (9 yrs) shows the following results with interpretations based on the provided reference intervals:
1. Haemoglobin: 12.40 g/dL (normal range 11.50 – 15.50) → within normal limits. 2. Total Red Blood Count (RBC): 4.17 million/cumm (normal 4.00 – 5.20) → within normal limits. 3. Hematocrit (HCT): 34.70% (normal 35.00 – 45.00) → slightly below normal (mildly low). 4. MCV (Mean Corpuscular Volume): 83.30 fL (normal 77.00 – 95.00) → within normal limits. 5. MCH (Mean Corpuscular Hemoglobin): 32.20 pg (normal 25.00 – 33.00) → within normal limits. 6. MCHC (Mean Corpuscular Hemoglobin Concentration): 33.00 gm/dL (normal 31.00 – 37.00) → within normal limits. 7. RDW-CV: 10.80% (normal 11.60 – 14.00) → slightly below normal (may indicate uniform RBC size). 8. White Blood Cell (WBC) count: 7590.00 /cumm (normal 5000.00 – 13000.00) → within normal limits.
बेबी परी की CBC रिपोर्ट साझा करने के लिए धन्यवाद। मैंने इसे ध्यान से देखा है, और ये परिणाम उसके लिवर फंक्शन टेस्ट के साथ मिलाकर देखे हैं।
उसका हीमोग्लोबिन, RBC काउंट, WBC काउंट और प्लेटलेट काउंट सभी सामान्य सीमा के भीतर हैं, जो आश्वस्त करता है क्योंकि यह दिखाता है कि फिलहाल कोई रक्त संक्रमण या गंभीर एनीमिया का संकेत नहीं है। उसका हेमाटोक्रिट थोड़ा कम है, लेकिन यह हल्का है और इसे सही पोषण और हाइड्रेशन के साथ मॉनिटर किया जा सकता है। अन्य RBC इंडेक्स ज्यादातर सामान्य हैं।
महत्वपूर्ण बिंदु उसके पहले की रिपोर्ट से उसके अत्यधिक उच्च लिवर एंजाइम्स और बिलीरुबिन स्तर हैं। ये दिखाते हैं कि उसका लिवर काफी तनाव में है और CBC में हल्के बदलाव उसकी लिवर की स्थिति की गंभीरता को कम नहीं करते।
अस्पताल में देखभाल या बहुत करीबी बाल रोग विशेषज्ञ की निगरानी अनिवार्य है। मौखिक सेवन हल्का और ताजा पका हुआ भोजन होना चाहिए, जैसा कि पहले सलाह दी गई थी, जैसे पतला चावल का दलिया, मूंग दाल का पानी, उबले हुए मैश किए हुए फल, नारियल पानी, छोटे घूंट में और ठंडा उबला हुआ पानी भरपूर मात्रा में। सभी भारी तले हुए, तैलीय, मसालेदार, पैकेज्ड या बाहर के खाने से बचें। आराम महत्वपूर्ण है - कोई स्कूल नहीं, कोई शारीरिक गतिविधि नहीं, कोई स्क्रीन टाइम नहीं। उल्टी, आंखों का पीला होना, गहरे रंग का पेशाब, पीला मल, बुखार, चिड़चिड़ापन या अत्यधिक नींद के लिए मॉनिटर करें।
CBC दिखाता है कि उसका खून फिलहाल स्थिर है, जो अच्छा है, लेकिन यह हेपेटाइटिस A IgM, हेपेटाइटिस E IgM, प्रोट्रोम्बिन समय, लिवर का अल्ट्रासाउंड और अगर उनींदापन हो तो रक्त अमोनिया जैसी तात्कालिक जांच की आवश्यकता को प्रतिस्थापित नहीं करता।
कृपया किसी भी नए लक्षण, उल्टी के एपिसोड की संख्या, पेशाब और मल का रंग, पेट दर्द, बुखार या नींद के बारे में जानकारी साझा करते रहें, क्योंकि ये तात्कालिक हस्तक्षेप का मार्गदर्शन करेंगे।
