Re: 2 mo. old has slightly enlarged liver...
the one thing here that i would actually request,just to rule out this possibility,is having an ultrasound done on his liver,and the kidneys too. to really know for sure that his liver is simply okay,he does need to have it fully evaluated with US. this would show how it actually 'looks' inside of him and how well the blood flow is thru the portal vein as well. there are just some liver and liver/kidney disorders that can be there from birth. my son had one caused by a mutated gene from having a kidney disease called polycystic kidney disease. he had little fibers actually growing in his liver even before he was born. we didn;t have a clue this was even going on since he was seemingly totally healthy and happy til he turned around 12? that is when everything kind of hit the fan and we found out that we all had PKD but my son got hit with that bizzarre mutated version. i and my sister found out at around age 40 that we both had been living with PKD from birth on but just didn;t have a clue since our labs were always okay. is there any family history on either side of your families of ANY types of kidney or liver problems at all?
PKD is actually a very common sort of kidney disease(this CAN affect the liver as well,mine is) but most people who actually have it don;t have a clue til things start changing with kidney labs or liver labs(and this actually happens in the very late stages) or they just happen to have to obtain an abdominal ultrasound for some reason and the charachteristic poly cysts are simply seen on the US. believe me, you just really do need to have that liver further evaluated just to make sure 'it' looks okay.
an enlarged liver can be from many different types of reasons,conditions or diseases,you just need to know what is causing that enlargement. and ultrasound still is the very best way to see that,espescially in a very young child. hopefully this is not a huge reason for that enlargement,but this needs to be looked at soon just so you know. i do wish you all the luck here with this,and hopefully it is just some odd little reason and not something more serious. please let me know what you find out,K? Marcia