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What does blood report suggest? - Online Doctor Chats

Date : 10-Jun-2013
User rating for this question
Very Good Posted in: X-ray, Lab tests and Scans
Answered by

General & Family Physician
Practicing since : 2002
Answered : 106 Questions
Doctor:Good Afternoon
User:hello doc
User:very good afternoon
Doctor:How can I help you?
User:Sir, I have attached my complete blood report which was taken yesterday.
User:need your advice on it & assess the results for me
Doctor:may i know where you have attached the reports?
User:i have uploaded tht in my profile and
User:just now
User:will do sir.
Doctor:Please keep the chat window open.
Doctor:Once I receive it, I will be able to comment on it.
User:doc, I have send you the same.
User:can u pls check and confirm.
Doctor:Sure, Please be online
Doctor:Ok. I have received the files now. Let me have a look at it, and then will be able to guide you.
Doctor:Ok. I have gone through 4 sheets of your report.
Doctor:Every investigation report seems to be fine.
Doctor:SGPT though above the normal stated values, does not have any significance at that level.
Doctor:Are you there?
User:yes very much
User:i was also told the same....about sgpt
User:do i need to take any extra care
Doctor:SGPT to be significant has to be more than double its normal value.
Doctor:Or else other parameters of liver functin also has to be abnormal.
Doctor:In your reports, every other findings are very much normal.
Doctor:So the overall status is, very good. there is nothing tht I need worry on tht front...
Doctor:You will not have to worry.
User:thnks doc.
User:one more thing i would like to ask, infact two questions
Doctor:You can follow simple steps to improve the general things.
User:1) Eosnaphila
User:2) on ESR
Doctor:ok. I will explain.
User:Eosnaphilla is always on a higher side for me....
User:I am being told tht it speaks of allergy
User:which i hv
User:like cold, always.. I always need to take extra precaution that i donot hv any food which encourages cold
Doctor:Eosinophils are the immune cells which rise in cases of allergy or autoimmunity.
User:Also, I have got this ithching on my body & it generates small boil like thing and itches a lot.
Doctor:You may be having it as you are more sensitive to certain allergens.
Doctor:Certain individuals have sensitivity to various things which we regularly interact on a daily basis.
Doctor:It may be dust, pollens, cotton, threads, any other contents in air, water or food.
Doctor:When those comes in contact with your body, they would initiate an immediate immune reaction within your body.
Doctor:And that reaction is mediated through the Eosinophils.
Doctor:So, people who are having higher sensitivity, will usually have a higher eosinophil count.
Doctor:Have you followed till now?
User:yes very much
Doctor:So, are you clear regarding the eosinophilia now?
User:so is it in anyway, this allergens can be identified
User:or is there any medication that I hv to take
Doctor:Yes,it can be identified through allergy tests which will be available with dermatologist.
User:can u suggest me what test I need to do
Doctor:The test is known as allergy test.
User:does it get tested in normally pathology
User:or i need to go a dermatologist only
Doctor:You will need to XXXXXXX a dermatologist for that.
User:fine doc,,, will do tht, & would show it again to your for your important feedback.
Doctor:Now regarding ESR,
User:can u throw more light on the ESR front..which is again abv normal for me.
Doctor:It is a very non specific test, which indicates an inflammation taking place within your body.
Doctor:Sometimes, it stays high when there is any long standing disease.
Doctor:It can rise in any conditions when there is a fever.
User:doc , i need to inform you one thing
Doctor:Please proceed.
User:I think a year back, I done my reports as I had this joint pains in around my body.
User:doc refferred for few test, like uric acid, thyroid & anti CCP.
User:Uric & thyroid were absolutely normal, but anti ccp level was 33
User:and he suggeted tht this report is to check RA.
User:and he suggested it being the beginnng.
User:so he prescribed me some medicines, which had HCQ
User:along with neurobean, vitamin E
Doctor:How do you feel now? Are the pains better?