करीबी निगरानी, सही आराम और आहार के साथ बच्चे वायरल या पोस्ट वायरल लिवर इंफ्लेमेशन से अच्छी तरह से उबर सकते हैं। जल्दी अस्पताल में भर्ती और निगरानी से गंभीर जटिलताओं को रोका जा सकता है।
इस जानकारी के लिए धन्यवाद, यह बहुत महत्वपूर्ण जानकारी है। खसरा लीवर पर गंभीर तनाव डाल सकता है और यह बेबी परी में उच्च लीवर एंजाइम्स और बिलीरुबिन को दर्शाता है।
खसरे के साथ, उच्च लीवर मानों के साथ अस्पताल में भर्ती की सख्त सलाह दी जाती है। यह घर पर संभालने की स्थिति नहीं है। उसे लीवर फंक्शन, हाइड्रेशन, क्लॉटिंग स्टेटस और सामान्य स्थिति की निरंतर निगरानी की जरूरत है।
खसरे से संबंधित लीवर की समस्या अचानक बिगड़ सकती है, इसलिए निगरानी आवश्यक है।
पूरी तरह से बेड रेस्ट, कोई स्कूल नहीं, कोई शारीरिक गतिविधि नहीं।
डाइट सरल होनी चाहिए छोटे-छोटे घूंट में तरल पदार्थ, चावल का पानी, चावल की खिचड़ी, मूंग दाल का पानी, उबला हुआ सेब, मैश किया हुआ केला, नारियल पानी, अगर उल्टी होती है तो मात्रा कम करें और आवृत्ति बढ़ाएं।
तेल, मसालेदार, तला हुआ, पैकेज्ड फूड, बाहर का खाना, अंडे, मांस, चॉकलेट और जंक फूड से बचें।
बुखार या खांसी की दवाएं तब तक न दें जब तक कि इलाज करने वाले डॉक्टर द्वारा न दी जाएं इस चरण में हर्बल या घरेलू उपचार से बचें
रिकवरी में आमतौर पर कई हफ्ते लगते हैं खसरे से बुखार और दाने पहले ठीक होते हैं लीवर एंजाइम्स धीरे-धीरे दो से चार हफ्तों में या कभी-कभी अधिक समय में कम होते हैं कम से कम चार से छह हफ्तों के लिए सख्त आराम की जरूरत होती है, जो रिपीट रिपोर्ट्स पर निर्भर करता है
कृपया तुरंत सूचित करें अगर लगातार उल्टी, बढ़ती नींद, रक्तस्राव की प्रवृत्ति, गंभीर पेट दर्द, कम पेशाब या व्यवहार में बदलाव हो।
खसरे के साथ लीवर की समस्या वाले बच्चों में जल्दी इलाज और सही निगरानी से अच्छी तरह से ठीक हो सकते हैं समय पर अस्पताल की देखभाल सबसे सुरक्षित कदम है।
Pari report
Test results with values and reference intervals (bio. ref. interval): 1. Bilirubin (Total) – 2.41 mg/dl (0.30 – 1.20). 2. Bilirubin (Direct) – 1.10 mg/dl (0.00 – 0.20). 3. Bilirubin (Indirect) – 1.31 mg/dl (0.00 – 0.70). 4. SGOT – 175.50 U/L (0.00 – 31.00). 5. SGPT – 973.00 U/L (0.00 – 34.00). 6. Total Protein – 7.64 g/dl (6.00 – 8.00). 7. Albumin – 4.21 g/dl (3.50 – 5.20). 8. Globulin – 3.43 gm/dl (2.30 – 3.50). 9. A/G Ratio – 1.23 (1.30 – 2.10). 10. Alkaline Phosphatase – 604.00 U/L (54.00 – 369.00).
The report shows several values (Bilirubin, SGOT, SGPT, Alkaline Phosphatase) are elevated beyond the reference ranges, indicating possible liver dysfunction.
Do you need an interpretation of these results or advice on next steps for the patient?
