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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Should I Be Worried Of The Test Results?

hi, i am 32 years old. i have so many things together.

my bilirubin is - total: 2.8, direct: 0.7 and indirect: 2.1.
sgot is 27 but sgpt is 48
my Cholesterol total is 172 but HDL is 20.
and Triglycerides is 726.

vitamin D is 10.4

My CBC counts are not good. i also have thalassaemia minor.

spleen is mildly enlarged.

Please help me to understand this complication.
Wed, 23 Apr 2014
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Radiologist 's  Response
Hello
Thanks for writing to HCM

You are suffering from hypertriglyceridemia with liver injury.This is a common disease among adults due to changing life style.
SGPT is towards upper range of normal value.It may be due to deposition of fat within the liver cells.

You also need few more investigations like routine hemogram,RBS(Random blood sugar),Complete LFT(Liver function test),RFT(Renal function test),Ultrasound of abdomen.Further investigations can be done if needed.
.
You also need life style modification and diet changes.
You should avoid red meat,high fat milk products.
Cook food in olive or canola oil.
You should take limited salt in your diet.Avoid fried and junk food.Avoid alcohol & smoking if you take these things.
Take lot of fruits and vegetables.You should also increase your physical activity in the form of walking and exercise.
You can also do meditation and yoga.It will help you a lot.
Don't take stress in life.

You can take tablet Fenofibrate 160 mg at night once daily after dinner.
You also need tablet Ursodeoxycholic acid 300 BD for three months.

You also need vitamin D supplementation.

Get well soon.
Hope I have answered your question.

Take Care
Dr.Indu Bhushan
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Should I Be Worried Of The Test Results?

Hello Thanks for writing to HCM You are suffering from hypertriglyceridemia with liver injury.This is a common disease among adults due to changing life style. SGPT is towards upper range of normal value.It may be due to deposition of fat within the liver cells. You also need few more investigations like routine hemogram,RBS(Random blood sugar),Complete LFT(Liver function test),RFT(Renal function test),Ultrasound of abdomen.Further investigations can be done if needed. . You also need life style modification and diet changes. You should avoid red meat,high fat milk products. Cook food in olive or canola oil. You should take limited salt in your diet.Avoid fried and junk food.Avoid alcohol & smoking if you take these things. Take lot of fruits and vegetables.You should also increase your physical activity in the form of walking and exercise. You can also do meditation and yoga.It will help you a lot. Don t take stress in life. You can take tablet Fenofibrate 160 mg at night once daily after dinner. You also need tablet Ursodeoxycholic acid 300 BD for three months. You also need vitamin D supplementation. Get well soon. Hope I have answered your question. Take Care Dr.Indu Bhushan