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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What does total cholesterol-232 and triglycerides-3805 in a child suggest?

My Son Age just 15 Months old, accedently accidently doctors found he s having High cholesterol levels. Goverment Hospital pediatrician doctors says he s having Glycogen storage diseases and Private hospital doctors says he have Niemann-Pick Disease. Here is the Recent Lipidprofile Report: cholesterol Total : 232 mg-dl Triglycerides : 3805.00 mg-dl ( Yes 3805.00 Correct ) Doctor Note: Triglycerides result, severa; time with dilution markedly increased level other test are not availble dilute interference Triglycerides. i m looking some good advice and treatment? if you need any other result to analyze this diseases please let me know?
Wed, 18 Jan 2017
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General & Family Physician 's  Response
Hi,

I appreciate your concern for your beloved son. Based on the results of the lipid profile your son seems to be suffering hyperlipidemia which is suspicious of familial in nature.

Familial combined hyperlipidemia is one of the most common genetic disorder that is passed down through families. It causes high cholesterol and high blood triglycerides. It can cause early heart attacks.

Other causes may include diabetes and hypothyroidism. High cholesterol is associated with an increase of atherosclerosis and heart disease. High triglycerides by themselves do not appear to increase atherosclerosis or heart disease, but there is an increased risk of pancreatitis.

Your son needs to be properly evaluated and certain lab tests such as blood glucose, thyroid function tests, and complete lipid profile.He may need lipid lowering drugs such as fibrates, bile acid binding resins, nicotinic acid to lower his cholesterol levels and triglycerides. Fish supplements which contain Omega-3 Fatty Acids are to be given as they have been shown to lower triglycerides.

Statins should not be given as they are not safe in young children. Beside medications he should have dietary changes are a common first-line treatment.

1. His total fat intake should not exceed more than 30 percent of total daily calories.

2. The intake of saturated fat should be reduced, he should avoid egg yolks and organ meat which are high in cholesterol.

3. Low fat dairy products should be substituted for full-fat products.

4. Intake of vegetables and fruits should be encouraged.

Hope the advice given above would be useful in getting him properly evaluated and treated. Let me know if I can assist you further.

Regards,
Dr. Mohammed Taher Ali
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What does total cholesterol-232 and triglycerides-3805 in a child suggest?

Hi, I appreciate your concern for your beloved son. Based on the results of the lipid profile your son seems to be suffering hyperlipidemia which is suspicious of familial in nature. Familial combined hyperlipidemia is one of the most common genetic disorder that is passed down through families. It causes high cholesterol and high blood triglycerides. It can cause early heart attacks. Other causes may include diabetes and hypothyroidism. High cholesterol is associated with an increase of atherosclerosis and heart disease. High triglycerides by themselves do not appear to increase atherosclerosis or heart disease, but there is an increased risk of pancreatitis. Your son needs to be properly evaluated and certain lab tests such as blood glucose, thyroid function tests, and complete lipid profile.He may need lipid lowering drugs such as fibrates, bile acid binding resins, nicotinic acid to lower his cholesterol levels and triglycerides. Fish supplements which contain Omega-3 Fatty Acids are to be given as they have been shown to lower triglycerides. Statins should not be given as they are not safe in young children. Beside medications he should have dietary changes are a common first-line treatment. 1. His total fat intake should not exceed more than 30 percent of total daily calories. 2. The intake of saturated fat should be reduced, he should avoid egg yolks and organ meat which are high in cholesterol. 3. Low fat dairy products should be substituted for full-fat products. 4. Intake of vegetables and fruits should be encouraged. Hope the advice given above would be useful in getting him properly evaluated and treated. Let me know if I can assist you further. Regards, Dr. Mohammed Taher Ali