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What Do My Lab Test Results Indicate?
Question: Hi Dr,
I have hypothyroidism for the past 4 years . I’m facing problems in the throat. Like a feeling that something stuck there in my throat,then infections in throat, uncontrollable weight gain ( I tried lot of diet programs with exercises. But body pains and swells). Fatigue and muscle weakness, Skin dryness,skin itching, hair fall, puffiness of face, feel sleepy all the time.And other problems I’m facing are forgetful , my work speed reducing and irregular periods and now its with heavy bleeding and severe pain .
Please advise me the best treatment.
My last test results (26/09/15) are:
PARAMETER OBSERVED VALUE UNITS REFERENCE RANGE
Blood Routine
Haemoglobin : 13.8 gm% 11 - 15 *
Total Count : 8600 Cells/cumm 4000 - 11000 Differential Count *
Polymorph : 50 % 50 – 70
Lymphocytes : H 42 % 25 - 40
Eosinophils : H 8 % 0 - 6
Erythrocyte Sedimentation Rate : H 40 mm/hr 0 – 20
Random Blood Glucose : 73.00 mg/dl 70 - 140
(Plasma / Hexokinase)
THYROID PROFILE
Triiodo Thyronine (T3) : 80 ng/dl 70 - 180
Thyroxin (T4) : 10.50 ug/dl 5.2 - 12.7
Thyroid Stimulating Hormone : 1.40 mIU/ml 0.35 - 4.94
(Serum / CMIA)
LIPID PROFILE (SERUM)
Cholesterol : 143.0 mg/dl < 200 Desirable 200–239 Borderline high > 240 High
Triglycerides : 100.0 mg/dL < 150 Normal 150–199 Borderline high 200–499 High >= 500 Very high
High Density Lipoproteins : 50.0 mg/dl < 40 : High risk 40-59 : Desirable >= 60: Low risk
Serum Low Density Lipoproteins : 73.0 mg/dl < 100 Optimal 100–129 Near/above optimal 130–159 Borderline high 160–189 High >= 190 Very high * *
VLDL : 20.0 mg/dl 8 - 35
Triglyceride/HDL Ratio : 2.00 < 3.00 **Ref. ATP III Classification NCEP, 2002.
KIDNEY FUNCTION TEST
Urea : 38.00 mg/dL 14 - 43
Creatinine : 1.00 mg/dL 0.6 - 1.3
Uric Acid : 4.9 mg/dL 2.6 - 6.0
Calcium : 9.90 mg/dl 8.8 - 10.6
Potassium : 4.0 mmol/L 3.8 - 5.4
Albumin : 4.30 g/dL 3.5 - 5.2
Technique used : Spectrophotometry
LIVER FUNCTION TEST (SERUM)
Bilirubin Total : 0.7 mg/dl 0 - 1.0
Bilirubin Direct : 0.2 mg/dL 0.0 - 0.2
Bilirubin Indirect : 0.5 mg/dl 0.2 - 1.0
Protein : 6.80 g/dL 6.6 - 8.3
Albumin : 4.30 g/dL 3.5 - 5.2
Globulin : 2.5 g/dl 1.8 - 3.4
A/G Ratio : 1.7 1 - 2.5
SGOT : 22.3 U/L 0 - 35
SGPT : 20.0 U/L Upto 35
Alkaline Phosphatase : 53.7 U/L 30 – 120
Urine Routine Examination
Albumin : Nil
Sugar : Nil
Microscopic Examination
Pus cells : Occasional
Red Blood Cells : Nil
Epithelial cells : 1-2/HPF
Cast : Nil
Crystals : Nil
Bacteria : Nil
I have hypothyroidism for the past 4 years . I’m facing problems in the throat. Like a feeling that something stuck there in my throat,then infections in throat, uncontrollable weight gain ( I tried lot of diet programs with exercises. But body pains and swells). Fatigue and muscle weakness, Skin dryness,skin itching, hair fall, puffiness of face, feel sleepy all the time.And other problems I’m facing are forgetful , my work speed reducing and irregular periods and now its with heavy bleeding and severe pain .
Please advise me the best treatment.
My last test results (26/09/15) are:
PARAMETER OBSERVED VALUE UNITS REFERENCE RANGE
Blood Routine
Haemoglobin : 13.8 gm% 11 - 15 *
Total Count : 8600 Cells/cumm 4000 - 11000 Differential Count *
Polymorph : 50 % 50 – 70
Lymphocytes : H 42 % 25 - 40
Eosinophils : H 8 % 0 - 6
Erythrocyte Sedimentation Rate : H 40 mm/hr 0 – 20
Random Blood Glucose : 73.00 mg/dl 70 - 140
(Plasma / Hexokinase)
THYROID PROFILE
Triiodo Thyronine (T3) : 80 ng/dl 70 - 180
Thyroxin (T4) : 10.50 ug/dl 5.2 - 12.7
Thyroid Stimulating Hormone : 1.40 mIU/ml 0.35 - 4.94
(Serum / CMIA)
LIPID PROFILE (SERUM)
Cholesterol : 143.0 mg/dl < 200 Desirable 200–239 Borderline high > 240 High
Triglycerides : 100.0 mg/dL < 150 Normal 150–199 Borderline high 200–499 High >= 500 Very high
High Density Lipoproteins : 50.0 mg/dl < 40 : High risk 40-59 : Desirable >= 60: Low risk
Serum Low Density Lipoproteins : 73.0 mg/dl < 100 Optimal 100–129 Near/above optimal 130–159 Borderline high 160–189 High >= 190 Very high * *
VLDL : 20.0 mg/dl 8 - 35
Triglyceride/HDL Ratio : 2.00 < 3.00 **Ref. ATP III Classification NCEP, 2002.