I have carefully reviewed Pari latest report and this is a reassuring improvement compared to her earlier values Her liver enzymes and bilirubin have reduced significantly which clearly shows that the liver inflammation is settling and her body is responding well to rest and supportive care SGOT and SGPT though still high have come down from very dangerous levels to much safer range Bilirubin has also reduced which means jaundice is improving Albumin and total protein are normal which tells the liver is still maintaining its essential functions Alkaline phosphatase is raised which is commonly seen during recovery phase especially in children and usually settles slowly
At this stage strict hospital admission may not be required if she is clinically stable not vomiting taking food fluids well urine output is good and there is no excessive sleepiness However she must remain under close pediatric supervision with repeat liver tests every seven to ten days until values normalize Complete rest is very important No school no physical exertion no outdoor play for at least four to six weeks Diet should remain very simple light freshly cooked soft food Rice water thin rice porridge moong dal water boiled apple mashed banana small frequent feeds Coconut water in small quantities Continue to strictly avoid oily fried spicy packaged outside food eggs meat chocolates bakery items and unnecessary medicines
This recovery will be gradual Liver enzymes usually take two to four weeks or sometimes longer to return to normal especially after measles related liver stress Parents should immediately report if there is return of vomiting worsening jaundice dark urine pale stools fever irritability excessive sleep or reduced urine output Overall this report shows a positive healing trend With continued rest proper diet and monitoring children usually recover fully without long term damage
YES – Admit karwana zaroori hai (urgent) Reports show severe liver injury / acute hepatitis (SGOT 2137, SGPT 4111 – very high)
Recovery time Improvement: 2–4 weeks Full recovery: 1–3 months (cause par depend) Rest Strict bed rest: 2–3 weeks No school / outdoor play Heavy activity avoid 1–2 months
Diet Eat: khichdi, rice, dal water, fruits, coconut water Avoid: fried, spicy, junk, outside food
Urgent admission needed if Vomiting, excessive sleepiness Bleeding, confusion, severe pain
. Neutrophil: 55.00% (normal range 40.00–60.00%) – within normal limits. 2. Lymphocyte: 40.00% (normal range 20.00–40.00%) – at the upper limit, could indicate a mild infection or immune response. 3. Eosinophil: 2.00% (normal range 1.00–6.00%) – normal. 4. Monocyte: 3.00% (normal range 2.00–10.00%) – normal. 5. Basophil: 0.00% (normal range 0.00–0.10%) – normal. 6. Platelet Count: 2.49 Lakh/cmm (normal range 1.70–4.50 Lakh/cmm) – within normal limits.
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The CBC report for Baby Pari (9 yrs) shows the following results with interpretations based on the provided reference intervals:
1. Haemoglobin: 12.40 g/dL (normal range 11.50 – 15.50) → within normal limits. 2. Total Red Blood Count (RBC): 4.17 million/cumm (normal 4.00 – 5.20) → within normal limits. 3. Hematocrit (HCT): 34.70% (normal 35.00 – 45.00) → slightly below normal (mildly low). 4. MCV (Mean Corpuscular Volume): 83.30 fL (normal 77.00 – 95.00) → within normal limits. 5. MCH (Mean Corpuscular Hemoglobin): 32.20 pg (normal 25.00 – 33.00) → within normal limits. 6. MCHC (Mean Corpuscular Hemoglobin Concentration): 33.00 gm/dL (normal 31.00 – 37.00) → within normal limits. 7. RDW-CV: 10.80% (normal 11.60 – 14.00) → slightly below normal (may indicate uniform RBC size). 8. White Blood Cell (WBC) count: 7590.00 /cumm (normal 5000.00 – 13000.00) → within normal limits.
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Hello,
I understand this is a very worrying time for you. Seeing such reports in a young child can be frightening, but please be reassured that with timely treatment and proper medical care, most children recover completely. You have done the right thing by seeking guidance early.
