Unsure if the child has favism?
Hello doctor, when my child was born, the doctor mentioned a suspicion of G6PD deficiency.
Later, I got busy and forgot about it.
I remember that some tests were done at that time.
Can I check the records on the health insurance card, or do I need to visit the hospital where the tests were conducted to retrieve the information? Alternatively, can we conduct a new test and have the doctor provide the results? Thank you!
Ni Ke, 40~49 year old female. Ask Date: 2024/05/27
Dr. Lin Zhebin reply Family Medicine
Hello: The examination for G6PD deficiency, also known as Favism, primarily involves a blood test to check for the presence of this enzyme.
Most individuals typically use the National Health Insurance (NHI) Easy Card to query their previous test reports.
However, if the test was performed as a self-paid item at birth, it may not be accessible.
Additionally, the NHI Easy Card generally only allows access to medical records and tests from the past 12 months, so older tests may not be retrievable.
It is recommended to visit the original hospital to inquire about the test results from birth or to undergo another blood test.
Reply Date: 2024/05/27
More Info
To confirm if your child has Favism, which is a genetic condition caused by a deficiency of the enzyme glucose-6-phosphate dehydrogenase (G6PD), there are several steps you can take regarding medical records and testing options.
1. Understanding Favism: Favism is primarily associated with the consumption of fava beans, which can trigger hemolytic anemia in individuals with G6PD deficiency. This condition is inherited in an X-linked recessive manner, meaning it predominantly affects males. Symptoms can include jaundice, dark urine, fatigue, and shortness of breath, especially after exposure to certain triggers like fava beans or certain medications.
2. Checking Medical Records: If your child was suspected to have Favism at birth, there is a good chance that a G6PD test was performed as part of newborn screening. In many countries, including the United States, newborn screening tests are routinely conducted to identify various genetic and metabolic disorders. You can check your child's medical records through the following methods:
- Health Insurance App: If you have access to a health insurance app or portal, you may be able to view your child's medical history, including any lab results. However, keep in mind that these records may only go back a certain period (often up to 12 months).
- Contacting the Hospital: If you cannot find the records online, it is advisable to contact the hospital where your child was born. You can request a copy of the medical records, including any tests that were performed. You may need to provide identification and possibly fill out a release form.
- Consulting Your Pediatrician: Your child's pediatrician can also assist in retrieving these records and interpreting the results. They can provide guidance on whether further testing is necessary.
3. Re-testing for G6PD Deficiency: If you cannot find the previous test results or if there is uncertainty about the diagnosis, you can opt for a new G6PD test. This is a simple blood test that measures the level of the G6PD enzyme in your child's blood. If your child is diagnosed with G6PD deficiency, your healthcare provider will discuss management strategies, including dietary restrictions and avoiding certain medications.
4. Next Steps: If your child is confirmed to have G6PD deficiency, it is essential to educate yourself about the condition. This includes understanding which foods and medications to avoid, recognizing symptoms of hemolytic anemia, and knowing when to seek medical attention. It may also be beneficial to consult with a genetic counselor for further information and support.
5. Conclusion: In summary, to confirm if your child has Favism, you should first check your medical records through your health insurance app or directly with the hospital. If necessary, consider re-testing for G6PD deficiency. Understanding the condition and its implications is crucial for managing your child's health effectively. If you have any concerns or questions, do not hesitate to reach out to your healthcare provider for personalized advice and support.
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