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Raised cholesterol, abnormal blood and urine reports. - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Blood Disorders
Answered by

General & Family Physician
Practicing since : 2009
Answered : 636 Questions
User :   I need someone to make sense of a health checkup done for my mother
User :   hello
Doctor :   hi.
Doctor :   Dr. XXXXXXXX here.
User :   Hi
Doctor :   please proceed with your health query
User :   I have done a health check up for my mother
Doctor :   ok
User :   and need some guidance on what to eat and what not to eat and all that
User :   TRIGLYCERIDES 255
User :   CHOL/HDL RATIO 5.2
User :   CHOLESTEROL 214
User :   it seems she has high cholesterol
Doctor :   yes, all these parameters are elevated
Doctor :   what symptoms does she have?
User :   what what should be avoided
User :   its just a normal health checkup
User :   she is perfectly fine
Doctor :   general diet measures include avoiding saturated fat, oily or fried foods
User :   is sunflower oil good
Doctor :   more importantly, she has to be active, doing walking and other exercises to burn the extra cholesterol
User :   ok
Doctor :   sunflower oil comes with low fat, something like Sundrop with low fat
Doctor :   does she tale non vegetarian food?
Doctor :   *take
User :   yes sometimes
User :   shaould that be avoided
Doctor :   ok
Doctor :   among non veg, she should avid chiken with skin, or any meat with visible fat in it
Doctor :   prefer gravy items to fired stuff
Doctor :   avoid taking yellow (yolk) of egg
Doctor :   take more of high fibre foods, like chapatis made with whole wheat atta, brown bread etc.
Doctor :   limit oil consumption to 5-6 tsp per day
Doctor :   for a more detailed approach with her diet you can take help of our diet and nutrition services
User :   how about fruits/fish/vegetables
Doctor :   WWW.WWWW.WW
User :   she likes fish
Doctor :   fish she can take like all white fish, herring, mackerel, sardines, salmon.
Doctor :   fish with omega acids is good
Doctor :   she should take more of fish than other non veg
Doctor :   change to skim,med milk than whole milk
Doctor :   let her take low fat yogurts instead of curd
Doctor :   she should take fresh vegetables and fruits, not the ones stored for long time in fridge.
Doctor :   avoid cheese and butter completely
Doctor :   stick to having black tea/green tea/herbal tea
User :   how about ghee
User :   and what about the sugar intake?
Doctor :   it should be completely quit
Doctor :   sugar and salt should be limited
Doctor :   avoiding sugar in milk and fruit juices will do
Doctor :   salt should be taken 5-6 gms per day, and no added salt at table should be allowed
User :   how much sugar can she take during a day
User :   coz she like sweets
User :   how about potatoes?
Doctor :   she has to adjust with the above sugestions
Doctor :   sweets should be limited to once a week
User :   ok..
User :   and potatoes...
Doctor :   for a more detailed approach with her diet you can take help of our diet and nutrition services
Doctor :   WWW.WWWW.WW Doctor :   visit this link to get advise and diet amd fitness plan for her
User :   I will do that
User :   RED BLOOD CELL COUNT H 4.90 MEAN CORPUSCULAR VOL L 79.8 MEAN CORPUSCULAR HGB. L 26.0 MEAN PLATELET VOLUME H 11.6 LYMPHOCYTES H 44 SEDIMENTATION RATE (ESR) H 35
Doctor :   is there anything else i can help you with?
User :   yes with the above figures
Doctor :   ESR is raised suggesting some pathology going on
Doctor :   MEAN CORPUSCULAR HGB. is less , and MEAN PLATELET VOLUME is high
Doctor :   could you tell the detailed reportr?
Doctor :   how about her Hemoglobin?
User :   HEMOGLOBIN 12.7
User :   MEAN CORPUSCULAR HEMOGLOBIN 32.6
User :   RED CELL DISTRIBUTION WIDTH 12.0
User :   PLATELET COUNT 181
User :   WHITE BLOOD CELL COUNT 8.5
User :   anything else you need doc?
User :   would have been nice if I could send you this report..
Doctor :   yes, it would make more sense
Doctor :   can you send the reports to me? if yes
Doctor :   send to
Doctor :   YYYY@YYYY
User :   just emailed it to the addess
Doctor :   ok. let me check if I have got it
Doctor :   i have just received it, let me go through it
User :   password is in the mail
Doctor :   yes i saw that, I have opened the reports, and i am going through them.
Doctor :   her TSH is also low
Doctor :   and ESR is high
Doctor :   she should be evaluated further to see what is going on
Doctor :   consult and endocrinologist for her
Doctor :   what symptoms does she have at present
User :   she seems normal
Doctor :   please provide her age, occupation, height, weight, details of past medical illness if any
User :   60
User :   User :   5ft 2inc
User :   70kg
Doctor :   continue to follow the diet advise as suggested, and start her on some activity like brisk walk morning and evening for 20-25 minutes

Doctor :   she needs to be started on cholesterol lowering drugs
User :   ok...I will consult with a dietitian
Doctor :   get her abdomen and renal ultrasound done
User :   ok
Doctor :   as she has protien in urine
Doctor :   so any damage to kidney and liver should be ruled out
User :   ok
Doctor :   dietician will only advise for teh diet changes
User :   ok
Doctor :   you need to consult endocrinologist
Doctor :   for her to get further treatment
Doctor :   and start appropriate medications
Doctor :   such that with medications and diet changes, she can come back to normal
Doctor :   repeat tests after 1 month of treatment and diet changes
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