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Stomach pain, underweight, hot body. Are my reports normal or do I have any problem?

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Internal Medicine Specialist
Practicing since : 1975
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Hello doctor,
I am XXXXXXX 27 years with height 5ft 9in and weight 55Kgs (kilo grams). I am underweight.

I look thin and was weak. I was thin from around 15 years. I used to get stomach pain some times, may be around once for two months. Also I feel sick when I take milk. I fainted once as I do not have proper break fast in morning and did cycling under sun. My boby feels hot always, but therometer temperature is normal.

As above symptoms occured occsionally I have not bothered much. Two weeks back I went for a normal health check by thyrocare. They have given a report, but it has not been analysed.

I want you to analyse my lab report and give details. (Reports attached)
Is my reports normal or do I have any problem? Any furthur blood tests required? Any specilist visit required?

Thank you, XXXXXXX
Posted Fri, 20 Apr 2012 in General Health
 
 
Answered by Dr. Geeta Sundar 17 hours later
Dear XXXXXXX
Thanks for posting your query.
The following things are notable in your reports:
a.     Raised white cell count and C reactive protein level: It is suggestive of an infection in the body.
b.     Low folate levels: Suggestive of nutritional deficiency. This may be responsible for the high homocysteine levels seen
c.     Low Vitamin D levels: Again suggestive of a nutritional deficiency or inadequate exposure to sunlight ( which is unlikely since you’re an Indian resident)
d.     Your thyroid function is normal
I would strongly suggest that you take a balanced and nutritious diet to ensure that your nutritional requirements are met and you can stay healthy. Presently, your calorie requirement is around 2600-2800 calories. These calories should come from a variety of food sources which include:
a.     Carbohydrates: This should provide 45-65% of your calories. XXXXXXX sources include wheat, rice, potatoes, fruits, brown rice.
b.     Proteins: This should provide 10-35% of your calories. XXXXXXX sources include legumes and non-vegetarian food
c.     Fat: About 20-35% of your calories should come from fat. XXXXXXX sources include butter, oil, ghee.
d.     Vitamins and minerals- They are present in fresh fruits and vegetables.
As I believe that more information can help a physician arrive at an accurate diagnosis, I would request you to answer the following questions:
a.     Have you been experiencing any symptoms due to the lactose intolerance ( intolerance to milk)?
b.     Have you been suffering from diarrhoea or any other symptoms?
c.     Have you been feeling sad, anxious?
d.     Do you feel you have a normal appetite? It would be great if you can give me a list of the food items that you are eating in a day.
e.     Do your parents or siblings also have the same build?
f.     Are you currently taking any medication?
Awaiting your reply
Regards





Above answer was peer-reviewed by
 
Follow-up: Stomach pain, underweight, hot body. Are my reports normal or do I have any problem? 2 hours later
Thanks for your reply.

Please check the answers for your questions.

a. Have you been experiencing any symptoms due to the lactose intolerance ( intolerance to milk)?
Yes, when i have milk, i feel like i am feeling like stomach is full and want to go to bathroom. but this is not always, only some times. but motion will be loose next day. I do not take tea just because of this.

b. Have you been suffering from diarrhoea or any other symptoms?
Yes, When i have milk next day i have semi loose motion and also some other times, but not always.

c. Have you been feeling sad, anxious?
Yes

d. Do you feel you have a normal appetite? It would be great if you can give me a list of the food items that you are eating in a day.
My appetite is low.

My normal day food
morning - 5 idlies
afternoon - 2 cup rice with dal, 1 cup rice with some fry (some times egg), 1 cup rice with curd. (i cannot exactly say what is cup size, but I beleive it is small quantity)
evening - 4 biscuts, 1 cake peice
night - same as afternoon

On sunday
morning - 3 poories
afternoon - biryani/ 3 cups rice with chicken curry
evening - 4 biscuts, 1 cake peice
night - same as afternoon

e. Do your parents or siblings also have the same build?
yes, my father(65) and brother(31) also look thin, but they look perfectly fine and not as thin as me and they both have normal weight.

f. Are you currently taking any medication?
No. I got this lab report just as a part of health checkup package.


I have few more questions,
Can I go to gym for increasing body weight/strength?
Can I use multivitamin tablets?
 
 
Answered by Dr. Geeta Sundar 22 hours later
Hi XXXXXXX

Thanks again.

Yes, you can go to gym and gradually increase level of exercise. They will help in toning your body.
In addition you would need a balanced diet. A dietician can help you formulating a personalized diet to maintain your daily calorie requirement.

You can also take multivitamin tablets on alternate days.

If weight does not increase, you can go for a food intolerance test. Your physician can help you in finding the right center where you can get this test done in your city.

Hope this answers all your queries. Please accept my answer if you do not have any further queries.

Regards
Above answer was peer-reviewed by
 
Follow-up: Stomach pain, underweight, hot body. Are my reports normal or do I have any problem? 1 hour later
Thanks for reply,

What are your suggestions.

You indicated
a. Raised white cell count and C reactive protein level: It is suggestive of an infection in the body.
Can I ignore this, or do I have to go to any specialist.
 
 
Answered by Dr. Geeta Sundar 23 hours later
Dear XXXXXXX

Thanks for writing back.

Raised CRP (C-Reactive protein) is due to inflammation in the body and raised white cell count due to infection in the body.

I would suggest you repeat both tests after fifteen days of last report and if they still remain raised, to see your regular doctor who will decide whether it is significant.

I hope, this answers your query. Please accept my answer in case you have no follow up queries.

Wish you good health.

Regards.
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