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C reactive protein is high and folic acid is low. What does it mean? - Online Doctor Chats

Date : 31-Oct-2013
User rating for this question
Very Good Posted in: X-ray, Lab tests and Scans
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2136 Questions
User:Hi can we chat with dr
User:She has my report
Doctor:She is not inline at present
Doctor:sorry not online
User:Ok, when can I find her or can you access my report as had mailed in today
Doctor:ok I will check with customer care team
Doctor:give me a min
User:Will wait
Doctor:Got the reports
Doctor:Creactive protein is high
Doctor:folic acid is low
User:Can you also explain me what does this mean
Doctor:LDL is high
Doctor:Indirect bilirubin is high
Doctor:Lipoprotein A is high
User:Can you help me understand as to what all these have effect on my body and what do I need to do
Doctor:yes give me a min
Doctor:I am trying to get a detailed picture of your reports
Doctor:Low vitamin D levels
Doctor:Let us now discuss it
Doctor:Most of the tests mean that you some of the risk factors for heart disease are high
Doctor:The tests that indicate the risk factors for heart disease are
Doctor:Creactive protein is high
Doctor:Lipoprotein A is high
Doctor:LDL is high
Doctor:For the high lipids you can take low calorie diet and exercise daily for at least 20 min a day
Doctor:You cannot take medicines to decrease the LDL since your liver is also affected a little
User:Ok can you explain about the liver as well
Doctor:Some of the liver tests are a little bit high
Doctor:We can try to find a cause for it
User:Ok so what is required to be done for that
User:I meant any precautions required for liver
Doctor:We need to see if the liver is affected due to causes like alcohol, infection etc
Doctor:Medicines can also affect it
Doctor:I will recommend that you see an XXXXXXX medicine specialist or gastroenterologist for it
Doctor:Also take Syr Liv 52 one tbsp daily
User:I am very social drinker and non smoker
Doctor:It will protect the liver
Doctor:It may be infection
Doctor:Hepatitis can be checked with a variety of hepatitis virus serologies
User:Vaccinated for hep a and b
Doctor:It can also be a stomach infection that is causing hepatic damage
User:I am also sending my wife's report can you also look at the same and then we can chat in some time
Doctor:For low folic acid and vit D you need supplements
Doctor:for atleast 3 months
User:What kind of supplements
Doctor:For vitamin D
Doctor:You can take Tab shelcal one tab daily
User:Ok thank you, have also sent report of XXXXXXX Munjal to your attn"
User:Can u pl check if you have got it
Doctor:For folic acid you can just ask the pharmacy to give the tab
Doctor:in the dose of 25 mg
Doctor:ok sure
Doctor:Sorry the dose of folic acid is 5 mg
Doctor:bot 25 mg
Doctor:not 25 mg
Doctor:Typing mistake
User:Have u got the mail
Doctor:yes just got the mail
Doctor:Give me a min to review it
User:Sure pl take your time
Doctor:You have sent me your own report again
Doctor:Please send Sakshi`s report
User:The mail has both the reports
Doctor:Can you send it again
User:Sp0000 is XXXXXXX report
Doctor:The customer care team did not get it
User:Again sent it
User:This has been sent from XXXXXXX munjal04 I'd
Doctor:Got the reports now
Doctor:eosinophils high
Doctor:mch low
Doctor:High C reactive protein
User:Lymphocytes percentage is also on higher side
Doctor:low ferritin and folic acid
Doctor:very low iron
Doctor:indirect bilirubin high
Doctor:lpa high
Doctor:low vitamin D
Doctor:She needs to take a hematinic syrup for atleast 3 months
Doctor:She also needs shelcal tablet for atleast 3 months
User:Indirect bilirubin is 0.25 and range is shown at. 0.9
Doctor:hematinic syrup can be syrup dexorange 1 tbsp daily for 3 months
User:Ok will shellcal help in iron
Doctor:okbilirubin is normal
User:Hematinic syr is for what purpose
Doctor:hematinic syrup will help with iron
Doctor:hematinic syrup and shelcal should be taken at different times of the day
Doctor:She is also at risk for heart problems
Doctor:To reduce the risk, a healthy lifestyle is needed
