Conversation: The conversation between human and AI assistant.
[|Human|] My 8 year old son has had elevated ALT for the last 5 years. His pedi also said his liver is enlarged, they are trying to get us an appointment with a GI doctor. We have been to many specialists. My sons blood sugar used to plummet in the mornings to under 60. He would then puke a horrible highlighter yellow fluid. We ve had a diagnosis of Ketotic Hypoglycemia , which he should have outgrown. His blood sugar is no longer lowering. But he is still vomiting the highlighter yellow fluid approximately every 6 to 8 days. He gets very pale, with black under his eyes and his usually rosey lips turn grey. He then vomits and his color returns. His urine also smells very strong.
[|AI|]  Hi and welcome to Chat Doctor. First the exact cause of liver damage should be found. In his age the first thing to think of is congenital liver disorders such as Gilbert. Secind, it may indicate any kind ONF systemic infection, and thirdly it can be certain blood disorder if associated with anemia. He needs extensive work up to evaluate his blood sugar.it may suggest pancreatic disease or beginning of type 1 diabetes. Wish you good health.