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Suggest blood test to determine overall health

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Posted on Tue, 30 Dec 2014
Question: What type of blood work should I request to determine my total health at 46 years old. Also, what type of Doctor would I contact?
doctor
Answered by Dr. Muhammed Aslam (2 hours later)
Brief Answer:
Few more details can you give me a better idea.

Detailed Answer:
Hi madam,
Welcome to HCM forum.

I can guide you better if you clarify few questions.

Are you having any symptoms or health related issues?
Do you have past history of any significant illness?
Are you on any regular medications?
Any diseases like diabetes/hypertension/hyper cholesterolemia/coronary artery disease/stroke /malignancies running in your family?
Have you done any pap smear till now?
Finally, tell me your body weight (kg) and height (cm).

Some details you have already given; but just want to confirm.

Waiting for your reply
Thank you.
Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
doctor
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Follow up: Dr. Muhammed Aslam (17 hours later)
Hi Dr. XXXXXXX Aslam,

Thank you for responding to my Health question. As requested, I have provided answers to your questions.

1. Are you having any symptoms or health related issues?

Recent issues include: Urgency and bladder pain when full (usually after sleeping). Allergic reaction on my neck a few times. Got sick from an overdose of Vitamin C drops and Pineapples.

2. Do you have past history of any significant illness?

Two Cesarean Births (1988 and 1989), Bartholin’s Cyst during/after pregnancy (surgically treated in 1988), Bacterial Vaginosis (treated in late 1900s, possibly due to Tampons or fragrance), and One abortion (1996), one Blighted Ovum/Miscarriage (2000).

3. Are you on any regular medications?

No

4. Any diseases like diabetes/hypertension/hyper cholesterolemia/coronary artery disease/stroke /malignancies running in your family?

My Father, Mother, and Grand Parents have experienced the aforementioned types of illnesses.

5. Have you done any pap smear till now?

Not in the last five years however I have not been sexually active in the last five years either. Last pap smear and full STD Blood work had Normal results in late 2003.

6. Finally, tell me your body weight (kg) and height (cm).

Body weight: 125 lbs. and Height: 5’3 ¾.

Sincerely,

XXXX
doctor
Answered by Dr. Muhammed Aslam (29 minutes later)
Brief Answer:
Some blood tests and lifestyle modification are advised.

Detailed Answer:
Hi madam,
Thanks for the reply.

From the given details, I would suggest the following steps:

1) As you have family history of cardiovascular morbidity, we have to evaluate for that- This will include a fasting and postprandial blood sugar(or HbA1C), serum lipid profile, and a complete hemogram(to look for factors like anemia).
Also, begin lifestyle modification with a healthy diet(low in calories/fat and high in fruits and veggies), regular moderate exercise and abstinence from smoking and alcohol(THE MOST IMPORTANT STEP).

2)A urine routine examination and culture to evaluate for bladder symptoms. If detected, UTI can be treated with appropriate antibiotics; meanwhile just keep good hydration.

3)Still, a repeat pap smear advised.

It will be fine if you can discuss these issues with your primary care physician.

Be free to ask further questions if any.
Wishing you good health.
Thank you.
Above answer was peer-reviewed by : Dr. Shanthi.E
doctor
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Follow up: Dr. Muhammed Aslam (1 hour later)
Hi Dr. Muhammed Aslam,

Thank you for your medical advise. You mentioned the Anemia factor as a significant illness in your response and I did not mention that I was diagnosed with Anemia or Iron Deficiency and had Cryosurgery as a precaution for Abnormal cell detection in 1988 Pap Smear after pregnancy.

Sincerely,

XXXX
doctor
Answered by Dr. Muhammed Aslam (1 hour later)
Brief Answer:
hemogram is a part of any basic medical evaluation

Detailed Answer:
Hi dear,

There is nothing to worry in this.
I have not at all taken aneamia as a significant issue from your history.
I suggested a haemogram not because you have symptoms / signs /diagnosis of aneamia, but only because it is a part and parcel of any basic medical evaluation.

In your case, this can also give clue towards presence or absence of UTI.

Also, with given history of abnormal pap smear before, a repeat test will be the best decision.

Hope you got it cleared.
If you have no further questions, you can close the discussion and rate the answer.
Wishing you good health.
Thank you.
Above answer was peer-reviewed by : Dr. Shanthi.E
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Answered by
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Dr. Muhammed Aslam

General & Family Physician

Practicing since :2010

Answered : 987 Questions

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Suggest blood test to determine overall health

Brief Answer: Few more details can you give me a better idea. Detailed Answer: Hi madam, Welcome to HCM forum. I can guide you better if you clarify few questions. Are you having any symptoms or health related issues? Do you have past history of any significant illness? Are you on any regular medications? Any diseases like diabetes/hypertension/hyper cholesterolemia/coronary artery disease/stroke /malignancies running in your family? Have you done any pap smear till now? Finally, tell me your body weight (kg) and height (cm). Some details you have already given; but just want to confirm. Waiting for your reply Thank you.