Question
What should be done when a three-year-old’s school entrance physical exam shows elevated liver function tests? The ALT result was 85, the AST result was 71, and the ALP result was 222.7, with the normal range being 30.0 to 115.0. What should be done now?
Answer
Hello, based on the liver function and blood routine test results provided for your child, your child is very healthy and all values are within the normal range. Although some indicators show values outside the normal range, this is normal for a three-year-old. For example, the lymphocyte and granulocyte counts and ratios are typically within the range of 50%-70% for lymphocytes and 20%-40% for granulocytes in children under six years old, so your child is completely normal. Additionally, there is a slight elevation in AST levels, but this is not significant. Also, the red blood cell mean corpuscular volume (MCV) and distribution width (RDW) are slightly lower, which may be due to the child’s need for more nutrients and iron during growth and development, and it has not caused anemia, so there is no need to worry. Simply increasing the intake of eggs and lean meat in their diet should suffice.