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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Do My Lab Test Reports For Typhoid Indicate?

Hi Doctor my husband has typoid and last week he did some tests in which direct bilirubin is 0.30 ref range is 0.3, serum shpt(alt) is 79 ref range is 10-40, globulin is 3.10 ref range is 2.0-3.0, total cholesterol 234 ref range is 125-200, triglycerides is 170 ref range 75-150, Ldl cholesterol is 167.0 ref range is 75-100, TC/HDLC Ratio is 7.1 ref range less than 5, LDLC/HDLC Ratio is 5.1 ref range is less than 3 request u to kindly check about the issue
Tue, 15 Mar 2016
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Dietitian & Nutritionist 's  Response
Good morning!
Isn't it aggravating when the doctor runs tests and then doesn't discuss them with you? I will do my best to interpret your lab values,but you realize labs are interpreted in the light of the entire presenting clinical picture and I have no idea of his medical history, just the labs.

I will only address the labs that are out of range or labs that are out of range that relate to ones that are in range. ALT at 79 is indicative of liver injury (most probably jaundice in the case of typhoid);globulin, watch; cholesterol is elevated, re-check after liver heals; triglycerides are only mildly elevated;LDL cholesterol is very high, which is of concern in light of his cholesterol; The referance range means that there is not enough HDL to carry the cholesterol out of the body and the high LDL is dumping the cholesterol at the arterial walls to form plaque; the LDL/HDL ratio, same thing, not enough HDL to compensate for the LDL. So, this situation could get complicated with his diet.

I would highly recommend consulting a Dietitian for a low
fat diet, absolutely no fiber until the typhoid has cleared, diet should be light and easily digestable to avoid deficiencies, the use of soups (defatted), lots of fluids.The basic diet is high calorie, high protein. With the elevated lipids I am adding low fat until lipids, bilirubin and ALT normalize.

I can give you further information on diet through my specialist portal. Just write in and ask for me specifically. I have been working with typhoid patients for the past year. Good luck and here's to a speedy recovery for your husband (expect complaints of nausea, try some ginger tea) Kathryn Shattler, MS,RDN
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What Do My Lab Test Reports For Typhoid Indicate?

Good morning! Isn t it aggravating when the doctor runs tests and then doesn t discuss them with you? I will do my best to interpret your lab values,but you realize labs are interpreted in the light of the entire presenting clinical picture and I have no idea of his medical history, just the labs. I will only address the labs that are out of range or labs that are out of range that relate to ones that are in range. ALT at 79 is indicative of liver injury (most probably jaundice in the case of typhoid);globulin, watch; cholesterol is elevated, re-check after liver heals; triglycerides are only mildly elevated;LDL cholesterol is very high, which is of concern in light of his cholesterol; The referance range means that there is not enough HDL to carry the cholesterol out of the body and the high LDL is dumping the cholesterol at the arterial walls to form plaque; the LDL/HDL ratio, same thing, not enough HDL to compensate for the LDL. So, this situation could get complicated with his diet. I would highly recommend consulting a Dietitian for a low fat diet, absolutely no fiber until the typhoid has cleared, diet should be light and easily digestable to avoid deficiencies, the use of soups (defatted), lots of fluids.The basic diet is high calorie, high protein. With the elevated lipids I am adding low fat until lipids, bilirubin and ALT normalize. I can give you further information on diet through my specialist portal. Just write in and ask for me specifically. I have been working with typhoid patients for the past year. Good luck and here s to a speedy recovery for your husband (expect complaints of nausea, try some ginger tea) Kathryn Shattler, MS,RDN