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What Does My Blood Test Report Indicate?

Posted on Tue, 7 Jul 2015

Question: I HAVE SHARED THE INPUTS ON Concentric LVH and High BP 150/80.
dOCTOR ADVISED cONCOR COR 2.5 AND tELLZY 40 H
My cholestrol is 70
ldl -38
hdl- 38
Is it OK

RGDS
NG

Answered by Dr. Divakara (30 minutes later)

Brief Answer:
Only Tellzy H is sufficient.

Detailed Answer:
Hi XXXX

Greetings from Dr Divakara P

Thanks for posting your query.

Your blood pressure is slightly high .There is no need for two Medicines . So you can start with either concor or telzzy h .
Among these two I would recommend telzzy h . Keep taking it along with being on low salt diet and daily aerobic exercises. Recheck your blood pressure after 1 month.

Your HDL is slightly low but it doesn't require any medication. Do daily aerobic exercises like brisk walking, jogging, running or cycling.

Hope this information was useful to you.
Any clarification feel free to ask.

Regards.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Divakara (8 minutes later)

Thanks a lot Doctor.
I have uploaded a few of my relevant medical test reports including ECO and Lipid profile. Kindly review those.
Would add here that I am a vegetarian and do not smoke / drink at all. I do Pranayams and Trademill walk regularly.
Would request you to kindly review my ECO report and Lipid profile and advise further.
Is my problem of low intensity or higher?
Can I go to homeopathy or Ayurved ?
I do not want to be habituated to allopathic medicine.
Kindly advise suitably.

Best Regards
XXXX

Dear Doctor
A couple of very important questions -
Will Concentric LVH be cured and reversed ?
Will the thickness of my heart muscle be reduced by having my BP back to normal ?

If yes --what best should I do to achieve this.

Kindly advise.

Answered by Dr. Divakara (13 minutes later)

Brief Answer:
Postprandial blood sugar is high.

Detailed Answer:
Hi

Thanks for the report.

Well apart from concentric LVH which is due to your high bp and low HDL , I also noticed that your postprandial blood sugars are slightly high ( the photo uploaded was not very clear but I feel that it was 165).

Well in that case we need to do one more test to check for your diabetic status. In that regard I advise you to get a test called HBA1C.

Regarding your BP, concentric LVH Telzy H, diet and exercise as advised previously will do . If you wish not to take allopathic medicine then you can try Ayurveda.

Concentric LVH means your heart has slightly become big, this is the result of your long standing hypertension. There is no need to do anything for that, just keep the BP under control.

As of HDL is concerned just follow the advise given on previous reply.

Regards.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Divakara (12 minutes later)

Thanks a lot Doctor.
Yes My PP is 165 but Fasting sugar is 114.
Do I still need to go for HBA1C ?
Hope you have reviewed my ECO report and its parameters.
I am more concerned on those (ECO) since starting to take any medicine on heart at the age of 46 is too early I believe.

Just to add to this I am also taking URSOCOL 300 for my SGPT 84.
And nothing for Uric Acid - 7

My doctor has also advised me zapiz 0.5 daily for 6 weeks--hope thhis is ok ?

Best Regards
XXXX

Answered by Dr. Divakara (11 hours later)

Brief Answer:
Still you need to get HBA1C

Detailed Answer:
HI

Apart from Concentric LVH there is no significant ECHO finding.

Yes I still recommend you to get HBA1C.

Ursocol is fine but why have you been prescribed Zapiz ? Zapiz is a sleeping pill I don't recommend taking it for more than few days.

Hope this information was useful to you.
Any clarifications feel free to ask .

Regards.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Divakara (4 days later)

Dear Doctor Divakara

Thanks a lot for your life saving advice. I am much better presently since last 4 days and improving day by day.
I will soon get tested HBA1 C reports and will share with you.
.
In fact when I had consumed concor cor 2.5 (for 2 days) and Telzy 40 H ( for 1 day), I was feeing very week and disturbed.

