Dr. Faisal Abdul Karim Malim
Pediatrics
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello doctor,
My younger son was born this month, weighing 5.291 pounds through a cesarean delivery. We took the opportunity to collect his stem cells for preservation during the delivery. Today, I received the report via email and have attached it. Could you kindly review it to check if there are any significant concerns? Kindly help.
Thank you.
Hello,
Welcome to icliniq.com.
Thank you for your query. I read your query and understood your concern.
Based on this report, the current findings appear normal for the child's age. However, the lab is uncertain about the presence of HbS (sickle cells). Confirmation can only be obtained after the child reaches 6 months of age, as some of the mother's cells may still circulate in the baby's blood during this period.
Therefore, no immediate action is required at this time. Once the child reaches 6 months of age, it will be necessary to conduct HB Electrophoresis and Serum Iron studies along with a Peripheral smear picture of blood.
Subsequent management decisions will be based on the results of these reports.
I hope my advice will be helpful. Feel free to reach out if you have any further queries.
Thank you.
Patient's Query
Hello doctor,
Thank you for your reply.
Is the reference range given in the report correct, or is the given range not appropriate for this age?
Should I go for a test after six months, even if the child has no symptoms?
there is any problem, then is it curable?
I am confused as you said that the report is normal, but the laboratory suspects it. Abnormalities. Kindly help.
Thank you.
Hi,
Welcome back to icliniq.com.
The laboratory has doubts about sickle cell anemia which cannot be confirmed at this age (as the mother's blood is still circulating in the child). It can only be confirmed after the age of six months by doing the tests I have mentioned.
Yes, you should go for tests irrespective of the clinical condition of the child to rule out sickle cell anemia as the lab is suspecting it.
Many people live with sickle cell anemia. Such individuals are known to be resistant to malaria (such individuals cannot get infected with malaria). Treatment for the disease will only be required if it causes symptoms like leg pains, breathlessness, etc. (which is intermittent usually). The main line of treatment is usually hydration.
I hope my advice will be helpful. Feel free to reach out if you have any further queries.
Thank you.
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Pediatrics
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