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Chest and knee pain, blood test done. Medicines to be taken?

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Posted on Tue, 28 May 2013
Question: Hi Sir,
My name is XXXXXXX XXXXXXX XXXXXXX. I joined Gym 3 weeks ago while workout some time I got pain in very left side of my chest under left hand knee, then my instructor asked to me go & check for Fatty heart, liver & cholesterol.
I did went for blood test & below are the highlights:
Serum Globulins 1.7 gm/dl 2.5-3.5
SGOT 32 IU/L up to 31
SGPT 52 IU/L up to 31
and
Serum Cholesterol (DHOD-PAP) 157 mg/dL 130-200

please reply on basis of above data & suggest medication to reduce these numbers.
I am a non-drinker, non- smoker but love to eat chicken & mutton.

Currently I am suffering from Cold so taking below medicine:
Sinarest, Azthromysin, citrizin.
Note: I am taking above after blood test.

Yes, I have allergy from Khatta so Mostly I am taking Atrix tablet.
doctor
Answered by Dr. Polash Sannigrahi (13 hours later)
Hello XXXXXXX

Thanks for your query.

I have gone through your post in which you are concerned with pain in the left side of the chest & have also seen the relevant reports attached with your post.

According to the investigation reports, your liver enzymes are borderline high, serum globulin are on the lower level & Serum Cholesterol is within normal limits.
All other liver & kidney function parameters are within normal limits.

Causes of high SGPT include:

1. Liver inflammation: this can be ruled out as you do not have any specific symptom related to liver disease, your remaining liver function parameters are within normal limits & you do not have any history of alcohol intake.

2. Injury to the muscles: seems to be a probable reason.

3. Myocardial infarction, congestive heart failure: can be ruled out as there are no specific symptoms. It can be further ruled out by taking an ECG.

4. Acute kidney failure : can be ruled out as your kidney function test parameters are within normal limits.

5. Certain hepato toxic drugs if taken for a long time : this can also be ruled out as you do not have any history of prolonged drug intake & you are taking medications for cold after the blood test.

Though decreased globulin levels also point towards Liver disease, it can not be diagnosed with certainty due to the absence of specific symptoms & other parameters being normal.

Chest pain on the left side can be caused by various reasons, including minor problem such as indigestion or stress, to serious medical emergencies such as a heart attack.

Other causes of chest pain include:
1. Strain or injury to chest muscles due to overuse.
2. Short-term, sudden anxiety with rapid breathing.
3. Peptic ulcer disease.
4. Pain from the digestive tract, such as esophageal reflux.

Based on all these facts, the probable cause of your symptoms seem to be strain or injury to chest muscles due to overuse as you are doing exercise in Gym.

Under such condition, there is no need of any specific treatment.
Make sure you take proper rest, maintain adequate hydration & take a soft, plain, non-spicy diet.

However, despite these measures if your symptoms persist or aggravate, then it will be better to XXXXXXX your Doctor & get a proper physical examination done.

Investigations like Ultrasound scan of the abdomen will be helpful.

There is no need to worry, you will be fine.

Wishing you a Good Health.
Please let me know if I need to clarify further.
Thanks & take care.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
Dr.
Dr. Polash Sannigrahi

General & Family Physician

Practicing since :2011

Answered : 3353 Questions

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Chest and knee pain, blood test done. Medicines to be taken?

Hello XXXXXXX

Thanks for your query.

I have gone through your post in which you are concerned with pain in the left side of the chest & have also seen the relevant reports attached with your post.

According to the investigation reports, your liver enzymes are borderline high, serum globulin are on the lower level & Serum Cholesterol is within normal limits.
All other liver & kidney function parameters are within normal limits.

Causes of high SGPT include:

1. Liver inflammation: this can be ruled out as you do not have any specific symptom related to liver disease, your remaining liver function parameters are within normal limits & you do not have any history of alcohol intake.

2. Injury to the muscles: seems to be a probable reason.

3. Myocardial infarction, congestive heart failure: can be ruled out as there are no specific symptoms. It can be further ruled out by taking an ECG.

4. Acute kidney failure : can be ruled out as your kidney function test parameters are within normal limits.

5. Certain hepato toxic drugs if taken for a long time : this can also be ruled out as you do not have any history of prolonged drug intake & you are taking medications for cold after the blood test.

Though decreased globulin levels also point towards Liver disease, it can not be diagnosed with certainty due to the absence of specific symptoms & other parameters being normal.

Chest pain on the left side can be caused by various reasons, including minor problem such as indigestion or stress, to serious medical emergencies such as a heart attack.

Other causes of chest pain include:
1. Strain or injury to chest muscles due to overuse.
2. Short-term, sudden anxiety with rapid breathing.
3. Peptic ulcer disease.
4. Pain from the digestive tract, such as esophageal reflux.

Based on all these facts, the probable cause of your symptoms seem to be strain or injury to chest muscles due to overuse as you are doing exercise in Gym.

Under such condition, there is no need of any specific treatment.
Make sure you take proper rest, maintain adequate hydration & take a soft, plain, non-spicy diet.

However, despite these measures if your symptoms persist or aggravate, then it will be better to XXXXXXX your Doctor & get a proper physical examination done.

Investigations like Ultrasound scan of the abdomen will be helpful.

There is no need to worry, you will be fine.

Wishing you a Good Health.
Please let me know if I need to clarify further.
Thanks & take care.