Conversation: The conversation between human and AI assistant.
[|Human|] my daughter is 4.10 years old.looks like 3.5 and weight is 15kh. she has distended abdomen.doctors believe she has metabolic lever disorder.sugar level drops if she does not eat any thing for 7-8 hrs. She had nose bleed. but now her blood does not stop so easily. platelets count ok.hb=10 sgpt=54
[|AI|]  Hello, Yes, it could be metabolic liver disease. A distended abdomen may be fluid in abdomen, seen in liver disease. Bleeding may occur due to deranged PT/INR, a test and function of liver, which may lead to bleeding. I suggest you a battery of test as ultrasound abdomen, complete Liver function test, alpha photo protein, and repeated blood sugar. Further tests are based on reports of these tests. Hope I have answered your query. Let me know if I can assist you further.