User:I tooked it for few months & all went normal........and went again after the course, he told me to continue the dosage for further 3 months & get my eye test done on a periodical basis as HCQ has got side effects on eye
User:so I immediately stopped it & went for an ayurvedic medicine.
User:MY wife is an ayurvedic doctor.
User:Now after a gap of 6 mths now, i had done my anti ccp again & it is now under normal range
Doctor:That is a very promising improvement.
User:I am feeling better now, & relieved of pain, occassionally I get some small pain here an there but still it feels better
Doctor:That is nice to hear.
User:yes, now i can relate the ESR with this..
User:am i right...
Doctor:So now, let me give you a better picture.
User:ok...doc how is my uric acid test ...though its in the normal range, hope still its is not high ????
User:yeah , pls proceed
Doctor:Rise in ESR and Eosinophilia can be related to your pre-existing condition of RA.
Doctor:Uric Acid, is the end product of protein metabolism.
Doctor:If there is an excess intake of protein, or if there is excess destruction of protein within the body, the uric acid levels will increase. too much of protein food is also not good for body...
Doctor:Yes. So you will have to cut down on non-vegetarian food (If you take), to once or twice in a week.
User:non veg would suggest chicken, red meat etc right
User:fish any time would help...
Doctor:Yes you are right.
Doctor:Have you followed till now?
User:very much doc.
Doctor:Ok. I will summarize.
Doctor:Your reports seems pretty normal.
User:yes..pls let me know my do's and dont's
Doctor:Elevated levels of SGPT, ESR, Eosinophils are indicative of pre-existing conditions. but, not of much significance as they have not cause any symptoms.
Doctor:You can be free on your mind regarding them.
Doctor:But, you will need to take care of the allergy and RA.
Doctor:If you are hesitant for an allopathic treatment, try going for a integrated way of treatment where best of Homoeopathy, ayurveda and allopathy are used.
User:ok..any specific suggetion that you would like to give for RA, i would do the allergy test as suggeted by you, and come back
User:wht would that be.
Doctor:It would include the treatment of acute symptoms by allopathy and prevent the degeneration by ayurveda and homoeopathy.
User:is there any new medicine available in allopathy except for HCQ
Doctor:have you followed?
Doctor:There are many medicines in allopathy which help in treatment of RA.
Doctor:Most of them will be supportive medicines or those which help in reducing the symptoms.
User:ok..but nothing that cures it right ???
Doctor:But, when a degenerative process is going on, it cannot be reversed.
Doctor:So, what I would advise is to go for anything that can modify your condition. i should continue with my ayurvedic treatment
Doctor:You should continue with it as you are feeling better with it.
Doctor:There are certain things which you can follow to improve your general condition and health.
User:pls let me know tht
Doctor:1. Have your meals regularly with less of non-vegetarian food. Meat once or twice in a week can be taken.
Doctor:2. Plenty of water, at least 3 litres of water every day.
Doctor:3. Wash your exposed regions including face, ear, hair, nose, arms and neck, whenever you go out and come. That s to reduce the contact with allergens.
Doctor:4. Always wear a protective mask. kerchief on roads.
Doctor:5. Sleep at regular times.
Doctor:6. Maintain your posture when on work.
Doctor:7. Regular exercise for at least 45 minutes.
Doctor:8. Plenty of fresh fruits and vegetables need to be taken. Nutrition is one part which can help in protecting your body.
Doctor:Have you followed everything what I said till now?
User:yes doc.
Doctor:Do you have any other queries?
User:nothing doc...thks for your informative advice.
User:surely it was helpful.
Doctor:Hope I had been able to guide you enough.
Doctor:Thanks for consulting me.
User:definately yes.
User:thank for the feedback.
Doctor:Let me know if you have any health related queries.
User:would come back with you on allergen test
User:nothing now
Doctor:Sure. Have a nice day!!
User:thnks once again, and God bless
Doctor:Bye for now.
User:have a nice day too you too
Doctor:God bless you too.
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