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What Does My Blood Test Report Indicate?
Question: I recently have done Health-checks (1. Haemogram: Haemoglobin, Packed cell volume, R.B.C. count, MCHC/MCV/MCH, E.S.R, Peripheral Smear, Platelet Count, Total W.B.C./Differential Coun, 2. Fasting glucose, 3. HbA1C, 4. Urea, 5. Creatinine, 6. Uric Acid, 7. Lipid Profile, Total Cholesterol, HDL, LDL, Triglycerides, Total Cholesterol, HDL Ratio, 8. Liver Function Test, Total Protein, Albumin, Globulin, SGPT, Alkaline Phosphatase, GGPT, Bilirubin (Total & Direct), SGOT, 9. Routine Urine Analysis
10. X-Ray Chest PA-view, 11. ECG, 12. ECHO, 13. TMT, 14. USG of Whole Abdomen (Screening), 15. Eye Screening, 16. History Physical Examination, 17. Physician Consultation, 18. General Test: Stool for Routine Examination, x-ray Chest PA View, Anti (HCV) Rapid test. 19. Eosinophil Count). Ask me which reports you need for your investigation.
As per reports I have fatty liver (stage-2) and pre-diabetic tendency. Doctor prescribe me Golbi-300, Evion-400.
Questions:
1) Golbi-300, Evion-400 are the right medicines for fatty liver?
2) Whats the attached reports saying?
3) Is it cureable and how long I need to continue this medicines?
4) Is it any harm full?
5) Whats your suggestion to cure it?
10. X-Ray Chest PA-view, 11. ECG, 12. ECHO, 13. TMT, 14. USG of Whole Abdomen (Screening), 15. Eye Screening, 16. History Physical Examination, 17. Physician Consultation, 18. General Test: Stool for Routine Examination, x-ray Chest PA View, Anti (HCV) Rapid test. 19. Eosinophil Count). Ask me which reports you need for your investigation.
As per reports I have fatty liver (stage-2) and pre-diabetic tendency. Doctor prescribe me Golbi-300, Evion-400.
Questions:
1) Golbi-300, Evion-400 are the right medicines for fatty liver?
2) Whats the attached reports saying?
3) Is it cureable and how long I need to continue this medicines?
4) Is it any harm full?
5) Whats your suggestion to cure it?
Brief Answer:
Continue EVION, Golibi is not required
Detailed Answer:
Hi
After seeing your post, here are my conclusions:
1. You have what is known as Non Alcoholic fatty liver disease. This is a very common condition and often seen in clinical practice
2. If the disease is not controlled , it can lead to more serious liver damage in the future.
3. Here are my suggestions for management of the same:
Weight loss- 0.5-1 kg/week target
Vitamin E- 400 IU/day (Evion - which you are already taking- you can continue the same)
Hepatitis A and B vaccines
Avoid alcohol consumption
5. Golbi (which is UDCA) was used earlier by many doctors for this condition, however, recent research has not shown it to be beneficial for this condition. Hence, I would advice you to discontinue the same
6. The fat in the liver takes long to reverse but the risk of further liver damage can be halted by the above approach.
7. Please share with us the blood reports which were performed. This will give us more insight into your overall health.
Regards
Dr. Om J Lakhani, MD
Department of Endocrinology
Sir XXXXXXX XXXXXXX Hospital,
New XXXXXXX
Continue EVION, Golibi is not required
Detailed Answer:
Hi
After seeing your post, here are my conclusions:
1. You have what is known as Non Alcoholic fatty liver disease. This is a very common condition and often seen in clinical practice
2. If the disease is not controlled , it can lead to more serious liver damage in the future.
3. Here are my suggestions for management of the same:
Weight loss- 0.5-1 kg/week target
Vitamin E- 400 IU/day (Evion - which you are already taking- you can continue the same)
Hepatitis A and B vaccines
Avoid alcohol consumption
5. Golbi (which is UDCA) was used earlier by many doctors for this condition, however, recent research has not shown it to be beneficial for this condition. Hence, I would advice you to discontinue the same
6. The fat in the liver takes long to reverse but the risk of further liver damage can be halted by the above approach.
7. Please share with us the blood reports which were performed. This will give us more insight into your overall health.
Regards
Dr. Om J Lakhani, MD
Department of Endocrinology
Sir XXXXXXX XXXXXXX Hospital,
New XXXXXXX
Above answer was peer-reviewed by :
Dr. Nagamani Ng
I recently have done my executive Health-checks (1. Haemogram: Haemoglobin, Packed cell volume, R.B.C. count, MCHC/MCV/MCH, E.S.R, Peripheral Smear, Platelet Count, Total W.B.C./Differential Coun, 2. Fasting glucose, 3. HbA1C, 4. Urea, 5. Creatinine, 6. Uric Acid, 7. Lipid Profile, Total Cholesterol, HDL, LDL, Triglycerides, Total Cholesterol, HDL Ratio, 8. Liver Function Test, Total Protein, Albumin, Globulin, SGPT, Alkaline Phosphatase, GGPT, Bilirubin (Total & Direct), SGOT, 9. Routine Urine Analysis 10. X-Ray Chest PA-view, 11. ECG, 12. ECHO, 13. TMT, 14. USG of Whole Abdomen (Screening), 15. Eye Screening, 16. History Physical Examination, 17. Physician Consultation, 18. General Test: Stool for Routine Examination, x-ray Chest PA View, Anti (HCV) Rapid test. 19. Eosinophil Count). Ask me which reports you need for your investigation.
1) Presently I am uploading Chest X-Ray, ECO, ECG, TMT. Pl let know know if you need other reports.
2) One more think I have done CT scan of nose and "PARA NASAL SINUS" detected. If you need I can upload reports one by one..
1) Presently I am uploading Chest X-Ray, ECO, ECG, TMT. Pl let know know if you need other reports.
2) One more think I have done CT scan of nose and "PARA NASAL SINUS" detected. If you need I can upload reports one by one..
Brief Answer:
Meet a good cardiologist if you haven't
Detailed Answer:
Hi
I had a look at your reports. The most concerning thing is that you TMT report says 'stress test is positive for inducible ischemia' , I would suggest you to meet a good cardiologist for the same.
Regarding other reports:
1. You liver enzymes are elevated- which is probably due to the fatty liver
2. Your cholesterols , especially your LDL is on the higher side
3. Your post prandial sugar is also on the higher side
I would advice moderate exercise and diet control for the above. I would advice you to repeat the following investigations after 3 months
1. FBS/PPBS
2 Hba1c
3. Liver function test.
Once again, I would advice you to meet a cardiologist and take a second opinion on the stress test.
Regards
Dr. Om J Lakhani.
Meet a good cardiologist if you haven't
Detailed Answer:
Hi
I had a look at your reports. The most concerning thing is that you TMT report says 'stress test is positive for inducible ischemia' , I would suggest you to meet a good cardiologist for the same.
Regarding other reports:
1. You liver enzymes are elevated- which is probably due to the fatty liver
2. Your cholesterols , especially your LDL is on the higher side
3. Your post prandial sugar is also on the higher side
I would advice moderate exercise and diet control for the above. I would advice you to repeat the following investigations after 3 months
1. FBS/PPBS
2 Hba1c
3. Liver function test.
Once again, I would advice you to meet a cardiologist and take a second opinion on the stress test.
Regards
Dr. Om J Lakhani.
Note: For further follow-up, discuss your blood glucose reports with our diabetologist. Click here.
Above answer was peer-reviewed by :
Dr. Nagamani Ng
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