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What Do These Cholesterol And Alkaline Phosphatase Levels Indicate?
Question: Dear Doctor,
My routine checkup shows (only abnormal ones I mention here). Could you pls provide your analysis/suggestion? I am 44 years Male. Currently I am experiencing tiredness and dizziness for last 2 weeks and BP is found low between 90/57 and 110/60. My appetite and sleep normal. I am feeling acidic (burning sensation in abdomen and chest).
total cholesterol:193 HDL: 36 LDL: 121 Triglycerides: 240 mg/dl
ALKALINE PHOSPHATASE 146.2 ALANINE TRANSAMINASE (SGPT) 46.4 U/I
SERUM GLOBULIN 3.47 gm/dl
25-OH VITAMIN D (TOTAL) 12.96 ng/ml
LYMPHOCYTE 46.1% TOTAL RBC 5.95 X 10^6/μ
When I checked 4 years back also, Triglycerides high, SGPT high and Vitamin-D deficiency were there. I discontinued using Shellcall 500mg.
My routine checkup shows (only abnormal ones I mention here). Could you pls provide your analysis/suggestion? I am 44 years Male. Currently I am experiencing tiredness and dizziness for last 2 weeks and BP is found low between 90/57 and 110/60. My appetite and sleep normal. I am feeling acidic (burning sensation in abdomen and chest).
total cholesterol:193 HDL: 36 LDL: 121 Triglycerides: 240 mg/dl
ALKALINE PHOSPHATASE 146.2 ALANINE TRANSAMINASE (SGPT) 46.4 U/I
SERUM GLOBULIN 3.47 gm/dl
25-OH VITAMIN D (TOTAL) 12.96 ng/ml
LYMPHOCYTE 46.1% TOTAL RBC 5.95 X 10^6/μ
When I checked 4 years back also, Triglycerides high, SGPT high and Vitamin-D deficiency were there. I discontinued using Shellcall 500mg.
Brief Answer:
rule out liver and gall bladder pathology
Detailed Answer:
Hi,
Thank you for query.
I understand your concern. You alkaline phophatase and SGPT are on higher side.
It can be due to gall stones, bileduct obstruction and hepatitis. As you already have dizziness,fatigue, need to rule out liver diseases.
High Lymphocytes reveal infection in body.
Your Triglycerides are marginally high, so go for regular walking,drink plenty of fluids,avoid fatty diet,carbonated drinks.
You can continue with calcium supplements like calcimax D once daily for 2 months.
Only with these reports you can't come to a conclusion.
Get an Ultrasound abdomen done to rule out liver and gall bladder issues
All other tests are normal, you can even ignore RBC levels.
I need more information.
Do you take alcohol? if yes,how often.
Regards,
Dr VSK
rule out liver and gall bladder pathology
Detailed Answer:
Hi,
Thank you for query.
I understand your concern. You alkaline phophatase and SGPT are on higher side.
It can be due to gall stones, bileduct obstruction and hepatitis. As you already have dizziness,fatigue, need to rule out liver diseases.
High Lymphocytes reveal infection in body.
Your Triglycerides are marginally high, so go for regular walking,drink plenty of fluids,avoid fatty diet,carbonated drinks.
You can continue with calcium supplements like calcimax D once daily for 2 months.
Only with these reports you can't come to a conclusion.
Get an Ultrasound abdomen done to rule out liver and gall bladder issues
All other tests are normal, you can even ignore RBC levels.
I need more information.
Do you take alcohol? if yes,how often.
Regards,
Dr VSK
Above answer was peer-reviewed by :
Dr. Priyanka G Raj
Dear Doctor,
I am non-smoker, non-alcoholic. I am 5'2" height 62kg weight most of my fat in & around abdomen,belly :) Please find below and suggest.
1) Cardiologist suggested for D-Vitamin Deficiency & Acidity
(a) Tayo 60K one tablet to chew in a week for 6months & then one in a month for 6 months
(b) Pantocid DSR one tablet per day for 14 days
(2) I had my ultrasound done today, everything normal except fatty liver I think.
USG Abdomen Report comments: "IMP: Fatty changes liver ? cause."
