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Interpretation of the blood test reports.

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I did a blood test and few of the results are out of range. Can you have an overall look through and suggest me what to do?


Category: Internal Medicine Specialist

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Category: Sexually Transmitted Diseases(STD)Specialist
Dr. Deepu Sebin Sebastian is online now

Expert:  Dr. Deepu Sebin Sebastian replied 4 Days.

Hello,

Thank you for choosing DoctorSpring.

I can see that there are two consults from your email ID with overlapping information. Could you please clarify ? Are you asking for the same person / or are they two different consults ? I can see an investigation report attached of a 51 year old patient. Am I supposed refer that for this query ?

Thank you


Patient replied :

Both Questions are for two different persons. This one is of 51 year old patient and the other one, it is for 22 year old. I have attached the medical report for the other one like you told


Expert:  Dr. Deepu Sebin Sebastian replied 3 Days.

Hello,

Thank you for the clarification.

I have gone through your report and understand your concern.
Your lymphocytes, eosinophils, ESR are slightly on the higher side. This is not a concern. WBCs (white blood cells) are supposed to go up and down during minor inflammations and infections :

The Random blood sugar is non specific. You will need to get a Fasting Blood Sugar

What is concerning is the altered liver function values :
You have a high and SGOT and SGPT (which represents the liver function )
This might require further evaluation.

I would like to know

1) Alcohol intake history -
2). Any medical illness , infections recently ?
3) Any history of jaundice in the past ?
4) Body weight and Height
5) Any medications ?

I will suggest further investigation in the followup email
Thank you


Patient replied :

1) Alcohol intake history - 120 mL daily
2) Any medical illness , infections - Cough & Cold
3) Any history of jaundice in the past - Hepatitis A 15 Years Back
4) Body weight and Height - 160 cm height, Weight - 80Kg
5) Any medications - Medicine for Cholesterol, BP and Diabetes control.


Expert:  Dr. Deepu Sebin Sebastian replied 2 Days.

The patient has several factors which can result in the raised SGPT and SGOT. - Alcohol intake, Medications, possible metabolic syndrome.
The fatty liver could be an early sign of cirrhosis (both will manifest similarly in the ultrasound) . Patient cannot afford to drink alcohol any further. If so, it might lead on to irreversible liver damage. So as first step stop the alcohol intake. Repear the LFT after 1 month.

He also needs to do the following tests :

Thyroid function test
HBsAg
Anti HCV.
Fasting Blood Sugar
H1AbC

You can followup with your Doctor or me.

Thank you


Dr. Deepu Sebin Sebastian
Category: Sexually Transmitted Diseases(STD)Specialist
Experience: 
MD, Internal Medicine - Stanley Medical School
Medical School - MBBS - Govt. Medical College, Kottyaam

Diagnostic Prediction - Stanford School of Medicine
Received Specialty training in Critical Care, Cardiology, Neurology, Gastroenterology, Nephrology from Stanley Medical College and in Endocrinology, Rheumatology.

Hematology and Geriatrics from Madras Medical College.
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