Baby Pari (9 years) – Medical Advice Based on Reports Is hospital admission required? Yes, immediate hospital admission is strongly advised. Why? SGOT (AST): 2137 U/L and SGPT (ALT): 4111 U/L → These values are extremely high (more than 100 times normal) and indicate acute liver injury / acute hepatitis. Total bilirubin: 4.4 mg/dL with Direct bilirubin: 2.87 mg/dL → Shows significant liver involvement. She is having nausea and vomiting, and at this age close monitoring is very important. 👉 Home treatment is not safe at this stage.
🏥 What will be done in the hospital? Under a pediatrician or pediatric gastroenterologist, doctors will: Start IV fluids Monitor liver function tests Test for viral hepatitis (A, E, B, C) Check PT/INR (blood clotting ability of the liver) Do ultrasound abdomen if needed
⏳ How long will recovery take? If this is viral hepatitis (most commonly Hepatitis A or E): Vomiting and weakness: improve in 5–7 days Bilirubin levels: start reducing in 2–3 weeks Liver enzymes: normalize over 4–8 weeks ✅ Most children recover fully with proper care and rest.
How much rest is needed? Strict bed rest: at least 2–3 weeks School and physical activity only after doctor’s advice Gradual return to normal routine
🍲 Diet – What to Eat Very important for liver healing ✅ Recommended Thin dal water Khichdi (rice + moong dal) Dalia Boiled potatoes Small quantity of curd (only if vomiting has stopped) Diluted fruit juices (apple, pomegranate) Tender coconut water in small amounts ❌ Strictly avoid Oily, spicy, fried foods Junk food, bakery items Chocolates, chips Outside food Excess ghee or butter Any medicines or home remedies without doctor’s advice
🔴 Emergency warning signs Seek immediate medical help if there is: Repeated vomiting Excessive sleepiness or confusion Bleeding from nose or gums Abdominal swelling Fever or worsening yellowing of eyes/skin
You are doing the best for your child by acting promptly. With proper treatment and care, Baby Pari has a very good chance of complete recovery.
With warm regards, Dr.Sumi MS(Ayu)
1. Neutrophil: 55.00% (normal range 40.00–60.00%) – within normal limits. 2. Lymphocyte: 40.00% (normal range 20.00–40.00%) – at the upper limit, could indicate a mild infection or immune response. 3. Eosinophil: 2.00% (normal range 1.00–6.00%) – normal. 4. Monocyte: 3.00% (normal range 2.00–10.00%) – normal. 5. Basophil: 0.00% (normal range 0.00–0.10%) – normal. 6. Platelet Count: 2.49 Lakh/cmm (normal range 1.70–4.50 Lakh/cmm) – within normal limits.
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Hlo,
Baby Pari (9 years) – Report ka clear aur honest assessment 👉 Is report ke hisaab se ADMIT karwana ZARURI hai. Isme delay bilkul nahi karna chahiye. ⚠️ Report kya batati hai (simple words me)
1️⃣ Liver enzymes bahut zyada high hain SGOT (AST): 2137 SGPT (ALT): 4111 👉 Normal se 100 times zyada ➡️ Yeh Acute Hepatitis (liver infection/inflammation) ka strong sign hai.
