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Having high bilirubin, cholesterol levels. Treatment?

hi doc i am 40yrs old male i am concern about my level of billirubin-here is a recent result from from a blood test i was using a multisymptom cold medicine when i did the test: bilirubin total:3.4 bilirubin direct:0.8 bilirubin indirect 2.6 sgot/ast-44 sgpt/ alt :74 alkaline phosphatase:134 albumin::4.3 cholesterol:273 triglycerides:78 hdl cholesterol: 46 ldl cholestrerol: 176 vldl cholesterol: 15.6
Asked On : Mon, 14 Jan 2013
Answers:  2 Views:  356
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Pathologist and Microbiologist 's  Response
Hello and welcome to HCM

Your liver function test suggets an increase in total and indirect bilirubin. There is mild increase in the level of SGPT but SGOT is normal.
This profile suugests some kind of damage occuring to the liver cells which can be due to medication.
Consult your physician along with complete discussion of drugs which have been taking (if any).

Your lipid profile suuggests an increase in cholesterol and LDL.
You need to tale life style modification measures to reduce the levels of cholesterol and LDL:
1. Maintain ideal body weight (according to height)
2. Reduce the intake of fatty foods especially saturated fatty acids.
3. Increase the intake of fresh vegetables, fruits and fibre rich diet.
4. If you are non-vegetarian, reduce the intake of red meat and increase intake of white meat and fish.
5. Take regular exercise and increase fluid intake- water, soups etc.

Follow this regime for atleast 1 month and get the lipid profile repeated.
The cholesterol level shoud be below 250 mg/dl; preferably below 200 mg/dl.
LDL cholesterol should be below 100 mg/dl.

Thanks and take care
Dr Shailja P Wahal
Answered: Mon, 14 Jan 2013
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Internal Medicine Specialist Dr. Akhilesh Dubey's  Response
Welcome to HCM,
Your reports are abnormal first bilirubin is high with indirect component is high where cause may be some type of hemolysis,along with this liver enzymes are also raised mildly.
Your Total cholesterol is high and even LDL is high .
You must visit Physician to know the exact cause as it is not clear with limited information.
Are you overweight,do you take alcohol or tobacco etc all detail history and examination with further testing with urobilinogen in urine and reticulocytes count to know the cause of hemolysis if it is there more advance test and imaging like Ultrasonography may be required.
Then diet and treatment may be given. I hope nothing very serious comes and you improve in few weeks time and live healthy life style.
Take care
Good Luck.
Answered: Mon, 14 Jan 2013
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