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Urine is the preferred sample when testing for acidemia in metabolic disorders. The general researchers says that the metabolites appear in urine first and take longer to be detected in blood, making the urine sample as the preferred sample for screening and diagnosis of rare 100 metabolic disorders.

Metabolites appear first in the urine and later in the blood, making pre-symptomatic detection of metabolic disorders possible from urine sample.

Its a Non-invasive process for screening of metabolic disorders, hence its Baby-friendly.

Therapy and Management of these disorders at its earliest will help to curb any damage to the baby.

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Q: Why is urine used as a sample over blood when testing for genetic metabolic disorders?
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What is the comprehensive panel metabolic screening for newborn babies?

Comprehensive panel metabolic screening is done on newborn babies to test for genetic disorders from birth. The panel comprises of many rare metabolic disorders which individually might occure very rare but when seen collectively the occurrence increase many fold. There are more than 100 metabolic disorders which can be detected in a newborn urine sample.


How can a person be screened for a genetic disorder such as Huntingtons disease?

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What is baby metabolic testing. What role do enzymes play in metabolic disorders?

Baby metabolic testing is the process of testing newborn babies for treatable genetic, endocrinologic, metabolic and hematologic diseases. Newborn screening has been adopted by most countries around the world, though the lists of screened diseases vary widely, anywhere from 1 disorder to more than 100 disorders. Baby metabolic testing are tests for diagnosing a baby with congenital metabolic error. Every newborn baby should take this test at birth. Metabolism is the sum of the chemical processes and interconversion's that take place in the cells and the fluids of the body. This includes the absorption of nutrients and minerals, the breakdown and buildup of large molecules, the interconversion of small molecules, and the production of energy from these chemical reactions. Virtually every chemical step of metabolism is catalyzed by an enzyme. Disorders of these enzymes that result from abnormalities in their genes are known as inborn errors of metabolism.. In many genetic and metabolic disorders, symptoms don't begin until days or weeks after an infant is born. By the time symptoms appear, damage may already have been done to the nervous system, kidneys, vision, hearing, and other body systems. That's why early detection of these serious disorders in all infants is very important. Diagnosis and treatment of these disorders can reduce the risk of disease, disability, and even death. Enzymes are a class of proteins that are encoded by genes. Hence errors (technically called mutations) within the genes coding for these enzymes may give rise to defective/non-functional enzymes. Metabolic enzymes refer to various substances within the body that carry out a variety of functions. Deficiency of metabolic enzymes not only stalls the chemical reaction, rather also affects the absorption of the concerned nutrient; thereby causing a complete disturbance of the metabolic profile of the individual, for the nutrient that is found deficient. A distinct class of disorders that are identified by the errors in metabolic profile of an individual due to an underlying genetic mutation in metabolic enzymes is called as "Inborn Errors of Metabolism - IEM". Baby metabolic testing screens for these IEMs and early diagnosis will help in early treatment of disorder. Screening is done after 48hrs of birth and certain laboratory screens these IEM using urine sample.


Why are newborns tested for metabolic disorders?

Metabolic disorders are rare disorders routinely tested for in a newborn baby. It is always better to know the presence of these diseases before hand and not after it the child starts showing symptoms for it. To avoid unnecessary suffering to the baby this test is done before for as many as 100 disorders. The disease manifests in many ways , it can also lead to mental retardation in your baby. Metabolic disorders can be screened as early as after 48hrs of birth of that baby. Metabolic disorders lead to irreversible mental damage. Screening for disorders will help in early intervention of therapy and will give a better life to that baby. Nowadays there are screening done from urine sample and for a large range of metabolic disorders.


Are genetic metabolic disorders preventable. Why to screen them at birth?

When it comes to genetic metabolic disorders early detection is the prevention of disease manifestation. You can not prevent a genetic disorder from occurring. Screening at birth by painless urine test can prevent the disease from harming the baby. Metabolic disorders are due to a defect in metabolic pathway as the enzyme catalyzing is defective due to a defect in a gene coding it. This situation can not be corrected but can be effectively managed by diet modifications and special foods. Genetic metabolic disorders are not preventable as they are defective gene that are passed from the parents to their offspring, that why screening at birth for these disorders become important. The parents just carry these genes without showing any signs of the disorders which then becomes evident in the baby after birth. Screening through urine sample for more than 100 metabolic disorders is gaining popularity, which is baby friendly rather than pricking them at the heel. Management of these disorders after screening will help in preventing any irreversible damage to the baby. After about 6 months of my baby's birth, my baby started becoming lethargic and less enthusiastic about feeding or even playing. She only slept all the times. Initially, I did not get too concerned about it, as most babies sleep all the time, but then when I showed her to the ped., he immediately asked me to do a metabolic urine test for 100 disorders, which showed positive and then only after modified diet, did my baby start to thrive. If I had known of this test before and that it could be done at birth, I would have not lost so much of time. While my baby is doing well now, I will always regret the fact that I did not do the urine test at birth. While metabolic disorders are not preventible, doing the simple urine test at birth can save a lot of time and pain for the health of the child.


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