Should My Son Continue Taking Fish Oil with His Condition? - Internal Medicine

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When considering whether your son should continue taking fish oil in the context of his ankylosing spondylitis (AS) and the associated laboratory results, it's important to weigh the benefits against potential risks. Fish oil, particularly its omega-3 fatty acids (EPA and DHA), has been shown to have anti-inflammatory properties, which can be beneficial for individuals with inflammatory conditions like AS. The reduction in hsCRP (high-sensitivity C-reactive protein) and ESR (erythrocyte sedimentation rate) that you've observed after introducing fish oil is promising and suggests that it may be contributing positively to his inflammatory status.

1. Concerns About Bleeding: You mentioned concerns about fish oil's potential to inhibit blood clotting and lead to internal bleeding. While it is true that high doses of fish oil can have anticoagulant effects, the risk of significant bleeding is generally low for most individuals, especially if they are not on other anticoagulant medications. The platelet count (PLT) of 225 is within the normal range (150-450 x 10^9/L), which indicates that your son's blood clotting ability is likely adequate. However, if he has any underlying bleeding disorders or is on other medications that affect coagulation, it would be prudent to consult with his healthcare provider.

2. Continuing Fish Oil: Given the positive impact on inflammatory markers and the absence of significant adverse effects so far, it seems reasonable to continue fish oil supplementation. The typical dosage of omega-3 fatty acids for anti-inflammatory effects is often around 1,000 to 3,000 mg per day, depending on individual needs and tolerability. Since your son is currently taking 1,200 mg daily, this falls within a commonly recommended range. However, it is essential to monitor his overall health and any potential side effects.

In addition to fish oil, maintaining a balanced diet rich in anti-inflammatory foods can further support his condition. Foods high in omega-3 fatty acids (like fatty fish, flaxseeds, and walnuts), fruits, vegetables, whole grains, and lean proteins can help manage inflammation. Staying hydrated and engaging in regular physical activity tailored to his capabilities can also contribute to overall well-being and potentially improve his symptoms.

Lastly, regular follow-ups with his healthcare provider are crucial. They can monitor his inflammatory markers, platelet count, and overall health status, adjusting his treatment plan as necessary. If any new symptoms arise or if there are significant changes in his lab results, it would be important to reassess the use of fish oil and any other supplements.

In conclusion, based on the current information, it appears beneficial for your son to continue taking fish oil while being mindful of his overall health and any potential interactions with other medications. Regular monitoring and communication with his healthcare provider will ensure that he receives the best possible care for his ankylosing spondylitis.