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Obesity, hypertension, smoking and alcohol addiction - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Smoking and Alcohol Addiction
Answered by

General & Family Physician
Practicing since : 2004
Answered : 37 Questions
Doctor :   Hello.
User :   Hi May I know whos there
Doctor :   I'm Dr.XXX
User :   I mean can I know your name please
User :   Hey Dr. XXX, am XXX
Doctor :   How can i help you?
User :   can we talk on Phone
User :   ??
Doctor :   You can tell me your problem over the chat itself.
User :   Ok , sure
User :   Am 24 yesrs old boy and I just had a blood test by Ranbaxy...and I was shocked to see my reports
Doctor :   Ok.
Doctor :   Can you explain in detail about the report?
User :   My cholestrol is 306 and SGPT is 348 and SGOT is 245
User :   My Uric acid is 8.3
Doctor :   That is on the higher side.
User :   Yes, I know.... Let me tell you am a fatty guy with 100+ weight and 6 feet is my height
Doctor :   Ok.
User :   can you please suggest me what shall I do further
Doctor :   Ok.
Doctor :   I shall help you with that.
Doctor :   Do you smoke or consume alcohol?
User :   Yes, I drink every weekend and I smoke about 5 cigrates a day
Doctor :   Ok.
Doctor :   How much drink per day? Is it every Saturday and Sunday?
User :   I drink approx 4-5 small pegs of 120 ml each
User :   only saturdays
User :   sometimes it happens twice a wek also
Doctor :   That is too much.
User :   I also take some medicines also...Tazloc 40 (Blood Pressure), Sibellium 10 mg, lonazep (0.25)
Doctor :   Do you have any history of diabetes or hypertension?
User :   Yes, I have hypertension
User :   no diabaties
Doctor :   Ok.
User :   no
Doctor :   Any family history of diabetes?
User :   yes my dad was having Diabaties
User :   he is no more now
Doctor :   Ok.
User :   My mom has Hypertension too
Doctor :   Then you have a risk of getting diabetes too.
Doctor :   You have to reduce your weight.
User :   I have already started that
User :   Can you tell me what shall be done of SGPT
Doctor :   Can you give me your exact weight?
User :   120 kgs
Doctor :   SGPT is a enzyme released due to damage to the liver.
User :   So, Is my Liver damaged now??
Doctor :   You have reduce at lest 35 to 40 kgs.
Doctor :   Mild damage due to too much of fat in the liver.
User :   I will do that , that is not a problem...I will focus on my weight
User :   ah ok
User :   So , can that damage be repaired...please be straight on that SIR
Doctor :   Once the liver comes backs to normal the enzymes will come back
Doctor :   to normal.
Doctor :   Yes. If you stop alcohol consumption and reduce your weight,
Doctor :   your liver will come back to normal.
User :   Ok, I will start doing that WEF today
Doctor :   Ok.
User :   ok and can you tell me about the diet I shall Consume
Doctor :   If you want any help diet plan for you, you can contact WWW.WWWW.WW User :   Ok sure, I will o through the same
Doctor :   They will prepare a diet chart in such way. It will help you to lose weight with out much problem.
User :   Just let me know 1 thing that shall I go for any medications and what about the medicines am taking right now
Doctor :   Did you see a pop up on right side?
User :   Yes, I will get through that
Doctor :   There are some medication for weight loss,
User :   I clicked on the same
Doctor :   But weight loss main and safe way to do it.
User :   My whole scenario is in front of you, you guide me what medicines shall i take and what further tests shall I go for , if required
Doctor :   First you have to go for weight loss by diet control.
User :   I got that, so you mean i shall now not go for any further tests
Doctor :   If your are not able to loss weight then we can go for medications.
User :   No , that is not a problem, i will reduce my weight
Doctor :   Can you tell me all the test you have done?
User :   I have gone through all the blood tests
Doctor :   Ok.
User :   1 complete blood count
User :   2 wbc differential count
User :   3 urinalysis
Doctor :   Then you have now get a good diet chart and start losing weight.
Doctor :   I think that test are enough.
User :   Ok sure
User :   1 question
Doctor :   Yes.
User :   I am taking some medicines like Tazloc 40 for hypertension, sibellium 10 mg for mind relaxation and lonazep (0.25), shall I continue that or leave that
Doctor :   You should continue that.
Doctor :   But you will have to quit alcohol and smoking.
User :   I mean does that affect the liver bcoz i was reading some blogs and I came to know that I shall leave the hypertension medicines as it increases the SGPT
Doctor :   Can you give me your last BP measured?
User :   well , No idea..... But its ok as I am taking the medications now
Doctor :   You have measure you BP regularly.
User :   ok, I will do that
User :   and any medicines , I shall start
Doctor :   Once you weight comes down, your BP will aslo come down.
User :   ??
User :   for SGPT and Cholestrol
Doctor :   No need for medication right now.
User :   ok, Thats great
User :   I will follow that
Doctor :   If the diet fails then we will go for medications.
User :   and what diet plan shall i choose from the 4 given in the link
User :   ??
User :   ??
Doctor :   499 plan.
Doctor :   Is it there?
User :   there are 3 with 499
Doctor :   Show only weight loss with hypertension.
User :   ah ok
User :   Fine Doc, pleasure talking to you, my no. is +0000, if possible , gimme a call
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