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Dr. Phil, MD
Dr. Phil, MD, Board Certified Physician
Category: Medical
Satisfied Customers: 53133
Experience:  GP in the United States
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Doctor, My son (2 years old) recently went aboard to

Resolved Question:

Hi Doctor,
My son (2 years old) recently went aboard to China and had a blood test there, which turns out that his ALT (Alanine transaminase ) level is 10 times higher than normal, however the doctors there could not find out what went wrong and he is not in pain, we've been to many hospitals and seen many specialists but still have no idea what is going wrong with him.
I'm extremely concerned because my understanding that ALT is widely used to detect liver problem and 10 times higher than normal could mean significant damage to the liver.
He recently (2 months ago) had Hand-Foot-Mouth disease and I was told that it might have affected ALT level, but he has recovered from the disease, would it still affect ALT level?
I'm extremely helpless at the moment, could you please kindly provide some advice on what I should do?
Thanks and regards
Submitted: 10 months ago.
Category: Medical
Expert:  Dr. Phil, MD replied 10 months ago.
Thanks for this questionThis could be many thingsIt could still be elevated due the virus. Sometimes it takes months to go back downHe absolutely needs a liver ultrasound and blood tests for1)celiac2)hepatitis3)wilson's disease4)immune liver disease I would recommend seeing a liver specialist as he may end up needing a biopsy
Dr. Phil, MD, Board Certified Physician
Category: Medical
Satisfied Customers: 53133
Experience: GP in the United States
Dr. Phil, MD and 3 other Medical Specialists are ready to help you
Customer: replied 10 months ago.
Hi Dr. Phil,Thanks for your quick answer.He has done both liver ultrasound and blood tests , which didn't give any hint.We are indeed planning to see a specialist, just wondering if you have any suggestions on which clinic to go in London?Thanks
Expert:  Dr. Phil, MD replied 10 months ago.
private or NHS?
Customer: replied 10 months ago.
Private only please
Expert:  Dr. Phil, MD replied 10 months ago.
http://www.londonbridgehospital.com/LBH/treatments-specialties/hepatology/
Customer: replied 10 months ago.
Thank you so much, really appreciate your help

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