2️⃣ Bilirubin bahut zyada hai Total: 4.40 Direct: 2.87 ➡️ Isi wajah se urine dark yellow ho rahi hai ➡️ Jaundice clearly present hai
3️⃣ CBC mostly normal Platelets normal hain 👍 Infection viral hone ke chances zyada (Hepatitis A/E common in children) ❗ Admit karwana kyun zaruri hai? Kyuki: - Liver enzymes bahut high level par hain - Bacchi ko 5 din se fever, vomiting hui - Direct bilirubin high hai (cholestatic jaundice) - Kabhi kabhi sudden complications aa sakti hain 👉 Hospital me observation + IV fluids + liver monitoring zaruri hai ⚠️ Home treatment is stage par safe nahi hai
🏥 Kitne din admit rehna pad sakta hai? Aam taur par 3–7 din Jab tak: - Vomiting control ho - Fever completely na ruk jaye - Liver enzymes thode kam hone lagen ⏳ Kitne din me theek hogi? - Clinical improvement: 7–10 din - Liver enzymes normal hone me: 4–6 hafte - Complete recovery: 1–2 mahine (zyadatar bacche poori tarah theek ho jate hain)
🛌 Rest kitne din? Strict bed rest: 2–3 hafte
School tab tak nahi jab tak: Bilirubin normal ke paas aaye Doctor allow kare
🍲 Khane me kya de (Very important) ✔️ Allowed (soft & light diet): Dal ka pani Khichdi Plain rice Dahi (thoda) Apple, papaya Coconut water ORS ❌ Bilkul avoid: Fried food Bahar ka khana Chocolate, chips Cold drinks Butter, ghee Junk food
💊 Koi medicine apni marzi se NA de Especially paracetamol, ayurvedic ya herbal medicines bina doctor ke mat dena Liver ke liye harmful ho sakti hain
🚨 Emergency signs (turant hospital le jaye): Zyada neend aana / confusion Vomiting band na ho Bleeding (naak, muh) Pet zyada phoolna Fever wapas aana
🔴 Final Advice 👉 Aaj hi pediatric hospital / government hospital me admit karwaye 👉 Likely Acute Viral Hepatitis (A ya E) hai – treatment se poori tarah theek ho jati hai
Tq
The CBC report for Baby Pari (9 yrs) shows the following results with interpretations based on the provided reference intervals:
1. Haemoglobin: 12.40 g/dL (normal range 11.50 – 15.50) → within normal limits. 2. Total Red Blood Count (RBC): 4.17 million/cumm (normal 4.00 – 5.20) → within normal limits. 3. Hematocrit (HCT): 34.70% (normal 35.00 – 45.00) → slightly below normal (mildly low). 4. MCV (Mean Corpuscular Volume): 83.30 fL (normal 77.00 – 95.00) → within normal limits. 5. MCH (Mean Corpuscular Hemoglobin): 32.20 pg (normal 25.00 – 33.00) → within normal limits. 6. MCHC (Mean Corpuscular Hemoglobin Concentration): 33.00 gm/dL (normal 31.00 – 37.00) → within normal limits. 7. RDW-CV: 10.80% (normal 11.60 – 14.00) → slightly below normal (may indicate uniform RBC size). 8. White Blood Cell (WBC) count: 7590.00 /cumm (normal 5000.00 – 13000.00) → within normal limits.
Hlo,
Baby Pari (9 years) – Report ka clear aur honest assessment 👉 Is report ke hisaab se ADMIT karwana ZARURI hai. Isme delay bilkul nahi karna chahiye. ⚠️ Report kya batati hai (simple words me)
1️⃣ Liver enzymes bahut zyada high hain SGOT (AST): 2137 SGPT (ALT): 4111 👉 Normal se 100 times zyada ➡️ Yeh Acute Hepatitis (liver infection/inflammation) ka strong sign hai.
