Question

A 5-year-old child presents with intermittent abdominal pain around the umbilicus. Examination reveals elevated liver function markers, including Alkaline Phosphatase (ALP), Alanine Aminotransferase (ALT), Aspartate Aminotransferase (AST), and Gamma-Glutamyl Transferase (GGT), with ALP levels between 680-820, ALT levels between 187-285, AST levels between 100-200, and GGT levels between 286-338. After being examined at relevant hospitals such as Xi’an and Beijing Children’s Hospitals, infections with hepatitis A, B, C, D, and E viruses (HBV, EBV, CMV, etc.) have been ruled out. Urinary copper, blood ceruloplasmin, and KF ring tests have also excluded Wilson’s disease. No metabolic diseases were found in the congenital metabolic disease examination. I seek the guidance of kind experts for the next diagnostic direction and dietary care recommendations.

Answer

Firstly, maintaining an optimistic and positive attitude is crucial for the recovery of the condition. In the treatment of pediatric liver disease, dietary care is a key factor. Here are some recommendations:

  1. Provide high-protein, low-fat, and low-sugar foods to aid in the repair and regeneration of the liver.
  2. Avoid greasy, spicy foods, as well as alcohol and sugary beverages, which can increase the burden on the liver.
  3. Ensure that the child receives adequate vitamins and minerals such as B vitamins, vitamin C, zinc, and selenium, which are beneficial for liver health.
  4. Schedule regular follow-up visits and adjust dietary and treatment plans according to the doctor’s advice.
  5. Observe any changes in the child’s symptoms, such as whether abdominal pain decreases, appetite returns, or mental state improves.