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Consulting a cardiologist recommended - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Digestion and Bowels
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1722 Questions
User :   Hello Doctor
Doctor :   Hi
Doctor :   Please type your query here...
Doctor :   Hi
User :   Few days back I started vomitting like feeling after meals. I used to take rablet 20 as i was having acidity for last 4/ yrs
Doctor :   ok
Doctor :   What is happening now?
User :   then the doctor asked me to do a LFT in which SGPT 79.8, SGOT:44.8 & alkaline phosphatase as 132.8
User :   I was also having a fatty liver that i came to know one year back thru a sonography
User :   then the doctor suggested me ulyses
User :   which i am taking currently and todays LFT shows improvement. But the issue is CBC test that shows a 1.05 platelet and 12.8 MPV
Doctor :   sgot is normal
User :   i am also having a low bp..thats 100/70
Doctor :   sgpt is slightly high
Doctor :   upper limit is 56
User :   Today's LFT shows 69.3 SGPT & 42.8 SGOT rest all shows as normal
Doctor :   So basically they are stable labs
Doctor :   there is nothing swings
Doctor :   You do not need to worry
User :   but what abt my CBC test report & low BP
Doctor :   ok
Doctor :   re BP
Doctor :   How old are you?
User :   35
Doctor :   BP varoes from time to time
Doctor :   maintain a diary
Doctor :   *varies
User :   doctor has taken 2 ECG one on 17th & another on 26th both says normal...
User :   sorry i was waiting for your answer
Doctor :   ok
Doctor :   As long as you have no symptoms BP 100/70 is fine
Doctor :   But it varies
Doctor :   When stand from laying down position it drops
Doctor :   extreme dizziness, fatigue , plapitation , sweating, etc are sigs of low BP
Doctor :   Do you have these?
User :   i have slight dizziness & fatigue. weakness
Doctor :   Why all these tests were done
User :   because doctor said if low bp really affecting me..hence he asked for an ecg
User :   When i went to him with my stomach complain he found that bp is @ 100/60
User :   are you suggesting this bp as ok?
Doctor :   Ok or not OK is dependent on symtpoms
Doctor :   if you are symptomatic you need to know the cause
Doctor :   As I told you one time reading is not enough
Doctor :   But BP meter and take multiple readings
Doctor :   It fluctuates
Doctor :   If it is low consult cardiologist
User :   ok
Doctor :   I have seen people with this BP but they are fine
User :   what about the cbc report of platelet count
Doctor :   I do not have that report
Doctor :   1.05 platelet and 12.8 MPV
User :   yes
Doctor :   tyoe the values from the report
Doctor :   *type
User :   haemoglobin-14.7
Doctor :   good
Doctor :   is it ur value
User :   rbc-5.07
User :   yes
Doctor :   go ahead....
User :   pcv-45.6
User :   mcv-90.0
User :   mch-29.0
User :   mchc-32.2
User :   rdw-13.1
User :   wbc total count-7000
User :   lymphocytes-39.5
User :   monocytes-6.9
User :   neutrophils-49.2
Doctor :   good
User :   eosinophils-4.3
User :   basophils-.1
User :   platelet-1.05
User :   mpv-12.8
User :   pct-0.119
User :   pdw-23.5
Doctor :   ok
User :   platelet morphology-megaplatelets & few platelets aggregates seen on smears
User :   thats end of report
Doctor :   platelets are low
Doctor :   they are one lack
Doctor :   105000
Doctor :   repeat the cbc
User :   yes..but high MPV & low platelet what do they indicate
User :   i have only 2 more mins
Doctor :   high MPV could be b12 deficiency
Doctor :   or alcoholism
Doctor :   but b12 def cause low hemoglobin
User :   no i dont take alcohol
Doctor :   so MPVis not the issue
Doctor :   platelet count is low repeat the cbc
User :   but why so low platelet
Doctor :   do you have any problems nows
Doctor :   *now
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