2️⃣ Bilirubin bahut zyada hai Total: 4.40 Direct: 2.87 ➡️ Isi wajah se urine dark yellow ho rahi hai ➡️ Jaundice clearly present hai
3️⃣ CBC mostly normal Platelets normal hain 👍 Infection viral hone ke chances zyada (Hepatitis A/E common in children) ❗ Admit karwana kyun zaruri hai? Kyuki: - Liver enzymes bahut high level par hain - Bacchi ko 5 din se fever, vomiting hui - Direct bilirubin high hai (cholestatic jaundice) - Kabhi kabhi sudden complications aa sakti hain 👉 Hospital me observation + IV fluids + liver monitoring zaruri hai ⚠️ Home treatment is stage par safe nahi hai
🏥 Kitne din admit rehna pad sakta hai? Aam taur par 3–7 din Jab tak: - Vomiting control ho - Fever completely na ruk jaye - Liver enzymes thode kam hone lagen ⏳ Kitne din me theek hogi? - Clinical improvement: 7–10 din - Liver enzymes normal hone me: 4–6 hafte - Complete recovery: 1–2 mahine (zyadatar bacche poori tarah theek ho jate hain)
🛌 Rest kitne din? Strict bed rest: 2–3 hafte
School tab tak nahi jab tak: Bilirubin normal ke paas aaye Doctor allow kare
🍲 Khane me kya de (Very important) ✔️ Allowed (soft & light diet): Dal ka pani Khichdi Plain rice Dahi (thoda) Apple, papaya Coconut water ORS ❌ Bilkul avoid: Fried food Bahar ka khana Chocolate, chips Cold drinks Butter, ghee Junk food
💊 Koi medicine apni marzi se NA de Especially paracetamol, ayurvedic ya herbal medicines bina doctor ke mat dena Liver ke liye harmful ho sakti hain
🚨 Emergency signs (turant hospital le jaye): Zyada neend aana / confusion Vomiting band na ho Bleeding (naak, muh) Pet zyada phoolna Fever wapas aana
🔴 Final Advice 👉 Aaj hi pediatric hospital / government hospital me admit karwaye 👉 Likely Acute Viral Hepatitis (A ya E) hai – treatment se poori tarah theek ho jati hai
Tq
Definitely admit karvavo
Hello I get why you’re worried about Baby Pari. From the reports, it’s clear she has a serious liver problem and needs to see a doctor right away.
SUPER IMPORTANT – READ THIS CAREFULLY
Does Baby Pari need to be admitted to the hospital? 👉 YES. SHE NEEDS TO BE ADMITTED TO THE HOSPITAL RIGHT NOW.
These numbers are way too high, especially for a 9-year-old.
WHAT THE REPORT MEANS (IN PLAIN ENGLISH)
Total Bilirubin: 4.4 mg/dl→ She’s jaundiced (skin and eyes look yellow). Direct Bilirubin: 2.87 mg/dl → Her liver or bile flow is messed up. SGOT (AST): 2137 U/L❗ SGPT (ALT): 4111 U/L ❗❗ Normally, SGPT is around 35. Here, it’s over 100 times that! This means her liver is very badly hurt, and it happened quickly.
WHAT COULD BE CAUSING THIS?*
Most often in kids, it’s: A virus (like Hepatitis A or E). Liver damage from medicine (like too much Tylenol). Rarely, it could be an autoimmune issue or something with her metabolism.
⚠️ If she doesn’t get admitted, there’s a risk of her liver failing.
WHY SHE NEEDS TO BE IN THE HOSPITAL**
Baby Pari needs: * Doctors to watch her constantly. * Fluids through an IV. * Medicine to stop her from throwing up. * Treatment to protect her liver. * Checks for problems like bleeding, brain issues, or low sugar.
👉 Trying to treat her at home is NOT SAFE right now.
HOW LONG UNTIL SHE’S BETTER?
If she gets the right treatment: * Hospital stay: Usually 7–14 days. * Full recovery: 4–8 weeks. * Her liver numbers will go down slowly, not all at once. * How fast she recovers depends on: * What caused it (viral hepatitis usually gets better well). * Getting treatment on time. * Enough rest and good food.
HOW MUCH REST DOES SHE NEED?
* Strict bed rest: At least 2–3 weeks. * No school, no playing outside: For 1–1.5 months. * Even after she leaves the hospital, rest is super important.
WHAT SHE SHOULD EAT (VERY IMPORTANT)
INCLUDE (EASY TO DIGEST) * Rice porridge / soft rice * Moong dal water * Cooked veggies like bottle gourd, ridge gourd, pumpkin * Apple sauce * Pomegranate juice (watered down) * ORS / coconut water (small sips)
❌ STAY AWAY FROM THESE COMPLETELY * Fried food * Junk food * Chocolate, baked goods * Food from outside * Spicy, greasy stuff * Any medicine unless a doctor says it’s okay (especially pain relievers)
WHAT YOU NEED TO DO RIGHT NOW
* Take Baby Pari to a children’s hospital TODAY * Try to go to a place that has a kids’ liver specialist. * Bring all her reports with you. DO NOT WAIT thinking her numbers will magically go down.
