Conversation: The conversation between human and AI assistant.
[|Human|] dear sirmy cousin brother (age 16month ) is suffering from liver swelling problemmay be due to his swelling problem he is not developing like other kidsand becoming thinner and thinner each day . we have been gone through many check upsand test as doctor have guided, but still the accurate reasons for swelling isntdiscover yet. the doctors here now have almost given hope but however we are still hoping for good news. sincerely yours,sajan
[|AI|]  Hi thanks for contacting Chat Doctor .... Noted you have swelling over liver area and cause not identifiable... Which investigation have you done??? Here first hemolytic anemia should rule out by relic count and peripheral smear examination with electrophoresis.... If still cause not found then liver biopsy may be needed to rule out alpha 1 antitrypsin deficiency or metabolic liver disease.... Detail history through parents and examination needed to look for any metabolic disease like glycogen storage disease.... You can discuss all these with your doctor, and you might get cause for liver enlargement.... If needed complete liver profiling also done... Liver biopsy also useful for identification of embryonic malignancy....If you need USG and CT scan like investigation useful. Hope my suggestion will help you.... Take care//// Chat Doctor. .