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What Does The Following Test Report Indicate?
Question: hi, my name is XXXXXXX 20yrs old Male, had a routine checkup few days back ,the reports shows (Low average blood glucose ,Distracted CBC i.e having low Values of "monocyte ,lecuocytes,Basophills,MCHC"and High value of "MCV , RDW-SD,RDW-CV,PDW,MPV,PLCR") along with high bilirubin i.e 0.96 and SGPT i.e 59.53 and deficiency of 25-oh vitamin D i.e 13.23. my health history i m have Grade A - esophagitis and a small abscesses above the tonsil and acidity fatigue .
My question is what are the possible complications happening to me also what steps i have to take to eliminate the elevated values and also whom to consult and what are the medications i have to take ? although i m attaching my reports
My question is what are the possible complications happening to me also what steps i have to take to eliminate the elevated values and also whom to consult and what are the medications i have to take ? although i m attaching my reports
Brief Answer:
Vit D, Vit B12 supplements along with weight reduction.
Detailed Answer:
Hi,
Thanks for asking.
I am Dr. Jyothi BL and I will be answering your query.
Based on your query and after going through attached reports, my opinion is as follows:
1. WBC is mildly low along with mildly elevated red cell indices like MCV, RDW. Also Platelet indices are mildly elevated. All this points towards a early Vit B12 deficiency. The Vit B12 appears to be normal, however, due to ongoing inflammation (esophagitis and tonsil abscess), it might not be being used properly.
2. Mildly elevated indirect bilirubin along with SGPT indicates possible hemolysis due to ongoing infection. Not to worry, it will reduce. Hope you are not overweight/ obese. If yes, lipid values requires elevation as increased cholesterol can lead on to fatty liver and have abnormal values.
3. Vit D is deficient. Sun exposure along with Vit D supplements will help.
Overall,
a. if overweight, weight reduction along with lipid profile.
b. Vit B12, Vit d supplement along with sun exposure.
c. Controlling inflammation and infection. Antacids, reduction of stress and proton pump inhibitors like esmoprazole can be taken.
At present, no complications, looking at the values. There is not much deviation. Only Vit D low, is serious issue. It can affect calcium levels and weaken bone.
Hope it helps.
Any further queries, happy to help again.
Dr. Jyothi BL
Vit D, Vit B12 supplements along with weight reduction.
Detailed Answer:
Hi,
Thanks for asking.
I am Dr. Jyothi BL and I will be answering your query.
Based on your query and after going through attached reports, my opinion is as follows:
1. WBC is mildly low along with mildly elevated red cell indices like MCV, RDW. Also Platelet indices are mildly elevated. All this points towards a early Vit B12 deficiency. The Vit B12 appears to be normal, however, due to ongoing inflammation (esophagitis and tonsil abscess), it might not be being used properly.
2. Mildly elevated indirect bilirubin along with SGPT indicates possible hemolysis due to ongoing infection. Not to worry, it will reduce. Hope you are not overweight/ obese. If yes, lipid values requires elevation as increased cholesterol can lead on to fatty liver and have abnormal values.
3. Vit D is deficient. Sun exposure along with Vit D supplements will help.
Overall,
a. if overweight, weight reduction along with lipid profile.
b. Vit B12, Vit d supplement along with sun exposure.
c. Controlling inflammation and infection. Antacids, reduction of stress and proton pump inhibitors like esmoprazole can be taken.
At present, no complications, looking at the values. There is not much deviation. Only Vit D low, is serious issue. It can affect calcium levels and weaken bone.
Hope it helps.
Any further queries, happy to help again.
Dr. Jyothi BL
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
hi, thx. at lot doctor for the reply :)
1-the abscesses which i have is there above the tonsil with me since 3 months and had CBC done few times which shows no infection, so there is no possible complication by that it will be there with me as doctor said ,so infection is not due to abscesses.
2-acid reflux i m having i had been diagnosed with esophagitis since 3 yrs back and i took proper medications to eliminate and i guess it s eliminated by that.
3- how to kw the infections which i m having ? and what are the medications needed to eliminate the same ?
4-have distracted cough lyk white disturbed patches in water and have pain in the middle of left lung .
5- stress are upto high level :( in depression i m
6-i there any possibility that i m having HIV as leucocyte count is low , worried because i searched it on web the complications of low count ?
