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What causes low vitamin b12 level? - Online Doctor Chats

Date : 20-Apr-2014
User rating for this question
Very Good Posted in: X-ray, Lab tests and Scans
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1777 Questions
User:Hi Dr
Doctor:Please proceed with your query
User:I just uploaded my father's master health check up report
User:Could you please go through and advise on the same.
Doctor:Can you give me few minutes to look into it?
User:Sure Dr.
Doctor:Thanks for your patience.
Doctor:Of those reports, the only thing that was concerning me was low vitamin b12.
Doctor:Is he a vegetarian?
User:no, he is non-veg
User:but rarely he takes non-veg
Doctor:As I see he has vitamin b12 is below 200 and the doctor has rightly put him on oral supplements.
Doctor:He needs to add little more non vegetarian food.
Doctor:It contains more b12 which is essential at this age.
Doctor:The next concerning was abnormal cholesterol values.
User:What kind of non veg? he is allergic to mutton
Doctor:I see his weight is normal.
User:and how frequently he should take it?
Doctor:It can be controlled with some exercises and mediciens.
User:What is the Eosinophil and Cheolestrol values denote in page 2 and 3 respectively?
Doctor:Doctors has put him on medicines for it.
User:Eosinophil count?
Doctor:Right about the eosinophils, it is marginally elevated.
Doctor:And looking at this symptoms profile the cause may be related to allergies.
User:Whats the implications?
Doctor:As such, the raised eosinophil count doesn't bother me if he has no significant symptoms.
Doctor:I would address his symptoms than treat the eosinophil count.
User:He used to take little nap after every lunch? Do I need to ask him to stop that?
Doctor:You may repeat the test later say about 6 months, if it goes high, the problem can be further assessed.
User:Are the hepatitis test included in this test report?
Doctor:Nap after lunch has no significant health implication, but yes prefer to avoid hitting the bed immediately after a heavy meal.
Doctor:I did not see hepatitis test in those reports.
User:Is the test different for it?
Doctor:I did see his liver functions though and they were not normal.
User:page no?
Doctor:If he is not occupationally prone to hepatitis, I would not recommend it routinely as his liver state seems normal.
Doctor:Liver functions are found on page 3
Doctor:as per this copy.
User:Are you suggesting that no hepatitis test is required? because my mother doubts and says his eyes are bit yellow.
Doctor:The liver function including bilirubin is normal. So I wouldn't be worried about your mother's observation.
User:If I am directly going to take hepatitis(for my father) and diabetes test(for my mother), what test I shuold take? I meant test names
Doctor:There are 5 different hepatitis virus.
Doctor:The most commonly tested is hepatitis b.
Doctor:We screen patients for hepatitis b with Hbsag test.
User:Are we having 5 different tests for all?
Doctor:Yes, there are different tests for each hepatitis.
Doctor:As per my opinion, your father doesn't need those tests.
User:okay, For my mother's satisfaction I will ask my dad to take this Hbsag test
User:okay, then it is required
Doctor:I am not sure what you meant.
Doctor:In my opinion your father doesn't need any tests for hepatitis.
User:I meant as per your suggestion, the test is not required
Doctor:He seems to have a normal liver.
User:What is the test name for my mother's diabetes?
Doctor:You can go for fasting blood sugar, post prandial blood sugar and Hba1c tests
Doctor:to look for diabetes.
Doctor:Do you have any more questions?
User:okay, sure. Thanks Doctor.
User:No, thans for the time
Doctor:Lastly before I conclude, it would be good if you can repeat the ultrasound abdomen on your father
Doctor:after few months.
Doctor:I saw the radiologist reporting a nodule on the prostate.
Doctor:The findings are not concerning, but should be followed up with urologist or repeat scans.
Doctor:Thanks for visiting me here. Bye for now.
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