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Child with enlarged liver. Is it serious? Hepatitis?

I took my 3 year old grandson to the doctor today, we went for is ear and the doctor was checking his stomach and said his liver is enlarged. He sent us to have blood work and x-rays but he really didn t explain anything, what could be causing it, how serious is it. He mentioned mono at one point and hepatitus another. I need help understanding and knowing what is going on
Asked On : Mon, 18 Feb 2013
Answers:  2 Views:  118
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Pediatrician 's  Response
Hi ,
Thank you for your query.
Do not panic.
The liver is usually palpaple in a 3yr old child.The liver can be enlarged for various reasons.The commonest cause being fatty liver.But it has to be certified after an ultrasound examination.
Hepatitis is one cause of liver enlargement which is usually associated with jaundice.Let the test results come.
If you have any further queries you are free to consult me.
Hope this answers your query.
Wishing your child a speedy recovery.
Have a nice day.
Answered: Mon, 18 Feb 2013
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Pediatrician Dr. E Venkata Ramana's  Response
Feb 2013
Thank you for your query,
Usually liver is palpable in children1 to 1.5 cm below the costal margin and the extent of enlarged liver from rib margin is important to say whether it is significant or not.
So clinical examination to see the liver enlargement, and investigations like X-ray, ultrasound abdomen, and liver function test to be done to know the involvement of the liver to rule out any structural, functional problems like hepatitis.
Hope I have answered your query.
Answered: Tue, 19 Feb 2013
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