This looks scary, but kids usually get much better if they get treatment quickly. Waiting can be dangerous — getting her admitted now can literally save her life.
I’m praying for Baby Pari to get well soon 🙏
If you want, you can let me know after she’s admitted — I’ll help guide you through it.
Warmly, Dr. Snehal Vidhate
HELLO,
Baby Pari’s blood tests show very severe liver involvement -Total bilirubin= 4.40 mg/dL (normal :- 0.3-1.2) -Direct bilirubin=2.87 mg/dL (normal :- <0.2) -AST (SGOT)= 2137 U/L (Normal :- <31) -ALT (SGPT)= 4111 U/L (Normal :- <34) These liver enzyme values are extremely high (more than 50-100 times the normal limit), which strongly indicates acute severe hepatitis/acute liver injury
She has also had symptom for less than 1 week, with nausea and vomiting, which fits acute onset liver disease
DOES BABY PARI NEED HOSPITAL ADMISSION Yes, immediately hospital admission is strongly required This is not safe to manage at home because -Very high ALT and AST levels indicate active and severe liver cell damage -Raised direct bilirubin suggests impaired liver function -Childern can deteriorate suddenly, even if they look relatively stable initially -She need= continuous monitoring, intravenous fluids, anti vomiting medications, liver protective treatment, regular blood test (PT/INR, liver function, blood sugar, ammonia, electrolytes ) At this stage, outpatient treatment or home remedies are not approproate
POSSBILE CAUSES -acute viral hepatitis -Drug induced liver injury -Less common= toxin exposure or autoimmune causes Further tests in hospital will help identify the exact cause
HOW LONG WILL RECOVERY TAKE? Recovery depends on the cause and how quickly treatment is started
TYPICAL TIMELINE (if no complications) -hospital stay= 5-10 days (sometimes longer ) -Vomiting and jaundice improvement= 1-2 weeks -Liver enzymes to come down= 4-8 weeks -Complete recovery= usually possible in children with proper care Most children recover fully, but close monitoring is essential
HOW MUCH REST IS REQUIRED? -Strict bed rest= at least 2-3 weeks -School and physical activty= only after doctors clearace -even after discharge, physical exertion must be avoided until lover tests normalize
DIET Once vomiting is controlled -soft, easily digestible foods -rice, khichdi, dal water -boiled vegetables -fruits= banana, apple, papaya -plenty of fluids= ORS, water, coconut water only if allowed
AVOID COMPLETELY -oily, fried, spicy food -junk food, fast food, bakery items -carbonated drinks -any medicine especially painkillers without doctor approval
DANGER SIGNS- SEEK URGENT HELP IF ANY OCCUR -excessive sleepiness or confusion -bleeding from nose, gums, or in vomit -persistent or worsening vomiting -increasing abdominal swelling -rapidly worsening yellow discoloration of eyes/skin
-Please admit baby pari to a hospital immediately, preferably under a paediatrician or paediatric gastroenterologist -Early treatment can prevent serious complications and significantly improve recovery
THANK YOU
DR. MAITRI ACHARYA
🚨 Admission Need Yes — with these values, hospital admission is strongly recommended.
The liver enzymes are more than 100 times the upper limit of normal.
Bilirubin is significantly raised, especially direct bilirubin, suggesting impaired liver function.
In children, this can deteriorate quickly, so monitoring in a hospital is safest.
⏳ Recovery Timeline Cause-dependent: If it’s viral hepatitis A (common in children), recovery may take 2–6 weeks with supportive care.
If another cause (drug reaction, autoimmune, etc.), recovery depends on treatment.
Only a pediatrician/hepatologist can estimate after identifying the exact cause.
🛌 Rest Strict rest is advised until liver function improves.
Usually 2–3 weeks minimum, but longer if bilirubin and enzymes remain high.