When I got your reply I stopped not only concor but also stopped Telzy. I also stopped Zapiz.
I doubled my trademill walk (@ speed 5.5 to 6 kmph) (30 min morning and 30 min evening) and Pranayam (45 min morning and 45 min in evening), started in evening as well. And correcting my diet as well. Am taking 3 Garlic buds in morning, methi water, and similar other home remedies. Cutting on sugar and started to use Sugar free.
I am writing below the BP measurement of last 3 to 4 days – ( through Omron Automatic BP Monitor HEM-7203)

Date : 02-Jun
6.20AM - 130/83, Pulse – 73
10.20 am - 118/74, Pulse – 84
7.15 pm - 135/78, Pulse – 65
11.30 pm - 119/77, Pulse - 80

Date : 03-Jun
8.15AM - 113/73, Pulse – 81
11.00 am - 108/75, Pulse - 90
7.00 pm - 132/76, Pulse – 72

Date : 04-Jun
11.00AM - 118/78, Pulse - 86
07.47 pm - 145/89, Pulse - 62
7.51 pm - 135/87, Pulse – 61
09.00pm- 128/83, Pulse - 78

Date : 05-Jun
08.15AM - 121/71, Pulse - 71
04.45 pm - 139/79, Pulse - 77
05.00 pm - 136/79, Pulse - 76

Today I am uploading more of my medical reports including ECG.
My concern is that I do not want to get accustomed to allopathic medicine and lose youth. I am a Telecom Construction manager and my roles asks for a lot of mental stress.
Please review these reports and advise
•     In which area of body do I need to take corrective action
•     whether my decision on stopping telzy 40 H is correct or not
•     how long will have to take Ursocol 300 to get my Liver parameters in normal range
•     is jogging permitted to me
•     is sexual activity ok -----I am asking this question specifically because sometimes when it is lingered with time and state of excitement continues for a long time, it gives some kind of pressure on my heart
•     is ‘sugar free’ ok to use life-long or can I take some reduced sugar and sweets also
•     What is the advised sugar content which I can take or sweets how many should be ok per day
•     If my BP remains controlled whether thickening of heart muscle will be reversed
•     Your opinion on Incomplete Right Bundle branch block - -as it is in my case
•     What does it indicate ----- if I get up in the midnight with faster breathing accompanied with bad dream----one of my colleague says it is because of Gas ----yes there is a lot of gas /acidity problem with me
•     Is it safe to take PAN D sos in night – when it gives pain in stomach or in chest
•     Or it would be safer to take zintec twice
A lot of questions asked ----request your kind advise on all these

Regards
XXXX
Cell phone - 0000
Date - 05/06/15 Time 18:16 hrs

Answered by Dr. Divakara (14 hours later)

Brief Answer:
Good BP control.

Detailed Answer:
Hi

Thanks for the information.

Went through all your reports . Only abnormalities are Concentric LVH in Echo, raised PPBS and mild elevation in Liver enzymes.

Regarding your Blood pressure , its well controlled and your diet and exercise is very good. I appreciate you for that.

Well I would have not supported your decision to stop even Telzzy also but you have maintained a good control of your blood pressure with your diet and exercise hence continue that and no need to take any medication for blood pressure.

But remember one thing this level of exercise and diet has to be continued for life and your blood pressure has to be monitored weekly. There is no problem in indulging in sexual activities.

Coming to your diet for diabetes O recommend you to avoid sweets totally. You can use sugar free tablets but if your don't like the change in taste after using them , you can use normal sugar only just reduce the quantitity that's all.

You can take Ursocol for 2/weeks and stop it.Yes you use Pan D for acidity problem.. But don't consider all chest pain due to Acidity and just keep taking Pan D.

Regarding your ECG showing Incomplete bundle block , though it is an abnormal finding it is not significant as your Echo is normal. Nothing needs to be done for that.

Hope this information was useful to you.
Any clarification feel free to ask.

Regards.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Divakara (7 days later)

Dear Doctor Divakara
Thanks for these healthy advises.
Today I am enclosing / attaching my HBA1C report.
Please review the same and advise.
Just adding to information -

. my Sugar fasting is - 114
. my sugar PP is -165
. my HBA1C is - 6.6

Do i need to take any medicine or only exercise and cutting of sweet will do.
On what frequency can I eat a sweet.

Request please review my HBA1C report along with other earlier uploaded reports of ECHO/ECG/BLOOD TEST REPORTS.

Warm Regards
XXXX

Answered by Dr. Divakara (28 hours later)

Brief Answer:
No need of medicine.

Detailed Answer:
Hi

I went through your report. A HBA1C of 6.6 indicates you are diabetic. But there is no need for any medication as of now.

But you need to start exercising at least 15-20 minutes every day.

As of diet I would be better if you give up sweets totally. But if you fond of sweets you can take in small quantities once a month.

Also you need to reduce the quantity of food in your lunch and dinner, take more of vegetables and less of rice.

Also I saw a report of ANA ( though it is normal ) couldn't understand why it was done.

