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What Do The Following Test Results Indicate?
Question: Hello Dr!
I usually do a preventive annual check up every year.
Last year, all my results were normal except a mild elevation in SGPT and my absolute lymphocytes were 4.05 * 10^3. (Normal range was 1-3)
My doctor told that it is nothing to worry & since I am having sertraline 50 mg (for panic attacks), which could increase the SGPT a bit.
This time all the results are normal except the below:
1. Lipase -64 (Normal range is 13-60)
2. HbA1c - 5.9% with average blood glucose (calculated) - 123 - [Last time it was 5.7% and average blood glucose was 114]
3. Lymphocytes (absolute ) - 3.56 (normal 1-3)
4. Wbc - 8.62 (within normal range)
5. Neutrophils 53.4 (normal 40-80).
I recently had a viral fever/throat infection couple of weeks back & had Augmentin 625 for 3 days.
Are the above values a cause of concern & do I need any further work up?
Thanks in advance!
I usually do a preventive annual check up every year.
Last year, all my results were normal except a mild elevation in SGPT and my absolute lymphocytes were 4.05 * 10^3. (Normal range was 1-3)
My doctor told that it is nothing to worry & since I am having sertraline 50 mg (for panic attacks), which could increase the SGPT a bit.
This time all the results are normal except the below:
1. Lipase -64 (Normal range is 13-60)
2. HbA1c - 5.9% with average blood glucose (calculated) - 123 - [Last time it was 5.7% and average blood glucose was 114]
3. Lymphocytes (absolute ) - 3.56 (normal 1-3)
4. Wbc - 8.62 (within normal range)
5. Neutrophils 53.4 (normal 40-80).
I recently had a viral fever/throat infection couple of weeks back & had Augmentin 625 for 3 days.
Are the above values a cause of concern & do I need any further work up?
Thanks in advance!
Brief Answer:
Hello Dear. Vit D levels are low.
Detailed Answer:
Hello dear. Welcome to HCM. I have gone through the reports. A minor up an down beyond the normal range is acceptable and all your reports are normal. However your vitamin D levels are very low.
You need to supplement yourself with vitamin D preparation once a week for 8 weeks. You can get a prescription from any of the general physician.
Also you need not get your tests repeated without any reason. Only blood sugar level needs to be checked once in 5 years.
Thanks and regards
Hello Dear. Vit D levels are low.
Detailed Answer:
Hello dear. Welcome to HCM. I have gone through the reports. A minor up an down beyond the normal range is acceptable and all your reports are normal. However your vitamin D levels are very low.
You need to supplement yourself with vitamin D preparation once a week for 8 weeks. You can get a prescription from any of the general physician.
Also you need not get your tests repeated without any reason. Only blood sugar level needs to be checked once in 5 years.
Thanks and regards
Above answer was peer-reviewed by :
Dr. Sonia Raina
Thank you very much doctor for your re-assurance!
Since i had abdominal discomfort quite regularly & doctors have told it may be due to gastritis, got a bit scared with the 'lipase' reading, fearing it could be any problem with my pancreas. And, is Pancreatitis or pancreatic cancer rare for my age group? [I am a tee totaller, but eat non-veg quite often]
2. I feel fatigued and tired most of the time. Is it because of vitamin D deficiency (or) my anti-anxiety medicine Sertraline ?
3. Lastly, my HbA1c have gradually rised over the last couple of years from 5.6 to 5.7 to 5.9 now. Hope i am not in pre-diabetes stage and don't require any further follow up.
Thanks
XXXX
Since i had abdominal discomfort quite regularly & doctors have told it may be due to gastritis, got a bit scared with the 'lipase' reading, fearing it could be any problem with my pancreas. And, is Pancreatitis or pancreatic cancer rare for my age group? [I am a tee totaller, but eat non-veg quite often]
2. I feel fatigued and tired most of the time. Is it because of vitamin D deficiency (or) my anti-anxiety medicine Sertraline ?
3. Lastly, my HbA1c have gradually rised over the last couple of years from 5.6 to 5.7 to 5.9 now. Hope i am not in pre-diabetes stage and don't require any further follow up.
Thanks
XXXX
Brief Answer:
Hello. Keep relax. You are allright.
Detailed Answer:
Hello dear. It is not pancreatitis. We diagnose pancreatitis with lipase being atleast 3 times of normal upper limit along with typical clinical presentation of severe onset pain abdomen.
Fatigue can be related to vit D deficiency and sertraline too.
Yes HbAic is an area of concern thats why i asked you to get it checked frequently.
Also you must do exercises daily to keep yourself free from lifestyle diseases.
Thanks and regards
Hello. Keep relax. You are allright.
Detailed Answer:
Hello dear. It is not pancreatitis. We diagnose pancreatitis with lipase being atleast 3 times of normal upper limit along with typical clinical presentation of severe onset pain abdomen.
Fatigue can be related to vit D deficiency and sertraline too.
Yes HbAic is an area of concern thats why i asked you to get it checked frequently.
Also you must do exercises daily to keep yourself free from lifestyle diseases.
Thanks and regards
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..
Above answer was peer-reviewed by :
Dr. Yogesh D
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