my son height is 84 cm and weight 20 kgs .age 2 year 3 months..I got his test done .His sgot is 48 and vitamin d3 .is it normal? his weight and height is not increasing plzz guide

Question

Accepted Answer

Your concerns about your son's height and weight, as well as his SGOT and Vitamin D3 levels, are understandable. Let's break down the information and provide some guidance.

### Height and Weight

For a 2-year, 3-month-old child:
- **Average Height**: Approximately 86-89 cm.
- **Average Weight**: Approximately 12-15 kg.

Your son's height of 84 cm is slightly below average, and his weight of 20 kg is significantly above average for his age. This discrepancy may warrant further evaluation by a pediatrician to understand if there are any underlying health concerns or if his growth pattern is within a normal variation.

### Blood Test Results

#### SGOT (Serum Glutamic-Oxaloacetic Transaminase)
- **Normal Range**: Typically, for children, the normal range is between 10-40 units/L, but this can vary slightly by lab.
- **Your Son's SGOT**: 48 units/L. This is slightly elevated but not alarmingly high. Elevated SGOT levels can indicate liver stress, muscle injury, or other metabolic conditions.

#### Vitamin D3
- **Normal Range**: For children, a normal Vitamin D level is typically between 20-50 ng/mL.
- **Your Son's Vitamin D3**: (The specific level is not provided, so I assume it was checked.) Low Vitamin D levels can affect bone growth and overall health. If his Vitamin D level is low, supplementation and increased exposure to sunlight may be recommended.

### Recommendations

1. **Pediatrician Consultation**:
   - **Growth Concerns**: Discuss your son's growth pattern with his pediatrician. They may want to monitor his growth over time or perform additional tests to rule out any underlying conditions.
   - **Elevated SGOT**: A slightly elevated SGOT may need further evaluation. The pediatrician might recommend additional liver function tests or assess other factors such as diet, medications, or any recent illnesses that could have affected the liver.
   - **Vitamin D Levels**: If the Vitamin D level is low, the pediatrician may suggest dietary changes, supplements, or increased sun exposure.

2. **Diet and Nutrition**:
   - **Balanced Diet**: Ensure your son is eating a balanced diet rich in fruits, vegetables, proteins, and whole grains. A pediatric nutritionist can provide specific recommendations if needed.
   - **Vitamin D**: Foods rich in Vitamin D (such as fortified milk, fatty fish, and eggs) and safe sun exposure can help improve Vitamin D levels.

3. **Physical Activity**:
   - **Active Play**: Encourage regular physical activity to support healthy growth and development.

### Conclusion

While your son's height and weight are not following typical growth patterns, and his SGOT level is slightly elevated, these factors alone do not necessarily indicate a serious problem. However, they do warrant a thorough evaluation by a healthcare professional. Working with your pediatrician to monitor his growth and address any potential nutritional or health issues will help ensure that your son remains healthy and continues to grow appropriately.