I would advise you to repeat FBS, PPBS after 2 months and review.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Divakara (20 hours later)

Dear Doctor Divakara
Thanks for healthy advise.
My queries further are –
•     What is the intensity of my diabetes
•     Can HBA1C value reverse and come into range of normal --in other words, can Diabetes be reversed
•     What is the value of HBA1C –where I can be concluded as non-diabetic
•     Can Concentric LVH reverse and heart become normal size
•     How can I increase my HDL
•     For Liver ISSUES SGPT 84 etc, you have advised to consume URSOCOL 300 for only 15 days and then to stop, but still if SGPT does not go back to normal, what should I do------Should I start using Liv-52 of Ayurved. I am asking this since I had earlier taken URSOCOL for 2 to 3 months and my SGPT got reduced from 125 TO 84.
•     Am I allowed to do jogging –though I am regularly walking on trademill for 30 minutes
•     Are fruit allowed to eat like –Apple, Papaya, Guava, Banana, XXXXXXX
•     Can I replace the sugar with Sugar free /Sugar free natura and drink such sweet milk or tea without fear
can i eat sweetsmade of sugar free natura, home made or of market
•     I have already started taking all precautions and home remedies like, Karela Amla juice, Karela Tomato Kheera Juice, Methi water and methi XXXXXXX aloe vera juice
•     I do not eat rice much, but I eat potato ---is potato ok to include in diet

As regards to ANA - I could not understand which report you are referring to.
I will follow a strict regime of diet and would get the tests done after 2 to 3 months ---and will apprise/share with you, that.

Please advise for all the queries asked above.

Warm Regards
XXXX

Answered by Dr. Divakara (20 hours later)

Brief Answer:
HBA1c can be normalized

Detailed Answer:
HI

1. Your Diabetes is mild .

2. Yes HBA1c value can be normalized with Diet and exercise but it doesn't mean Diabetes is cured . It means Diabetes is controlled . You need to continue the diet and exercise whole life.

3. A HbA1c value of less 6 is considered Non Diabetic. But as said earlier even if you reach this level it doesn't mean you are non diabetic. It means you have controlled diabetes well.

4. Yes Concentric LVH can be normalised if Blood pressure is controlled well.

5. Daily Aerobic Exercise can increase HDL. Intake of Red Wine also increased HDL but I won't recommend to start drinking wine. If at all you were consuming alcohol before then you can switch over to Red Wine.

6. Yes you can stop Ursocol after 2 weeks . Repeat SGOT,SGPT after 1 months and seeing the valuse we can decide. Liv 52 can be used but in that case don't take Ursocol.

7. You are allowed for all kind of exercise including Treadmill. Start slow and gradually build up pace and duration.

8. Fruits are allowed but know one thing , even fruits will increase your blood sugars level. What you can do is have less quantity of meals and add 2-3 pieces of fruits for your meals.

Fruits to avoid are Chickoo, Watermelon, Grapes, Big Banana. Avoid all fruit juices.

9. Yes you can replace Sugar with Sugarfree and eat sweets made of Sugarfree natura.

10. Continue Karela Amla juice, Karela Tomato Kheera Juice, Methi water and methi XXXXXXX aloe vera juice.

11. No Potato, Beetroot, Carrots should be avoided. You can have them occasionally but not often.

There is one test report you have uploaded. Anti Ds DNA , ANF-- Report is named as Medical reports 2 for Spondylosis.

Hope this information was useful to you.
Any clarifications feel free to ask .

Regards.

Above answer was peer-reviewed by : Dr. Shanthi.E

Follow up: Dr. Divakara (1 hour later)

Dear Doctor XXXXXXX
Thanks a lot - you have cleared all my doubts.

Still would request you to opine on my Spondolysis report.
I sleep on floor with mattress.
I do suffer from backache when I got up in morning--.--but once I wake up and sit or stand my pain disappears. Whole day I sit on chair and work till 9PM in the night

Please share your views and recommendations.

Warm Regards
XXXX

Answered by Dr. Divakara (21 hours later)

Brief Answer:
Nothing major in X ray.

Detailed Answer:
Hi

Your X ray shows mild degenerative changes in the vertebral bones L4-L5 and slight straightening of Lumbar curvature.

You don't have to take any medicines for that. I recommend you to start certain back strengthening exercises like Suryanamaskara everyday.

Yes continue to sleep on floor, if you can avoid pillows that is also good.

I would also recommend you to get Serum Vitamin D 3 levels tested and revert back to me .

Regards.

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar