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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Fatigue, Weight Loss, Bloating, Stomach Fullness. Done LFT

Hi Im 29 m.For last 1 year, im suffering from fatigue ,tiredness and weightloss, bloating ,tiredness,stomach fullness.So i went to General Physican and he advised me to do complete health checkup.Results of thyroid,Sugar,Electrolytes,Iron are in normal range.But there were some abnormalities in indirect billubirin, BUN and he referred me to Liver specialist. LFT Details: Biliburubin Total 1.27 mg/dl Biliburbin -Direct : 0.25 mg/dl Bilibubin - Indirect : 1.02 mg/dl ( is this high?) SGOT : 23.3 U/I SGPT : 15.4 Alkaline Phosphatase : 108.2 U/I GGT : 11.1 U/I Protein-total 7.63 gm/dl Albumin -Serum : 4.45 gm/dl Serum/Albumin Ratio : 1.4 Hemogram: RBC : 4.6 * 10^6/uL hemoglobin : 13.4 g/dl hematocrit :38% RDW CV 14.8 fl Platet count : 236 * 10^3/ul Erythoryte sedimentatin rate : 20 mm/hr Kidney test: Creatine:serum 0/7 mg% BUN : 7.8 mg/dl BUN/SR.creatine ratio : 11.14 Uric acid: 4.5 Calcium : 9.4 mg/dl
Thu, 3 Jan 2013
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Gastroenterologist,  's  Response
Hello, sundar230,
I did go over all your blood work. Your liver enzymes are normal and
all your other blood work, like calcium,protein levels, hemoglobin ,
kidney tests are all normal.
The serum bilirubin, the indirect fraction is very minimally elevated.
Usually, Direct bilirubin is the main fraction. We see this sometime
in fasting state and a very rare genetic disorder called Gilbert's Syndrome.
Usually this is benign. Some people have jaundice, especially during stress,
cold or flu, fasting,lack of sleep kind of symtoms.
You mention weight loss, fatigue,and fullness of the stomach.
Stress can certainly do this, but, I recommend that you get an upper GI
series ,X-rays to make sure there is nothing going on in the stomach.
If any thing looks abnormal on x-rays, then you need endoscopy.
You can discuss this with your doctor.
I wish you well.
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Fatigue, Weight Loss, Bloating, Stomach Fullness. Done LFT

Hello, sundar230, I did go over all your blood work. Your liver enzymes are normal and all your other blood work, like calcium,protein levels, hemoglobin , kidney tests are all normal. The serum bilirubin, the indirect fraction is very minimally elevated. Usually, Direct bilirubin is the main fraction. We see this sometime in fasting state and a very rare genetic disorder called Gilbert s Syndrome. Usually this is benign. Some people have jaundice, especially during stress, cold or flu, fasting,lack of sleep kind of symtoms. You mention weight loss, fatigue,and fullness of the stomach. Stress can certainly do this, but, I recommend that you get an upper GI series ,X-rays to make sure there is nothing going on in the stomach. If any thing looks abnormal on x-rays, then you need endoscopy. You can discuss this with your doctor. I wish you well.