KIDNEY FUNCTION TEST
Urea : 38.00 mg/dL 14 - 43
Creatinine : 1.00 mg/dL 0.6 - 1.3
Uric Acid : 4.9 mg/dL 2.6 - 6.0
Calcium : 9.90 mg/dl 8.8 - 10.6
Potassium : 4.0 mmol/L 3.8 - 5.4
Albumin : 4.30 g/dL 3.5 - 5.2
Technique used : Spectrophotometry
LIVER FUNCTION TEST (SERUM)
Bilirubin Total : 0.7 mg/dl 0 - 1.0
Bilirubin Direct : 0.2 mg/dL 0.0 - 0.2
Bilirubin Indirect : 0.5 mg/dl 0.2 - 1.0
Protein : 6.80 g/dL 6.6 - 8.3
Albumin : 4.30 g/dL 3.5 - 5.2
Globulin : 2.5 g/dl 1.8 - 3.4
A/G Ratio : 1.7 1 - 2.5
SGOT : 22.3 U/L 0 - 35
SGPT : 20.0 U/L Upto 35
Alkaline Phosphatase : 53.7 U/L 30 – 120
Urine Routine Examination
Albumin : Nil
Sugar : Nil
Microscopic Examination
Pus cells : Occasional
Red Blood Cells : Nil
Epithelial cells : 1-2/HPF
Cast : Nil
Crystals : Nil
Bacteria : Nil
Brief Answer:
please provide more information
Detailed Answer:
Hello ma'am
I had gone through your question and reports you have attached with this, very diligently and I will try to help you out in best possible way.
Looking at your detailed description and reports, you have high ESR, slightly raiesd lymphocyte count on DLC and red blood cells and pus cells in urine
Throat pain might be related to URTI or throat infection, dysphagia (difficulty in swallowing) or thyroid problem if it is enlarged.
Here, I would like further information to help you better
Since how long you are having this problem?
are you having running nose, fever or any difficulty in swallowing?
do you have acid reflux problem?
Your thyroid profile is under good control with thyronorm 100 mcg, so rest assured that you are taking right dosage
Irregular periods might be associated with perimenaupoasal stage, I would advise you to consult a gynaecologist for irregular periods and abnormal urine report which is suggestive of urine infection
You may require a course of antibiotics under medical supervision
I would advise you to take plenty of fluids, fresh fruits and vegetables
weight gain can be managed with dietary restrictions and regular physical exercise as well as yoga and meditation.
Hope I could answer your question, please write back to me with these details so that I will be able to tell you more precisely.
Best wishes
please provide more information
Detailed Answer:
Hello ma'am
I had gone through your question and reports you have attached with this, very diligently and I will try to help you out in best possible way.
Looking at your detailed description and reports, you have high ESR, slightly raiesd lymphocyte count on DLC and red blood cells and pus cells in urine
Throat pain might be related to URTI or throat infection, dysphagia (difficulty in swallowing) or thyroid problem if it is enlarged.
Here, I would like further information to help you better
Since how long you are having this problem?
are you having running nose, fever or any difficulty in swallowing?
do you have acid reflux problem?
Your thyroid profile is under good control with thyronorm 100 mcg, so rest assured that you are taking right dosage
Irregular periods might be associated with perimenaupoasal stage, I would advise you to consult a gynaecologist for irregular periods and abnormal urine report which is suggestive of urine infection
You may require a course of antibiotics under medical supervision
I would advise you to take plenty of fluids, fresh fruits and vegetables
weight gain can be managed with dietary restrictions and regular physical exercise as well as yoga and meditation.
Hope I could answer your question, please write back to me with these details so that I will be able to tell you more precisely.
Best wishes
Above answer was peer-reviewed by :
Dr. Prasad
how long you are having this problem?
Past 12 to 18 months
are you having running nose, fever or any difficulty in swallowing?
No running nose.
Fever is coming repeatedly.
No difficulty in swallowing.
do you have acid reflux problem?
Rarely. But frequent burping.
My other problem is , feeling like a blankness in head.
Past 12 to 18 months
are you having running nose, fever or any difficulty in swallowing?
No running nose.
Fever is coming repeatedly.
No difficulty in swallowing.
do you have acid reflux problem?
Rarely. But frequent burping.
My other problem is , feeling like a blankness in head.
Brief Answer:
You may require a course of antibiotics under medical supervision
Detailed Answer:
hello
welcome again and thanks for the details
Burping or Acid reflux can be managed with life style modification or anyiacidity medicines like ranitidine or pantoprazole with antacids.
fever and throat pain might be related to Upper respiratory tract infection which can be treated with a course of antibiotics and paracetamol.
I would advise you to do gargling with warm saline water or antiseptic mouth wash.
Hope I could answer your question
please feel free to discuss further
Best wishes
You may require a course of antibiotics under medical supervision
Detailed Answer:
hello
welcome again and thanks for the details
Burping or Acid reflux can be managed with life style modification or anyiacidity medicines like ranitidine or pantoprazole with antacids.
fever and throat pain might be related to Upper respiratory tract infection which can be treated with a course of antibiotics and paracetamol.
I would advise you to do gargling with warm saline water or antiseptic mouth wash.
Hope I could answer your question
please feel free to discuss further
Best wishes
Note: For more information on hormonal imbalance symptoms or unmanaged diabetes with other comorbid conditions, get back to us & Consult with an Endocrinologist. Click here to book an appointment.
Above answer was peer-reviewed by :
Dr. Naveen Kumar
Answered by
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