That's the most recent trail we are following with Nia. Her biopsy result indicates that she may have a rare parasite called Schistomoniasis living on the lining of her liver. This parasite comes from being in infected waters. Some people have symptoms that would lead a doctor to think of auto-immune hepatitis.
Here's a short summary of what we think this nasty parasite does: Children who are repeatedly infected can develop anemia, malnutrition, and learning difficulties. After years of infection, the parasite can also damage the liver, intestines, lungs, and bladder.
This all makes sense because Nia is anemic, and I personally think she has learning difficulties beyond the language barrier. I'm wondering if it accounts for the size of her belly. She's put on 5 pounds since November.
So, off we go to Infectious Disease in a couple of weeks to determine if this parasite is the Real Problem.