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Advice after the blood test report examination - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: X-ray, Lab tests and Scans
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2581 Questions
User :   HB – 15.0 g/dL
WBCs – 8.4 10*9/L
Platelet Count – 330 10*9/L
RBCs – 4.91 10*12/L
Haematocrit – 0.410
MCV – 84.1 fL
MCH – 30.5 pg
Neutrophil count – 4.40 10*9/L
Lymphocyte count – 3.30 10*9/L
Eosinophil count – 0.00 10*9/L
Basohpil count – 0.10 10*9/L
Serum albumin – 47 g/L
Alk Phos – 60 u/L
ALT/SGPT serum level – 13 u/L
Serum gamma GT level – 15 u/L
Serum total bilirubin level – 94 umol/L

Doctor :   Hi
Doctor :   Dr xxx here
User :   hello
Doctor :   How may i help you?
User :   please take a look at my above blood test results
Doctor :   Ok just a moment
Doctor :   Your Total bilirubin seems to be raised
Doctor :   Other values are within normal range
Doctor :   Why where these tests prescribed
Doctor :   Do you have any skin discoloration or scleral discoloration?
User :   sclera yes but only very minor
User :   i requested the tests to monitor my bilirubin
Doctor :   Ok
User :   blood smear shows target cells, atypical lymphs and stomatocytes
Doctor :   Do you have associted weakness/ loss of appeteite
User :   No just sleepiness, and very minor shortness of breath
Doctor :   Ok
User :   I am a 20yr old male, i dont drink and am otherwise fit and healthy
Doctor :   Was any scans taken #
User :   Yes
User :   MRI, ultrasound were both negative
User :   24hr copper urinalysis also within normal limits
Doctor :   Ok
User :   Hepatitis screen negative
Doctor :   Though your bilirubin values are raised your symptoms are not much corresponding to liver damage
User :   Ok, is liver damage still a possibility
Doctor :   Yes very minimal
Doctor :   There are various factors for rise in bilirubin values other than liver abnormality
User :   Ok, so the tests show that my liver is functioning normally. But with the atypical cells, what could possibly be causing the high bili/symptoms?
Doctor :   Like Obstruction in bile duct
Doctor :   2. Gilberts syndrome
Doctor :   3. Heavy fatty foods
Doctor :   4. Stress
Doctor :   Some times unexplanied
User :   How likely is it that I have liver disease
Doctor :   Very minimal as scan results and other test are normal
Doctor :   I guess all you require is a n yearly check up of LFT
Doctor :   With some Salt resticted diet
Doctor :   And also some liver protective agents
User :   Ok. Does this have the potential to manifest into something serious?
User :   Or should I not be worried
Doctor :   You dont have to be worried
Doctor :   Just keep check on LFT yearly
User :   Is this to ensure that it doesn't get any worse
Doctor :   Yes just to keep a check,
Doctor :   Probably values will reduce by self
Doctor :   Because Other values and scan repots are perfectly normal and proves liver normal funtioning
User :   Ok.
User :   Would it be best to have LFT's monthly?
User :   Why yearly?
Doctor :   Yearly is sufficient
Doctor :   Because values will not raise so fast
User :   Oh I see.
User :   So at this point no liver damage
User :   Should I stay away from alcohol
Doctor :   Yes
User :   Ok, can you recommend any liver supplements and also tell me what my diet should be
Doctor :   Those are Presciption drugs
Doctor :   LIV 52
Doctor :   As far as diet avoid fatty food
Doctor :   Salt restriction
Doctor :   And avoid alcohol
User :   ok
Doctor :   And be cautious before taking any drug
User :   What is the % chance that my liver levels will return to normal, and how long will this take
Doctor :   Check the drugs relation to liver damage
Doctor :   70%
Doctor :   There are some drugs which are hepatotoxic which should be avoided
User :   I will consult my GP before any medication. I am not on any at the moment.
User :   I do take protein and creatine before work-outs. Should these be stopped?
Doctor :   Yes that will help
Doctor :   Yes
Doctor :   Is it longterm
Doctor :   Even those supplements will lead to liver damage
Doctor :   You had not mentioned this in your history '
User :   No this is not long term
Doctor :   Plz avoid those supplements
Doctor :   I guess they are a concern for your raised values
User :   I found out about my unconjugated hyperbilirubinemia before I started to take these supplements
Doctor :   Ok
User :   But then stopped them right away
Doctor :   Just stop it or else will have incresed values further
User :   Ok most certainly
User :   Is there any other foods that I should avoid
Doctor :   No
Doctor :   Just fat reduction is main aspect
User :   Ok
User :   and finally
User :   what is the worst possible outcome of this condition
Doctor :   Probably hepatomegaly
Doctor :   And further leads to cirrhosis
User :   Can this be prevented
Doctor :   Yes
User :   Completely?
Doctor :   Yes
Doctor :   All required is regular follow up
User :   Ok. Will this be through treatment or just diet
User :   to avoid cirrhosis
Doctor :   Just diet
Doctor :   And healthy lifestyle
User :   Ok is LIV 52 made by Himalaya?
Doctor :   Yes
User :   Should I be aware of any symptoms
User :   That could signify worsening
Doctor :   Unless you have severe abdominal bl;oating
Doctor :   And Associted heavy discoloration
User :   Ok but at the moment not serious?
Doctor :   No
User :   Thankyou for your help
Doctor :   Your are welcome
Doctor :   Wishing you speedy recovery
Doctor :   Bye for no
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