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What Does This Lipid Profile Test Report Indicate?

Posted on Tue, 14 Jun 2016

Question: myself XXXX, i have query about blodd test ldl, hdl & total cholestrol count.
i had checked my blood test lipid profile in month of dec. 2015 , that time lipid profile was normal HDL is 48, LDL 85 and triglycerides 83 mg/dl.
Again i checked blood test today dated on 25th April 2016 and i found LDL is 149 and triglycerides is 114 mg/dl. CAn possible increase blood count within four months in such valvues.
please advise us for improvement.

Answered by Dr. Nishad BN (24 minutes later)

Brief Answer:
Yes, Lipid profile values can change even in 1 month time.

Detailed Answer:
Hi

Thank you for asking HCM

I have gone through your query. Lipid profile values can change even in 1 month time also. It can be due to change in diet or changes in physical activities stress etc. Your triglycerides is still normal. But LDL is slightly raised. Better to keep LDL below 130.
By small changes in diet and by regular exercise you can achieve it. Use high PUFA content oil like olive oil or sunflower oil for cooking. Take oily fishes like mackeral, sardines etc. Take lean meat , lean chicken like chicken breast instead of fatty ones. Avoid food contain margarine or vanaspathi which is main content of sweets , cakes etc. Limit intake of high sugar content foods also. Make your dinner light and early. Have regular exercise like jogging or walking with 8 km per hour speed. Daily 1 hour exercise is better. With all these measures you can decrease your LDL within 1 month time.

Let me know if anything not clear.
I am happy to help you.
Thanks.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Nishad BN (54 minutes later)

Dr, XXXXXXX

THANKS FOR ADVICE, FROM LAST TWO MONTHS I FACE PROBLEM OF GAS IN STOMUCH. AND SOME TIME MY CHEST HEARTBURN. I CHECKED MY ECG, X-RAY CARDIOVASCULAR BLOOD TEST ALL NORMAL. MANY TIMES I CHECKED ECG AND IT WAS NORMAL.
BUT STILL SOME TIME CHEST PAIN NOT AT HEART AREA, PAIN NEAR LEFT AND RIGHT CHEST. FRAKLY SAY I AM FED UP BY SICKNESS.
DUE TO THAT I AM WORRIED MORE AND SAME TIME I KNEW MY LDL IS BORDERLINE HIGH. SO FEEL MORE WORRY. CAN YOU PLEASE ADVISE ME.
IT IS HAVE ANY RISK IN SUCH SITUATION.

THANKS AND REGARDS,
XXXXXXX

Answered by Dr. Nishad BN (12 minutes later)

Brief Answer:
Gastritis or costochondrits can be the most likely reason.

Detailed Answer:
Welcome again

Thank you for your follow up query.

Ischaemic cardiac pain usually comes on exertion and can stay for 5 minutes to 15 minutes. If you getting pain like that then you can have a Stress ECG (TMT) to rule out that.
Your problem can be most likely gastritis or costochondritis. Treat gastritis with proton pump inhibitors like Esomeprazole (Nexium) and diet. Take light meals at short intervals. Avoid greasy , fatty , fried foods and junks.
If you have pain on palpation on chest area it can be most likely costochondritis and in such case applying NSAID gels like ketoprofen or diclofenac will be helpful.
Borderline high LDL if stand for long term then there is risk for heart problems. But if any such problems a TMT test can identify it. So you can go for it after consulting a cardiologist.

Let me know if anything not clear.
I am happy to help you.
Thanks.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Nishad BN (12 minutes later)

DEAR SIR,

I DID MY STRESS TEST IN DEC. 2015 AND IT WAS NORMAL. THAT TIME MY LIPID PROFILE IS NORMAL.
AFTER THAT EVERY MONTH DOCTOR CHECKED MY ECG WHEN CHEST PAIN PRESENT AND RESULT ARE NORMAL EVERY TIME.
TODAY I KNEW MY LDL IS BORDERLINE HIGH, THAT'S WHY I DISTURB YOU AGAIN AND AGIAN TO KNOW ABOUT MY HEALTH SITUATION.
FOR FUTURE I WILL TAKE CARE AS PER YOUR ADVISE.
BUT WANT TO KNOW RIGHT NOW THERE IS HAVE ANY RISK.
CAUSE NOW I AM IN THAILAND AND LIVE ALONE SO MORE FEAR ABOUT HEALTH CAUSE EXPLAIN TO DOCTOR IS VERY DIFFICULT DUE TO LANGUAGE LIMITATION.
SO PLEASE HELP ME TO SUGGEST ABOUT MY PRESENT HEALTH ISSUE. IT IS IN RISK OR NEARER TO RISK.

SORRY AGAIN FOR DISTURB YOU IN YOUR ROUTINE WORK.

