Brief Answer:
Relax.Slight raise no need to worry.Put the values

Detailed Answer:
Hi XXXXXXX Thanks for using XXXXXXX

I want the ALT and Hematocrit values for further discussion.

1. Hematocrit level raises after being exposed to hypoxia state. Since recently you had surgery, the hematocrit level might have raised due to the compensation mechanism of our body. This is normal after major surgery or in dehydration.

2. A slightly increased ALT value without any symptoms does not have much significance.
I will be little concerned if you have any symptoms like pain abdomen, indigestion, vomiting, fever, jaundice, dark color urine and weakness. These are present in liver damage. Since you don't have any of these symptoms and there are no problems detected during your routine follow up with your GP, if you have slight raise in ALT levels then no need to worry.

ALT raises due to any problem in liver. But the liver has a tremendous capacity for regeneration. Hence, there is no need to worry if you have slight raise in ALT level and the liver will repair itself over a period of time.

3. You need to continue all the above said medications, that are been prescribed as replacement therapy.

The reports also vary from lab to lab, so I advice you to get this test repeated in other lab and repeat after 6 weeks to know the status.

You should take plenty of fluids and nutritious diet like fruits and vegetables, that will help in normalizing hematocrit and ALT values.

I hope this information has been both informative and helpful for you. In case of any doubt, I will be available for follow-ups. If you like my answers kindly rate it, and write a review as well. Consult your doctor for further examination and management.

Wish you good health. Take care.

Regards

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Brief Answer:
Needs evaluation. Consult your physician once.

Detailed Answer:
Hi XXXXXXX Thanks for writing back.

1. Your ALT level of 276IU/L needs further evaluation.
Get USG abdomen and pelvis once and repeat the LFT once. Avoid any spicy food, alcohol, smoking and take carbohydrate XXXXXXX food.
Since your examination by your GP has not found out any problem with you, the lab report may be wrong or else I advice you to get complete examination again by your board certified physician once.

2. Hematocrit level is raised. This may be due to post major surgery. Have Plenty of fluids, more than 2l water per day. This will help you.

Continue other drugs now. I hope feeling like been hit by a truck means severe pain and uneasiness (I didn't clearly understand the phrase). You can take analgesic with muscle relaxant for this(I prefer Aceclofenac with chlorzoxazone). Discuss with your doctor for this once.

Hope this helps you.
Regards

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Brief Answer:
Continue drugs. Life style modifications.

Detailed Answer:
Hi Thanks for clarifiying.

I appreciate your doctors decission for repeating the investigations and based on that(in comparision of old report) you need to start treatment if required.

Lansoprazole is a proton pump inhibitor and is helpful in gastric acid related problem. You continue it. Take this tab every day evening 30 min before taking food.
For the pain you can also take anaesthetic gel (I prefer mucaine gel) when you feel severe pain. Along with this you need to take good nutritious diet like fruits (Pomegranite, Sapota, other red fruits) and green leafy vegitables with plenty of fluids and do regular exercise in morning hours. Have food at regular timings and sound sleep for atleast 6 hours at a stretch.
You should give some time for your health(Physical and mental health). So have relaxing period and do yoga. These will help you.

You con contact me for any health related issues any time. I wish you faster recovery and good health.

Regards

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