Hello,

Thank you for posting a query here.

Look, I can understand your condition. But, you need to come down. Do not panic. I am going to discuss your problems one by one.

First of all, your CBC indicates low WBC with monocytosis and low lymphocyte. The MCV is increased, platelet is reduced. All these indicates possibility of any dysplastic changes in blood. Megaloblastic anemia, alcoholism, liver abnormality all can lead to this condition. For confirmation of the condition, you need a hematologist in person for detailed clinical examination and further management.

One thing you have to understand that, this problem in blood may or may not be related with your other problems.

Secondly, your cholesterol level is high. You are an athlete. So, you are wondering why you have such result, right ? For your information, this high cholesterol can occur in any person. Because apart from high intake, some other factors like genetic abnormality, hereditary absence of some proteins may lead to this type of problem. So, do not worry.

But the good news is life style modification and some anti-lipid agents can give you a good result. you should consult with your treating doctor for prescribing atorvastatin and fenofibrate combination for this problem.

Thirdly, the liver function test indicates hepatic injury. You should restrict alcohol intake and avoid fast foods and take light diets. For this you need some liver protecting agents like sorbitol. You should consult with your treating doctor about it.

Now, your problem regarding kidney. Your description indicates hematuria related with this kidney stone. The size of the stone can easily give rise to such type of hematuria.

Here you need some good antibiotic first to control any secondary infection if present clinically. For active bleeding, you need some drugs like tranexamic acid which will reduce bleeding. Take plenty of water.

Secondly, you have to consult with urologist for surgical intervention. Because that is the only way to treat the condition.

Do not panic by reading the term ‘surgical intervention’. Now-a-days there are so many approaches to handle the condition. Usually, the surgery is very small. Extracorporeal shock wave lithotripsy and Ureteroscopic surgery are the usual procedures.

Lastly calm down and take the situation sportingly. Follow my instructions, consult with the relevant specialists as I have told. Everything will be alright.

Hope this information suffices. Let me know, if you have any more question.

Regards.

---

Hello,

Thank you for writing back.

I am trying to clarify.

1. Yes, you should consult with a hematologist. Make an appointment. Besides, you have consult with urologist.

2. Your diet is really very light. I think, your habit of taking fruits and vegetables are really very good. But, you should stop taking burgers and steaks. try to take foods with low fat. Because, liver is the organ which helps to metabolize fat. As you have a liver abnormality and higher level of cholesterol, you have to avoid these foods.

3. Yes, you have to stop drinking. If not possible, try to lower the amount. You can repair the damage if you follow the restrictions strictly.

4. Yes, your tiredness is due to the bleeding and psychological stress. But cheer up. Follow the instructions, and everything will be alright.

Lastly, do not think about cancer right now. There is no such proof till now.

So, do as i have told. Best of luck.

Hope, you have your answer.

Regards.

---