What Do These Following Lab Reports Indicate?

Posted on Mon, 27 Mar 2017

Question: HI Dr. XXXXXXX , I have elevated Lypid Profile , Under Livopil I have reduced my Lever Values .
Having Breatherlessness when Climbing Stairs , Sweating is being observed when small activity performed , pain and tightness in chest Area .

The breathlessness has been since last 4 months , Upon medication it has been Decreasing and have started in small Phase again .

Thyroid is under Contol with Thyronom 50mg
ECG is normal .

Is there something I am Missing in Monitoring my Body .Please suggest what should be my option

Answered by Dr. Dr Sameer Maheshwari (7 hours later)

Brief Answer:
please see detailed answer

Detailed Answer:
Hi Mr XXXXXXX
This is Dr Sameer, cardiologist from Fortis hospital.
Test i want to recommend you is TMT which is used to access cardiac risk. As you have breathlessness on exertion & chest tightness, it definitely need evaluation of heart. So plan for a TMT soon.

You have severely deranged lipid profile. This currently does not need medication as per guidelines but you need to follow a strict diet plan for it.
You need to completely reduce fat in diet, stop junk food, stop alcohol (if you are taking it) & do regular exercise.
Liver tests are fine but you can continue your medication.
Thanks
Take care

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

Follow up: Dr. Dr Sameer Maheshwari (2 days later)

I have got my TMT test done , attached the Report for Reference .

Would like to if it is side effects for Masturbation .
Since 2002 , I have have started , unkowing it has been an Addiction now .

Not able to stop , If i get stressed or not getting sleep have to masturbate to feel tired and sleepy .

Almost Every day it has been throughout many years , and once in a while it has been twice a day . but now If i mastrubate; next day it is very tiring and breathlessness is also increased and slighly pain in the keens has also started.

Can I know If it can cause any further issues and how to safegaurd the health now.

Answered by Dr. Dr Sameer Maheshwari (20 minutes later)

Brief Answer:
Report is fine

Detailed Answer:
Hi, Mr XXXXXXX

Your report is absolutely fine and now you don't have to worry from cardiology point. But repeat it every year as you have a abnormal lipid profile.

About masturbation, yes doing it excessively can cause health concerns. Doing it once daily won't affect . You can take Becosule tablet once daily and healthy diet to prevent tiredness.

To stop masturbation, consider engaging yourself in some work, so you don't think about it.

I hope i answered your query.
If you have any more question, feel free to ask.
Thanks & take care

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Dr Sameer Maheshwari (39 hours later)

Dear Doctor ,

Thanks for your reply .
Can you please help with the correct food chart I have to follow to Ensure , my LiPid Profile is under control naturally .
Need your support on this .

I have consulted my doctor before TMT .Attached the Prescription .
FOr Lipd - Ezedoc is suggested for 1 month from 6th MArch .
For Lever and vitamins other medicines have been Suggested .

In My last dose cycle , I have bymistakenly taken Stanlip Overdose ( FEb 2nd - 15 days Medication - 2 times a day 145mg instead of one) , so the doctor has stopped the medicine for 15 days and changed it to Ezedoc .

Due to that my Leaver values went up and also
Uric acid (Serum/Uricase) 2.5 - Can I know if this value is alarming
Attached the Report files of Leaver and Kidney function .

Regards XXXXXXX

Answered by Dr. Dr Sameer Maheshwari (1 hour later)

Brief Answer:
Please see detailed answer.

Detailed Answer:
Hi,
Welcome back.
You are taking the right medicine combination & you should continue it. As the TMT is fine, cardiac status currently is good. Lipid profile will take time to improve & you should check it every 6 months. Kidney function is fine & uric acid of 2.5 is absolutely ok & you don't need to worry.
Liver functions are not that bad & improving. The diet management is important to improve that too.
About the diet;
Keep fat intake to the minimum, if you have to take, take Olive oil, stop junk food, keep yourself well hydrated, take plenty of green vegetables & fibre rich food, take seasonal fruits.
Exercise regularly for at least 30 minutes per day.
Stop smoking & alcohol if you are taking any of these.
Be happy & stress free.
Keeping all these things in mind, you will be absolutely fine.
If your query for the current question is answered, you can choose to close the discussion.
If you have any more question in future, I'll be available & delighted to help.
Wishing you a happy & healthy life.
Thanks & take care

Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Kampana