What causes lethargy and consistent cough in a child?

Question

Hello doctor,

I was wanting some more information about my sons blood test that was done yesterday. There are a a few results that were in the red. The doctor called and left a voicemail today but only mentioned the chest X-ray that was done and not the bloodwork and were closed by the time I saw the missed call. These are the results; urobilinogen +1, bacteria UR (few), ALP 168 unit/L, creatinine 0.4 mg/dl, SED rate 12 mm per hour, WBC 3.7k/mcl.

My son is 5 years old and the blood work was done because he has been sick for a month now and has had a consistent cough, was seen in ER for difficulty breathing, and for the last two weeks has seemed somewhat lethargic. He normally goes to asleep at 08.30 PM and now has been falling asleep every night on his own between 05.30 and 06.30 PM and just has been lying in bed when he gets home from school. Any suggestions or help would be appreciated.

Answer 1

Hi,

Welcome to icliniq.com.

As your child is lethargic and not accepting well. Then child may be sick. Also regarding the reports. Urobilinogen may be seen in early phases of jaundice and bacteria simply me be due to urinary infection. The WBC count are low and which may also signify infection. Rest of the things are related to illness and may not pose any problem. Difficulty breathing with cough is a sign of infection or spams which may aggravate if not treated.