(3) Additional Blood test reports:
(a) HBs Ag - Negative
(b) Anti HCV - report pending for today evening (If possible pls extend followup time)
Regards,XXXXX
I am non-smoker, non-alcoholic. I am 5'2" height 62kg weight most of my fat in & around abdomen,belly :) Please find below and suggest.
1) Cardiologist suggested for D-Vitamin Deficiency & Acidity
(a) Tayo 60K one tablet to chew in a week for 6months & then one in a month for 6 months
(b) Pantocid DSR one tablet per day for 14 days
(2) I had my ultrasound done today, everything normal except fatty liver I think.
USG Abdomen Report comments: "IMP: Fatty changes liver ? cause."
(3) Additional Blood test reports:
(a) HBs Ag - Negative
(b) Anti HCV - report pending for today evening (If possible pls extend followup time)
Regards,XXXXX
Brief Answer:
Allay your fear
Detailed Answer:
Hi,
Thank you for follow up.
I am sorry for delay.Your reports are normal, except USG abdomen which indicates fatty liver. Fatty liver can happen in most of the individuals who take high fatty diet,red meat and junk. As your HBSAg and HCV are normal, you can just relax. Your BP reading are fine,just ignore them.
You can continue with calcium supplements that has been prescribed by you doctor. Your tiredness and dizziness is because of vitamin-D deficiency.
sun exposure for 30mins during evening can be useful.
Drink plenty of fluids daily at least 4-5litrs per day.
Avoid Red meat,junk,high fatty diets,carbonated drinks.
Take leafy greens,boiled vegetables and fruits.
Get back if any query.
Regards,
Dr VSK
Allay your fear
Detailed Answer:
Hi,
Thank you for follow up.
I am sorry for delay.Your reports are normal, except USG abdomen which indicates fatty liver. Fatty liver can happen in most of the individuals who take high fatty diet,red meat and junk. As your HBSAg and HCV are normal, you can just relax. Your BP reading are fine,just ignore them.
You can continue with calcium supplements that has been prescribed by you doctor. Your tiredness and dizziness is because of vitamin-D deficiency.
sun exposure for 30mins during evening can be useful.
Drink plenty of fluids daily at least 4-5litrs per day.
Avoid Red meat,junk,high fatty diets,carbonated drinks.
Take leafy greens,boiled vegetables and fruits.
Get back if any query.
Regards,
Dr VSK
Above answer was peer-reviewed by :
Dr. Nagamani Ng
Thanks for the detailed answer.
But, my tiredness & dizziness is increasing day by day. Although I am eating well and having about 8 hours sleep in the night, I feel like I want to eat and sleep every now & then. I do not even have much stress nowadays. I want to get out of this situation as soon as possible. Please let me know if I need any more tests to be done. I am going to visit a gastro enterologist coming saturday for the fatty liver.
Regards,
XXXXX
But, my tiredness & dizziness is increasing day by day. Although I am eating well and having about 8 hours sleep in the night, I feel like I want to eat and sleep every now & then. I do not even have much stress nowadays. I want to get out of this situation as soon as possible. Please let me know if I need any more tests to be done. I am going to visit a gastro enterologist coming saturday for the fatty liver.
Regards,
XXXXX
Brief Answer:
See below
Detailed Answer:
Hi,
Thank you for follow up.
I understand your situation, but people with vitamin D deficiency commonly have dizziness and weakness. To come out of this situation you need at least 3 months,because Vitamin d levels take time to increase once you start on taking medications..
Take your calcium supplements regularly.As you are really worried you can even start taking sesame powder daily 1 spoon which shoots up Vitamin D levels faster.
Get back if any query.
Regards,
Dr VSK
See below
Detailed Answer:
Hi,
Thank you for follow up.
I understand your situation, but people with vitamin D deficiency commonly have dizziness and weakness. To come out of this situation you need at least 3 months,because Vitamin d levels take time to increase once you start on taking medications..
Take your calcium supplements regularly.As you are really worried you can even start taking sesame powder daily 1 spoon which shoots up Vitamin D levels faster.
Get back if any query.
Regards,
Dr VSK
Above answer was peer-reviewed by :
Dr. Veerisetty Shyamkumar
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