THANKS & REGARDS,
XXXXXXX

Answered by Dr. Nishad BN (16 minutes later)

Brief Answer:
As your ECG and previous stress test are fine there is nothing to worry.

Detailed Answer:
Welcome again.

Thank you for your follow up.

As your previous stress test and present ECGs are fine there is nothing to worry. Borderline high LDSL for short term is not a risk. So stop worrying. Eat healthy , exercise and avoid stress. You can do stress relaxing exercises like breathing exercise. Sit relaxed and take deep breaths. Do a couple of times daily.
Presently you don't need to worry.

Let me know if you have any follow up or further queries.
I am happy to help you any time.
Thanks.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Nishad BN (37 minutes later)

DEAR SIR,

THANKS A LOT............... VERY VERY THANKS, I WILL FOLLOW YOUR SUGGESTION AND CONTROL MY HEALTH.

HAVE A GOOD DAY....

THANKS & REAGRDS

Answered by Dr. Nishad BN (31 minutes later)

Brief Answer:
You are welcome.

Detailed Answer:
You are welcome.

Let me know if you have any follow ups or further queries.
I am happy to help you.
Thanks.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Nishad BN (47 hours later)

Dear Dr. XXXXXXX

Good evening,

Yesterday i have chest pain at my left side bones not at heart area (middle of the chest). i went to doctor they checked up my ECG. i attached same for your reference, Dr, in hospital told me it is normal, and give me pain killer injection after that i feel better, and also gave us medicine for pain killer and relaxation.
please go through the attached ecg and advice me. attached report for reference.

waiting for your reply.

Thanks & Regards,

XXXX

Dear Dr, in additional information two weeks before dr. checked my x-ray for heart size and they told me it is normal heart size in x-ray.
i take high blood pressure tablet from last three month and blood pressure always range in 110 / 70 or 120/ 80.

Answered by Dr. Nishad BN (8 minutes later)

Brief Answer:
ECG looks normal.

Detailed Answer:
Welcome again.

Thank you for your follow up query.

I have gone through your ECG. It looks normal. You don't need to worry. The pain is most likely costochondritis. You can apply NSAID gels like Ketoprofen or Diclofenac locally on the area for this.

Let me know if anything not clear.
I am happy to help you.
Thanks.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Nishad BN (5 minutes later)

DEAR DR, XXXXXXX

HOSPITAL DOCTOR TOLD ME YOUR LVH LITTLE EXPAND IT SHOW IN ECG. IT IS RISKY FOR HEART DISEASE?

THEY GIVE ME VOLTAREN GEL FOR APPLY ON AFFECTED AREA.

PLEASE ADVICE ABOUT LVH.

THANKS & REGARDS

XXXXXXX

Answered by Dr. Nishad BN (26 minutes later)

Brief Answer:
Mild LVH from voltage of limb leads in ECG.

Detailed Answer:
Welcome again

Thank you for you follow up.

There is mild LVH (left ventricular hypertrophy) from voltage of limb leads in ECG. Voltage alone is not a criteria to diagnose LVH. There are no other signs in your ECG for that. So I don't think there is any risk.
If you have clinically long standing hypertension or diabetes then there is risk. Get a consultation with cardiologist and have an Echocardiography to know the exact condition. There is no hurry for that. You can do it when you have time. There is no alarming situation or risks from your ECG.

Let me know if anything not clear.
I am happy to help you.
Thanks.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Nishad BN (16 minutes later)

DEAR SIR,

FROM JANUARY 2016 I TAKE HYPERTENSION TABLET AND I CHECK WEEKLY MY BLOOD PRESSURE IT IS IN A RANGE OF 110/70 TO 120/80
SOME TIMES 140/80.

THANKS & REGARDS,
XXXXXXX

Answered by Dr. Nishad BN (9 minutes later)

Brief Answer:
If within 120/80 then there is no risk.

Detailed Answer:
Welcome again.

Thank you for your follow up query.

If your Blood pressure controlled and is in 120/80 or below then there is no risk for heart problems. You can restrict your salt intake if it above this level. In case of persisting high BP continuous anti hypertensive drug is also advised. Keep your lipids also well controlled.
As I mentioned you before better to have an Echocardiography to know the exact status of your heart. But there is no hurry now. You can do it when you have time. You can relax now.

Let me know if anything not clear.
I am happy to help you.
Thanks.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Nishad BN (5 minutes later)

THANK YOU DOCTOR

THANKS A LOT ........ SORRY FOR DISTURB YOU

Answered by Dr. Nishad BN (4 minutes later)

Brief Answer:
You are welcome.

Detailed Answer:
You are welcome.

Let me know if you have any follow up of further queries.
It is not a disturbance for me. I am happy to help you any time.
Thanks.

Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar