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
. 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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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.
Thank you for sharing Baby Pari’s CBC report I have carefully reviewed ,these results along with her liver function tests
Her hemoglobin RBC count WBC count and platelet count are all within normal limits ,which is reassuring as it shows no current sign of blood infection ,or severe anemia .Her hematocrit is slightly low but this is mild and can be monitored with proper nutrition and hydration ,Other RBC indices are mostly normal.
The important point remains her extremely high liver enzymes and bilirubin levels from the earlier report .These show that her liver is under significant stress and the mild changes in CBC do not reduce the seriousness of her liver condition.
Hospital care or very close pediatric supervision is mandatory, Oral intake should be light freshly cooked foods ,as advised earlier like ,thin rice porridge, moong dal water ,boiled mashed fruits coconut water ,in small sips and plenty of cooled boiled water. Avoid all heavy fried oily spicy packaged or outside foods Rest is important no school, no physical activity ,no screen time Monitor for vomiting yellowing of eyes ,dark urine ,pale stools, fever irritability ,.or excessive sleepiness
CBC shows her blood is stable for now which is good but it does not replace the need for urgent investigations like Hepatitis A IgM Hepatitis E IgM Prothrombin time Ultrasound of liver and blood ammonia if drowsy
Please continue to share any new symptoms number of vomiting episodes urine and stool color abdominal pain fever or sleepiness as these will guide immediate interventions
With close supervision ,proper rest and diet children can recover well from viral or post viral liver inflammation .Early hospitalization and monitoring prevent serious complications.
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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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.
