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What Do My Lab Test Reports Indicate?

Posted on Tue, 25 Apr 2017

Question: Hello Doctor
My father legs were swollen a lot recently and it looked like it was due to water.He has smoking and drinking problem. He smokes about 20 cigarettes and about 250 ml of brandy on daily basis. When taken to the doctor, they said his haemoglobin level is very low. So, they gave him about 750 ml of blood. They conducted a cardio test, blood tests and endoscopy while he was admitted to the hospital for 2 weeks.

Doctors said, my dad, has ulcers, liver damage and a Heart condition as well. I attached the full reports and medication prescribed for him. I was not present at the hospital or could not talk tp the doctors as I was out of the country.

Kindly review the attached reports and let me know if the diagnosis is correct, if we need to get more tests done or if he needs any special care.

Answered by Dr. Dr. U N Sahoo (4 hours later)

Brief Answer:
Please upload reports

Detailed Answer:
Hi,
Thanks for your question on HCM

I do understand your pain and discomforts

As per your clinical history is concerned certain liver disorders as well as heart conditions there will be swelling in legs so please upload all reports and let us see the root cause behind and the disease responsible for his problems as you have already done clinical examinations.

[Waiting to see reports]

Hope that helps

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Dr. U N Sahoo (6 hours later)

HI Dr XXXXXXX

Thanks for your response. Attached the reports to the case now.

Kindly have a look. Please let me know if you have any questions.

Thanks for you help!

xxxxxx

Answered by Dr. Dr. U N Sahoo (9 hours later)

Brief Answer:
no attachments seen

Detailed Answer:
Hi,
Thanks for your quick response but I could not see any attachments so please check it ,you can also send directly to YYYY@YYYY with attention to Dr. Uday Nath Sahoo.
So check it and confirm me

Thanks

Above answer was peer-reviewed by : Dr. Remy Koshy

Follow up: Dr. Dr. U N Sahoo (4 hours later)

Hello Doctor

Apologies for that. I think I'm getting confused with using the attach feature here.
At least now, I saw a message said the documents are attached.

Kindly take a look again and let me know.

Thanks for your help!
xxcxxx

Answered by Dr. Dr. U N Sahoo (2 hours later)

Brief Answer:
swelling is due to kidney infection

Detailed Answer:
Hi,

Thanks for your medical reports

As per your report history your latest report shows mild kidney infection as there is pus cell, RBC and albumin present but as your liver enzymes is under normal range so we can not establish any liver damage.so you have done all investigations so far add one investigation such as kidney ultrasound. The treatment depends upon the underlying cause only. Take regular blood pressure medication as advised by your doctor. Check it every month and adjust the dose. "As" you have infection at present tell your doctor to add an antibiotic which will control infection. After antibiotics course please check your urine once again to check whether any albumin and pus cell is present or not.if required please do a culture as well.

You can do few things to prevent reinfection in future-:

1)seek prompt treatment of a strep infection causing a sore throat.

2)Avoid unnecessary intravenous drug use.

3)Take regular blood pressure medications and avoid extra salt in diet

4)Try to control sugar to prevent diabetic in future

Finally, i saw in your stool report that you have hidden blood present which indicates peptic ulcers .for it do an endoscopy examination. The treatment which your doctor may think is antibiotic course for H pylori, medications to block acid production and antacids so you can talk with your doctor regarding this. Do not take any painkillers unless advised by your treating doctor.

I hope i answered as per your report, if you have any doubt to clarify do not hesitate to ask me again.

Hope that helps

Note: For further inquiries on surgery procedure and its risks or complications book an appointment now

Above answer was peer-reviewed by : Dr. Nagamani Ng