Dr. Bhaisara Baraturam Bhagrati
Pediatrics
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Patient's Query
Hi doctor,
I have a quick question concerning my son's laboratory results. He is 13 years old and he has asthma from four years of age. He has been taking Flonase daily for a long time, and once in a while, he uses an Albuterol inhaler. Recently, he started having upper abdominal pain and right-sided chest pain on and off. Recently, he had an allergy panel. He is mildly allergic to various foods such as milk, eggs, mild allergies to pollen, cats, and dogs. He had some blood tests. His cholesterol and triglycerides are high. I think that it remains attributed to poor diet. He does not eat fruits and vegetables. His other laboratory parameters look normal. His eosinophils remain high with a range of 611. Do you think that this mild elevation in eosinophils are concerned? Can it be due to chronic history of asthma and other allergies to foods? What would you recommend? Thank you doctor.
Hi,
Welcome to icliniq.com.
I understand your concern. Eosinophilia (raised eosinophils) is known to be seen in allergy or asthmatic patients. In fact, it is one of the clinical markers of allergic illness. The eosinophil count is borderline high (not so significant as a matter of concern). If asthma is well controlled, it can come down. Yes, you are right. LDL (low-density lipoprotein) is in the high range, which can be compensated by adding a nutritious diet like more fruits and vegetables. I suggest you add fish or fish oil supplements to his diet if he is not allergic to fish. Omega 3 (rich in fish ) is known to have anti-inflammatory properties. It has a positive effect on allergies as well as increasing HDL (high-density lipoprotein) which is good fat and lowering LDL. Happy to serve you. Feel free to connect if any concerns.
Patient's Query
Thank you doctor,
So you are saying that a mildly high eosinophil level is probably expected in a long-standing asthmatic having several allergies. Aside, you have mentioned a good idea about omega 3 vitamins. I have a small question. If someone is vegetarian, what would you suggest to eat or take to lower cholesterol and triglyceride levels as omega 3 is present in fish? Thank you doctor for your reassuring and quick response.
Hi,
Welcome back to icliniq.com.
I understand your concern. Yes, in long-standing asthmatic or allergic patients, eosinophilia is known. The richest source of omega-3 fatty acids are fish. In vegetarian people, they can take flaxseed, chia seeds, walnuts, hemp seeds, and cooking oil like olive oil. These can be used as alternatives and it is needed to be taken in more quantity to have adequate omega-3. Happy to serve you. Feel free to connect.
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