Get your Health question answered in 3 easy steps

169 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Having cholesterol level 238. Meaning? How to control?

Answered by
Dr.
Dr. Mayank Bhargava

Internal Medicine Specialist

Practicing since :2003

Answered : 1658 Questions

default
Posted on Wed, 12 Jun 2013 in General Health
Question: Hi, i am 42 yrs old .My cholesterol level is around 238 ; LDL is 117 ; HDL is 42 and triglycerides is 344.How do i get my cholesterol under control
doctor
Answered by Dr. Mayank Bhargava 1 hour later
Hi XXXXXX,
Welcome to XXXXXXX forum.

Let me know the associated details along with mentioned.
Do you have positive family history of diabetes?
Do you have positive family history of early heart disease? (Early heart disease is considered in female <65 years and in male <55 years).
Do you have an active or sedentary life?
Are you a smoker and an alcoholic?

Treatment of Dyslipidemia (deranged lipid profile) is decided by presence / absence of risk factors.
Smoking, age > 45 years, sedentary life, first degree relative with positive early heart disease 140/90 mm Hg, Diabetes are considered as risk factors.
Treatment of Dyslipidemia is decided by LDL level and should read ATP III guidelines.
If < 2 risk factors are present then LDL should be < 160 mg%.
If > 2 risk factors with 10 year risk of developing heart disease is <20% then LDL should be <130 mg%.
If > 2 risk factors with 10 year risk of developing heart disease is >20%, diabetes then LDL should be <100 mg%.
You can download calculator from following site: WWW.WWWW.WW For very high risk patients and diabetic patients, LDL should be < 70 mg%.

You should consult with XXXXXXX medicine specialist/ cardiologist and should go for thorough check up.

Life style modifications are required in your case.
You should take low fat diet and live physically active life.
You should continue brisk exercise 30 minutes per day, at least 5 days in a week.

Although LDL level appears to be low, but serum cholesterol level is high and you should take statins under guidance of your treating doctor.
You should remain in touch with your treating doctor with regular follow up.

Hope that helps.
Let me know if I can address any more concerns.
Take care,
Dr. Mayank Bhargava
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Mayank Bhargava 36 minutes later
Hi,
no positive history of diabetes in my family.In fact i have done my Blood sugar test and all are in normal range.No positive family history of early heart disease.
Have alcohol (beer) once a week and smoke 1-2 cigarettes a day.
doctor
Answered by Dr. Mayank Bhargava 8 hours later
Hi,
You should try to quit smoking.
You have only one risk factor (smoking) and your LDL must remain below 160 mg%.
Your LDL is 117 and as such there is no need of statins; but your cholesterol is high and it should remain below 200 mg%.
You should take statins under guidance of your treating doctor.
Best regards,
Dr. Mayank Bhargava
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,   ,  
Drug/Medication ,  
Lab Tests
Medical Topics ,  

Recent questions on  Hypercholesterolemia

doctor1 MD

i have dark nuckles, toes, knees and elbows. having done a bit of research i think its acanthosis. however having looked at the causes of acanthosis i.e obesity, high cholesterol, etc - i dont have any of them. i ve always had darkness around my nuckles, toes, etc. I would like to know if there is a cosmetic procedure which would fix it. Thank you i dont have any medical problems, i m 22.

doctor1 MD

two months ago I did two hydrocolonics in one week. after each colonic there was gel like substances with red squiggly lines coming out and minimal blood on the toilet paper. Ever since that I have been having a problem with food feeling like it gets stuck in the middle of my chest, burping a lot and a pain in my left back shoulder blade that radiates down my arm and up to my ear. It seems like when I eat fruits and vegetables I am fine with things not getting stuck in the middle of my chest but, protein and fats may be what causes the problem. My last cbc blood work showed my WBC count is 3.8 normal range between {4.0-12.0} K/UL my NEUTROPHIL count is 36.0 normal range between {41.0-71.0} % and my LYMOPHOCYTE count is 46.9 normal rainge is {24.0-44.0}%. I have been having these types of numbers for over nine years and my doctor doesn think anything about it. after researching on line I am questioning whether I could have the hpylori infection and a peptic ulcer. I ate some fruit about a year ago that my husband brought home from a market and got a pain so bad on my right lower abdomen that I could barely walk. I went and did a hydrocolonic and was able to get through it. I also have low vitamin d- 32 reference range: 30-100 unit ng/ml I also have high cholesterol 221 {140-200)mg/dl triglycerides 33 {30-150}mg/dl HDL 87{35-65}mg/dl chol/hdl ratio 2.54 {2.00-4.50}ratio VLDL 7 {6-30} mg/dl LDL 127 {70-130}mg/dl I am 46 years old and weigh 118lbs I am 5 2 . I jog and go to the gym at least 4 times a week.. I eat very healthy.. tons of fruits and vegetables and fish and chicken.. not much sugar or breads or pastries... on weekends we do drink beer and eat somewhat off but still not too bad... I am into natural remedies. Do you have any ideas what could be going on?

doctor1 MD

My father-in-law has taken for several years Welchol Tab 625mg - 3, 2x per day to reduce high cholesterol. His new doctor just prescribed a new drug, Lovastatin Tab 20 mg 1 x per day and discontinue Welchol. The doctor said his cholesterol was too high. My question, is this a good move? Statin drugs scare me... and I was not at the appointment when this change was made. He can t hear well and gets confused easily so didn t even realize he was changing meds. My father in law in 87 years old. Any comments?

doctor1 MD

I have been taking Instaflex for three days and since that time have had black stools. Is this common or something to be concerned about? I am 79 years old, weigh 152 pounds, height 5'3". I have coronary heart disease, high cholesterol (under controls with meds) and diverticulosis. I have had a TIA.

doctor1 MD

I have severe headaches on almost a daily basis. An MRI revealed findings: chronic vessel ischemic changes; mild global volume loss and paranasal sinuses and mastoid air cells appear pneumatized. Question: Does first two items indicate future...

doctor1 MD

my husband who is 45 recently began having difficulty keeping an erection. He said the feeling is there but he can't and it is very frustrating to him. I have noticed that the odor in his semen has changed. It leaves a fishy odor.

doctor1 MD

My wife is taking xeralto, and has hypertension leyden 5 deficiency, hypercholesterolemia ,high triglycerides, Previous bilat PE, following dvt. Any benefit or contraindication to fish oil tabs? YYYY@YYYY