4th Pediatric Infectious Diseases Conference
 
 
Home  Back   ISSN 0973 - 0958
 
Specialist Answers
Question
Should I request further testing or let it go? My son turned 4 in February. At a previous doctor visit for his coughing, runny nose he was checked and on his abdomen she said his liver was enlarged that it was up high so she could feel the grid of it at his rib and they would need to watch it in the future. Would this have anything to do with his allergy/asthma? .He takes zyrtec & singulair daily. Should I push for some actual testing or request he be sent to a liver doctor to ease my mind? He is little for his age and very slender. He weighs just 35 pounds. He has lot of ear problems and sinus infections, but otherwise ok for now. At birth he weighed 9l.11ounces and 20 inches. He was born they said with an infection don't know what and he wouldn't suck so he had to stay in the hospital. After the 3rd day he finally took like 2 ounces and started to suck so sent him home on the 5th day after his birth. I just wonder if something is wrong which has it to do with the infection he had at birth but was told didn't know what it was and later he did come home.
Answer
What is important is to know the liver size rather than palpable liver as liver may be pushed down in cases of chronic sinusitis and asthma and may be palpable but the size is normal. In case of any liver pathology, the liver in addition to being palpable would also be enlarged. Also regarding his repeated allergies and asthma and ear infections you could rule out immune deficiencies in your child as certain immune deficiencies mimic allergies. Consult your doctor for the same.
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