Basic Check-up for Children aged 3-13

The Basic Checkup and additional tests for IgE, iron, ferritin, ASTO (Anti-Streptolysin O), Lipoprotein Lp-α, and homocysteine

The Basic Checkup for children aged 3-12 years includes additional tests for IgE, iron, ferritin, ASO (Anti-Streptolysin O), Lipoprotein Lp-α, and homocysteine, alongside the standard Basic Checkup analyses. This comprehensive examination ensures the necessary assessment of blood components, kidney and liver function, measurement of glucose, cholesterol-lipids, and urinary analysis, comprising:

The peculiarities of childhood (such as allergies, tonsillitis, possible nutritional deficiencies, etc.), along with the need for early detection of risk factors for potential familial dyslipidaemia, create the necessity for additional analyses. The most important ones are:

Immunoglobulin E (IgE)

They serve as the primary indicator of allergic reactions of all types. Allergies afflict a large percentage of children (~30%), causing undue activation of the immune system, leading to overall exhaustion of their bodies.

Early detection of allergic reactions in children is extremely important as it provides information for avoiding factors that cumulatively enhance the individual's allergic reactivity. With proper education and preventive measures, we can even avoid a possible extreme, sudden, and very dangerous case of allergic reaction, anaphylaxis, which can occur during vacations or in places with limited access to immediate medical treatment (e.g., insect stings).

If elevated IgE levels are found, further specialised allergy indicators (RAST tests) may be analysed to precisely identify allergens (e.g., dust mites, pollen, foods) under the guidance of a paediatrician or allergist.

Antistreptolysin O (ASTO)

This is a test for detecting possible infection of the tonsils by streptococcus bacteria. Detecting streptococcal infection with this examination is used as a criterion for evaluating a future fever. The infection is very common among children, and during an acute phase, it requires immediate treatment to avoid potential serious complications (e.g., heart infection).

Iron (Fe) and Ferritin (Ferr)

These tests are performed in combination to assess the adequacy of dietary iron in children.

Increased consumption of dairy, common in childhood, often creates absorption problems for iron (cow's milk is low in iron, and calcium intake itself inhibits iron absorption).

Possible iron deficiency, besides anaemia symptoms like fatigue, may bring about general behavioural changes in children, even leading to learning difficulties.

Lipoprotein A ((Lp-a)  is an independent lipid and cardiovascular risk factor, similar to cholesterol. Its levels are genetically determined, and thus remain stable and independent of diet from childhood.

Measurement of lipoprotein A is recommended for a comprehensive assessment of the potential risk from dyslipidaemia and for proper dietary regulation in children, especially in cases with a family history of dyslipidaemia or cardiovascular diseases.

Homocysteine (Hcy)

This examination is optionally included in children's check-ups, particularly in those with dyslipidaemia, obesity, a family environment with dyslipidaemias or cardiovascular diseases, or thrombophilia. Through this test, we detect possible inflammations of blood vessels or adipose tissue, allowing for appropriate preventive measures with the administration of dietary supplements.

The personalisation of the check-up takes into account multiple parameters of the child's personal and family history. Depending on the case, the selection of tests may be limited to the absolutely necessary ones for the basic check-up, but it may also include analyses not mentioned here. For this reason, consult your paediatrician or family doctor, or ask us by phone (23850 49200-208) for more information and recommendations.

We provide your results with a full explanation, assessment, and initial guidance as needed.

As preparation for morning blood sampling and examination, the following is suggested:
– Mandatory intake of an evening meal the night before.
– The last meal should be consumed up to 11-12 hours before blood sampling.
– The evening meal should contain fewer animal fats (if it includes cheeses, fatty dairy products, and meats).
– No intake of food in the morning, with free consumption of water.

For urine collection:
– Collect the first morning urine.
– Wash the area thoroughly with plenty of water, without soap.
– Discard the first urine of the morning and collect a small amount from the midstream in a special urine collector