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Is A Weight Of 58 Kg Considered Overweight For A 12 Year Old?
Question: Dear Doctor, my employee, XXXXXXX has a 12year old son, XXXX, and he feels that his son is abnormally over-weight at this age. Harsh's weight is 58kilograms and height is 138cms. I am attaching his complete blood test report taken last November 2014. Please let us know if there is anything wrong with XXXX and if so, please suggest suitable tests etc. For your information, XXXX's elder son died last year suddenly in August after he returned from school one day. He was studying in 12th class. Local doctors claimed it was heart failure and for your information, he was under-weight for a boy of 17years.
Brief Answer:
High T3 value has a clinically significance
Detailed Answer:
Hi XXXXXXX
Welcome to health care magic,
I have gone through the reports you attached.
Any biochemical laboratory reports should be correlated to clinical features.
I would like to ask about XXXX, is there any clinical signs or symptoms or is he having any complain or difficulty?
Here,only clinical significant finding is slightly high T3 value and other reports are also slightly high but one should always go for another blood check up only in fasting condition.
High T3 level is seen in hyperthyroidism or painless/silent thyroiditis or graves disease or toxic nodular goiter or hypopitutarism.
Total high protein and high potassium could be due to high T3 level in blood but you must take him lab to repeat all the tests again after few days which are marginally elevated.
If his brother had died at young age because of heart failure that does not necessarily mean XXXX will also have heart problem.
The liver function tests are also marginally elevated which does not have any clinical significance but abdominal ultrasound with hepatobilliary can be done to rule any pathology.
His BMI is around 30 which indicates grade-i obesity but it is also not a disease.
I think we should first ask him clinical signs or symptoms, then repeat thyroid scan and other reports in fasting condition then ultrasound if abdomen and 2D echo cardiography of heart as he is having a family history.
Consult physician for clinical correlation of the findings.
Thanks and Regards,
Dr.sandipkabra
High T3 value has a clinically significance
Detailed Answer:
Hi XXXXXXX
Welcome to health care magic,
I have gone through the reports you attached.
Any biochemical laboratory reports should be correlated to clinical features.
I would like to ask about XXXX, is there any clinical signs or symptoms or is he having any complain or difficulty?
Here,only clinical significant finding is slightly high T3 value and other reports are also slightly high but one should always go for another blood check up only in fasting condition.
High T3 level is seen in hyperthyroidism or painless/silent thyroiditis or graves disease or toxic nodular goiter or hypopitutarism.
Total high protein and high potassium could be due to high T3 level in blood but you must take him lab to repeat all the tests again after few days which are marginally elevated.
If his brother had died at young age because of heart failure that does not necessarily mean XXXX will also have heart problem.
The liver function tests are also marginally elevated which does not have any clinical significance but abdominal ultrasound with hepatobilliary can be done to rule any pathology.
His BMI is around 30 which indicates grade-i obesity but it is also not a disease.
I think we should first ask him clinical signs or symptoms, then repeat thyroid scan and other reports in fasting condition then ultrasound if abdomen and 2D echo cardiography of heart as he is having a family history.
Consult physician for clinical correlation of the findings.
Thanks and Regards,
Dr.sandipkabra
Above answer was peer-reviewed by :
Dr. Shanthi.E
Dear Doctor,
Thank you for your detailed explanation but as a layman, I cannot really understand the significance of all the issues you have addressed. I would like to follow your advice and consult a doctor and also carry out the blood tests advised by you .
As I understand you have recommended the following tests.
1. Thyroid scan
2. Sugar levels in fasting condition
3. Ultrasound of abdomen
4. 2D Echo cardiograph of the heart
Apart from the above, does he have to do any lipid profile for obesity? OR any other additional test that would help the doctor examining him to zero-in on the exact problem.
Do you think I need to consult any specialist such as an endocrinologist ? or should any GP do? XXXX also mentioned he has gas problems especially when he lies on his stomach.
thanks in advance,
rgds, XXXX
Thank you for your detailed explanation but as a layman, I cannot really understand the significance of all the issues you have addressed. I would like to follow your advice and consult a doctor and also carry out the blood tests advised by you .
As I understand you have recommended the following tests.
1. Thyroid scan
2. Sugar levels in fasting condition
3. Ultrasound of abdomen
4. 2D Echo cardiograph of the heart
Apart from the above, does he have to do any lipid profile for obesity? OR any other additional test that would help the doctor examining him to zero-in on the exact problem.
Do you think I need to consult any specialist such as an endocrinologist ? or should any GP do? XXXX also mentioned he has gas problems especially when he lies on his stomach.
thanks in advance,
rgds, XXXX
Brief Answer:
Consult physician for clinical interpretation of the reports.
Detailed Answer:
Hi XXXXXXX
Thanks for the follow-up query,
As i said earlier any biochemical laboratory reports should be correlated according to the clinical features.If XXXX has no clinical signs and symptoms except gas problem then there is no need to worry.
I have advised following investigations.
1. Thyroid profile (in fasting)
2. SGOT,SGPT,GGT,Alkaline phosphatase(ALP),serum total proteins and serum potassium in fasting conditions as all those were slightly elevated
3. Ultrasound of abdomen with hepatobillary
4. ECG and 2D Echo-cardiography of the heart to rule out any heart pathology
You can go for lipid profile testing and that should not be the issue but its not necessary that obese individual might altered serum lipids.
For stomach gas problem,he can take appropriate antacids(pantoprazole or rabeprazole) with avoiding oily,spicy and low carbohydrate-fatty diet.
You should physician for clinical interpretation of the above reports what i suggested.
Thanks and Regards,
Consult physician for clinical interpretation of the reports.
Detailed Answer:
Hi XXXXXXX
Thanks for the follow-up query,
As i said earlier any biochemical laboratory reports should be correlated according to the clinical features.If XXXX has no clinical signs and symptoms except gas problem then there is no need to worry.
I have advised following investigations.
1. Thyroid profile (in fasting)
2. SGOT,SGPT,GGT,Alkaline phosphatase(ALP),serum total proteins and serum potassium in fasting conditions as all those were slightly elevated
3. Ultrasound of abdomen with hepatobillary
4. ECG and 2D Echo-cardiography of the heart to rule out any heart pathology
You can go for lipid profile testing and that should not be the issue but its not necessary that obese individual might altered serum lipids.
For stomach gas problem,he can take appropriate antacids(pantoprazole or rabeprazole) with avoiding oily,spicy and low carbohydrate-fatty diet.
You should physician for clinical interpretation of the above reports what i suggested.
Thanks and Regards,
Note: For further queries related to your child health, Talk to a Pediatrician. Click here to Book a Consultation.
Above answer was peer-reviewed by :
Dr. Pradeep Vitta
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