Activity should be restricted until the doctor clears her.
Warm Regards Dr. Anjali Sehrawat
THE LAB REPORTS SHOW THAT BILIRUBIN TOTAL DIRECT AND INDIRECT ARE HIGH AND LIVER ENZYMES SGOT AND SGPT ARE EXTREMELY HIGH THIS INDICATES SEVERE LIVER INJURY OR ACUTE HEPATIC PROBLEM,IMMEDIATE MEDICAL ATTENTION IS REQUIRED. THIS IS NOT A CONDITION TO MANAGE AT HOME .BABY PARI SHOULD BE ADMITTED TO A HOSPITAL WITHOUT DELAY UNDER PEDIATRICIAN OR PEDIATRIC HEPATOLOGIST CARE.
CLOSE MONITORING OF LIVER FUNCTION IS ESSENTIAL DURING THIS PERIOD.
DO NOT DELAY ADMISSION AS HIGH ENZYMES AND HIGH BILIRUBIN IN A CHILD CAN LEAD TO SERIOUS COMPLICATIONS IMMEDIATE HOSPITAL CARE IS THE SAFEST AND ONLY RECOMMENDED OPTION.
बिलिरुबिन बहुत ज्यादा (4.40) → पीलिया (jaundice) SGOT (2137) & SGPT (4111) बहुत ऊँचा → लिवर में गंभीर सूजन या डैमेज (acute hepatitis)
तुरंत एडमिट करवाएं – कोई देरी न करें ये नॉर्मल वायरल हेपेटाइटिस नहीं लग रहा – इतना ऊँचा लिवर एंजाइम & बिलिरुबिन बच्ची के लिए खतरनाक है। उल्टी, कमजोरी, पीलिया बढ़ सकता है। आज ही अच्छे बच्चों के अस्पताल में एडमिट करवाएं (पेडियाट्रिक गैस्ट्रो/हेपेटोलॉजिस्ट वाले) – IV फ्लूइड, लिवर सपोर्ट & मॉनिटरिंग जरूरी है।
अगर वायरल हेपेटाइटिस (A या E) है → 2–4 हफ्ते में सुधार शुरू, पूरी रिकवरी 1–3 महीने अगर गंभीर कारण → ज्यादा समय या स्पेशल ट्रीटमेंट लग सकता है डॉक्टर जांच कर बताएंगे (अल्ट्रासाउंड, वायरल टेस्ट जरूरी) रेस्ट कितने दिन? कम से कम 4–6 हफ्ते पूरा बेड रेस्ट (स्कूल बंद, कोई खेलकूद नहीं) लिवर ठीक होने तक कोई भारी काम नहीं
खाने में क्या दें दें: उबला चावल + मूंग दाल खिचड़ी + थोड़ा घी उबले आलू/लौकी/कद्दू की सब्जी पपीता, सेब (उबला), अनार नारियल पानी, ग्लूकोज पानी दिन में 8–10 ग्लास पानी/ORS
बिल्कुल बंद: तला-भुना, मसालेदार, बाहर का खाना दूध/दही/पनीर (पहले 2 हफ्ते) नॉन-वेज, अंडा चॉकलेट, कोल्ड ड्रिंक
आयुर्वेदिक सपोर्ट (हॉस्पिटल में एडमिट करने के साथ) डॉक्टर की परमिशन लेकर: भूम्यामलकी चूर्ण – ½ tsp दिन में 2 बार पानी से (लिवर के लिए बेस्ट) आरोग्यवर्धिनी वटी – ½ गोली दिन में 2 बार (सावधानी से)
सबसे जरूरी – आज ही हॉस्पिटल ले जाएं। बच्ची की उम्र छोटी है, लिवर जल्दी रिकवर करता है अगर सही समय पर ट्रीटमेंट मिले। भगवान जल्दी ठीक करें – घबराएं नहीं, सही इलाज से पूरी तरह ठीक हो जाएगी।
Regards डॉ. गुरसिमरन जीत सिंह एम.डी. पंचकर्म
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