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What Do My Lab Test Reports Indicate?

Posted on Wed, 9 Mar 2016

Question: Could you kindly look at my lab results for the last year.

Thank you

Thank you for your time. All my reports have been loaded.

Answered by Dr. Rakesh Madhyastha (21 hours later)

Brief Answer:
Need clinical data

Detailed Answer:
Hello

Thanks for the query

I have gone through the test results uploaded by you. I need clinical data in order to help you. Please get back to me with the following details

1. Apart from thyroxine are you on any medication?
2. Why was a nephro consult taken? What were they suspecting ?
3. Do you exercise regularly?
4. Please mention your weight and height
5. Was anything done for the renal stone?
6. Was any treatment given for low Vit D?

Please get back to me, I am awaiting your reply

Regards

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Rakesh Madhyastha (14 minutes later)

Thank you Dr. Please see my answers below.

1. Apart from thyroxine are you on any medication?
*** Vitamin D 50cu

2. Why was a nephro consult taken? What were they suspecting ?
*** In XXXXXXX Next appt: XXXXXXX 28. They don't know because the numbers need to be higher in order to do a biopsy of the kidney (so I'm told)

3. Do you exercise regularly?
*** I'm active. I don't exercise regularly because I'm always working on the go

4. Please mention your weight and height
*** 5.7 158 pounds

5. Was anything done for the renal stone?
*** nothing has been done. I was told a year ago it was too small. However, my numbers are going up....

6. Was any treatment given for low Vit D?
Yes. Weekly 50

Follow up: Dr. Rakesh Madhyastha (0 minute later)

Normal Blood pressure - too

Answered by Dr. Rakesh Madhyastha (25 minutes later)

Brief Answer:
Steps to be taken

Detailed Answer:
Hello

Thanks for getting back

Here are my interpretations

1. Low Vit D is a cause for concern. I usually prescribe Calcitriol 0.25 once a day for 3 months. Another way is to take weekly supplements, 60,000 IU once a week along with milk for 6 weeks.

2. You have persistent loss of protein in urine. The level of albumin in urine does not warrant biopsy however it needs to be treated and quantified. I suggest starting ACE/ARB tablets. I usually start Tab Enalapril 2.5 mg once a day and titrate it upwards. Protein loss in urine is harmful to the kidneys on the long run. I also recommend getting a 24 hour urine protein done next time

3. Red blood cells in urine could be related to the renal stone. If you are not symptomatic I agree with your doctors that no intervention is necessary at the moment.

All other test results are within normal limits

I hope I was of help, please get back to me for any further queries.

Regards

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Rakesh Madhyastha (38 hours later)

Thank you Dr. Madhyastha,

I am taking the Vitamin D 50,000 iu once a week. I was not being consistent taking it. I am making sure I take it now.

Is there anyway to find out why I am having persistent protein in the urine. What is causing it?

the Tab Enalapril 2.5 mg is that for life or just until the numbers reach normal levels?

Answered by Dr. Rakesh Madhyastha (31 hours later)

Brief Answer:
Enalapril

Detailed Answer:
Hello

Thanks for getting back, I am sorry for the short delay in my reply

The only way to find out why you are losing protein is by undergoing a kidney biopsy. Unfortunately there are no indirect markers to know why you might be losing protein

Enalapril will control your protein and usually it is for life and cannot be stopped. Stopping it might recurr the protein loss

Regards

Note: For further queries related to kidney problems and comprehensive renal care, talk to a Nephrologist. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Yogesh D