Doctor:like exercise atleast 20 min a day
Doctor:take fruits and vegetables daily
Doctor:take hygienic food
Doctor:pure drinking water
Doctor:low calorie food should be taken by both
Doctor:Thus avoid milk products like paneer, cheese, butter, ghee, creams, icecream, etc
Doctor:eosinophils are high
Doctor:It may mean a fungal or parasitic infection
Doctor:or it can mean allergies
User:Ok so what do we for eosinophils
Doctor:It needs to be correlated clinically
Doctor:If you suspect worms, then anti-parasitic medicine can be taken
Doctor:If fungal infection present , then treatment is according to it
Doctor:For allergies, anti-allergics are prescribed
User:Ok can you also advise on lymphocytes percentage and low ferritin
Doctor:Low ferritin is due to low iron
Doctor:It will get better with hematinic syrup
Doctor:Lymphocyte percentage is little above normal
User:Any food also that u recommend for iron
Doctor:I am not worried about it
Doctor:Spinach and broccoli
Doctor:for iron
Doctor:green vegetables
Doctor:But syrup is still needed
User:Ok you also mentioned abt much and indirect birubin
User:I meant mch
Doctor:Even MCH is taken care of with hematinic syrup
Doctor:Indirect bilirubin is normal
User:For eosinophils do you recommend any other test as u said clinically correlated
Doctor:Does she have any symptoms
Doctor:Like vaginal discharge or itchiness of skin etc
Doctor:or maybe runny nose or sneezing
User:Nothing as such but she did have bad throat when sample was takem
Doctor:So maybe the eosinophil count was raised due to the cough
Doctor:Thus she just needs hematinic syrup, shelcal tablets and lifestyle changes
User:Ok thank you
User:Just out of curiosity can stress or thinking to much lead to high cholesterol for male
User:Also for my liver how do we proceed ahead
Doctor:Yes for liver
Doctor:First take syrup liver 52 1 tbsp daily
Doctor:It will protect the liver
User:Ok any side effects
Doctor:Next take hygienic food and pure drinking water
Doctor:Not really it does not have side effects
User:Also does eating chicken also increase ldl
Doctor:In fact it will protect liver
Doctor:avoid any other medicine use
Doctor:Are you on any medicineÉ
Doctor:Do you have any problems with digestionÉ
User:Yes at times
Doctor:For now get hepatitis c serology
User:How did u know on digestion
Doctor:For digestive issues, pure water from reverse osmosis technique should help
Doctor:since intestines are drained by blood into liver
User:I only drink Billerica
User:Drained by blood into liver meaning
Doctor:Blood supply of intestines
Doctor:It then drains into liver
Doctor:It is normal physiology
Doctor:If infection affects intestines then toxins may be drained into liver
Doctor:Rather than bisleri, drink aquafina or kinley water
User:Any specific reason
User:Also I normally have gas
Doctor:these symptoms seem interrelated
Doctor:Do you have pain in abdomen
User:At times when under stress normally take no
User:Nor flex 200
User:I meant take norflex 200 tablet if pain is accompanied by bad stomach
Doctor:It is a muscle relaxant
Doctor:I think you can also go for ultrasound of abdomen
User:Also become gastric or acidity if remain hungry for more than 2 hr
User:Considering heart and liver what food should I strictly avoid like ghee butter anyways have very less
Doctor:Yes my above recommendations should make you feel better
Doctor:Other foods you can take in moderation
Doctor:Multivitamins may be needed if you get loose motions
User:You are recommending active lifestyle and liv 52, changing water to Kinley or aqua fins, shellcal
User:Anything else
Doctor:Also keep a track of abnormal values by repeating the abnormal tests in 4 - months
Doctor:in 4 - 6 months
User:Why do I get acidity even if I do not eat just for two three hour
Doctor:It may be because of infection of stomach with bacteria
Doctor:But we cannot take antibiotics until liver is better
Doctor:Take high fiber food like digestive biscuits, whole grains
Doctor:fruits and vegetables
User:Ok thank you
User:Will end chat
Doctor:Thanks for consulting
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