7- what if i take ofloaxain ordinazole for the same ?
plzz help DR. for the abcesses and the infection it would be appreciated
in 3 days i lose 5 kg weight also
1-the abscesses which i have is there above the tonsil with me since 3 months and had CBC done few times which shows no infection, so there is no possible complication by that it will be there with me as doctor said ,so infection is not due to abscesses.
2-acid reflux i m having i had been diagnosed with esophagitis since 3 yrs back and i took proper medications to eliminate and i guess it s eliminated by that.
3- how to kw the infections which i m having ? and what are the medications needed to eliminate the same ?
4-have distracted cough lyk white disturbed patches in water and have pain in the middle of left lung .
5- stress are upto high level :( in depression i m
6-i there any possibility that i m having HIV as leucocyte count is low , worried because i searched it on web the complications of low count ?
7- what if i take ofloaxain ordinazole for the same ?
plzz help DR. for the abcesses and the infection it would be appreciated
in 3 days i lose 5 kg weight also
Brief Answer:
Not HIV based on available reports.
Detailed Answer:
Hi,
Thanks for asking again.
1. CBC shows no evidence of infection. Its a mild infection or superficial ulcer. If you are sure its a abscess, you can get a swab done in microbiology laboratory and get it cultured to identify the type of organism.
2. If acid reflux is solved, well and good.
3. There seems to be no infections based on your CBC. Get a C-reactive protein levels and an ESR done. If increased, signifies inflammation.
4. You can try salt water gargling, it will be helpful for dry cough. If severe cough is causing pain like in chest, you can take Linctus codeine sulphate syrup to reduce cough.
5. Need to relax. why is stress present?
6. No HIV based on available results. Low count of lymphocytes usually lymphocytes CD4 and CD8 ratio reversing occurs. Your lymphocytes are within normal range. Not HIV based on reports available.
7. Taking antibiotics may not help, unless there is an infection. If Abscess is deep, drainage is necessary, then only antibiotics will work.
8. Weight loss is due to dehydration, stress and low nutrition. Take plenty of water. Its not HIV at present. Weight loss is normal in stressful periods due to malnutrition and low hydration.
Hope it helps.
Any further queries, happy to help again.
Dr. Jyothi BL
Not HIV based on available reports.
Detailed Answer:
Hi,
Thanks for asking again.
1. CBC shows no evidence of infection. Its a mild infection or superficial ulcer. If you are sure its a abscess, you can get a swab done in microbiology laboratory and get it cultured to identify the type of organism.
2. If acid reflux is solved, well and good.
3. There seems to be no infections based on your CBC. Get a C-reactive protein levels and an ESR done. If increased, signifies inflammation.
4. You can try salt water gargling, it will be helpful for dry cough. If severe cough is causing pain like in chest, you can take Linctus codeine sulphate syrup to reduce cough.
5. Need to relax. why is stress present?
6. No HIV based on available results. Low count of lymphocytes usually lymphocytes CD4 and CD8 ratio reversing occurs. Your lymphocytes are within normal range. Not HIV based on reports available.
7. Taking antibiotics may not help, unless there is an infection. If Abscess is deep, drainage is necessary, then only antibiotics will work.
8. Weight loss is due to dehydration, stress and low nutrition. Take plenty of water. Its not HIV at present. Weight loss is normal in stressful periods due to malnutrition and low hydration.
Hope it helps.
Any further queries, happy to help again.
Dr. Jyothi BL
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
doctor have u gone through my reports which i have attached with the question , a comprehensive health-checkup report is there.
Brief Answer:
No inflammation or infection based on reports
Detailed Answer:
Hi,
Thanks for replying. Yes, I have gone through the reports.
Your CRP levels and calcium levels are normal. Assuming this, your ESR should be normal.
There is no ongoing inflammation or infection based on report.
Improve your nutrition with protein rich diet along with B-complex supplements.
No HIV symptoms or signs at present.
Hope it helps.
Any further queries, happy to help again.
Dr. Jyothi BL
No inflammation or infection based on reports
Detailed Answer:
Hi,
Thanks for replying. Yes, I have gone through the reports.
Your CRP levels and calcium levels are normal. Assuming this, your ESR should be normal.
There is no ongoing inflammation or infection based on report.
Improve your nutrition with protein rich diet along with B-complex supplements.
No HIV symptoms or signs at present.
Hope it helps.
Any further queries, happy to help again.
Dr. Jyothi BL
Note: Do you have more questions on diagnosis or treatment of blood disorders? Ask An Expert/ Specialist Now
Above answer was peer-reviewed by :
Dr. Shanthi.E
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