Patient's Query
Hi doctor,
I am a 31-year-old male. Recently, I have gone for an annual health checkup. The following are the areas that are highlighted as abnormal, for which I seek consultation in evaluating them better. I would like to find the root cause for the same, along with medication or lifestyle changes, if any, required in my case.
I am attaching herewith all the reports and highlighting the areas that are mentioned as abnormal in these reports. I request you to please go through all the reports in detail and advise.
The reports are
On microscopic examination, undigested particles are present, and the concentration method for ova shows no ova detected.
Urine examination, blood, and proteins are traced in chemical examination, and on microscopic examination, leukocytes (pus cells) are 2 to 3 hpf, red blood cells are occasional, and epithelial cells are 0 to 1 hpf.
Lipid profile: total cholesterol serum 252.1, serum triglycerides 171.2, HDL cholesterol direct 50.2, non-HDL cholesterol 201.9, LDL cholesterol 181.8, total cholesterol and HDL cholesterol ratio 5, LDL and HDL ratio 3.6, and VLDL cholesterol 20.1.
In the USG liver, bright parenchymal echo pattern. The USG spleen is mildly enlarged, in size 12.1 cm. In the USG abdomen, there is evidence of a small umbilical hernia with omental herniation through an abdominal wall defect measuring 10.8 mm.
Overall impression: Grade I fatty infiltration of the liver, mild splenomegaly, and small umbilical hernia. My BMI is 31.8 (self-calculated based on height and weight).
Please evaluate and give detailed guidance.
Thank you.
Hello,
Welcome to icliniq.com. In addressing eosinophilia, it is crucial to identify and eliminate any allergies or worms if symptoms such as an itchy nose, sneezing, wheezing, breathing issues, rash, or abdominal pain are present.
For low vitamin D, a recommendation of 1250 mcg of vitamin D once a week for 12 weeks is suggested. However, it is important to consult with a doctor, discuss the situation with them, and obtain their consent before initiating any medication.
Regarding the urine test, repeating it in three months is advised, as single-time results should not be solely relied upon. To provide appropriate treatment for cholesterol, knowledge of blood pressure (BP) is required.
A reading of 5.12/3.15 inches of mercury (in Hg) was mentioned, and it is necessary to determine if this has been consistent or if higher numbers were observed. The ultrasound findings indicate nonalcoholic steatohepatitis (NASH), a condition resulting from fat deposition in the liver.
Further investigations for hepatitis B and C, as well as additional testing, may be recommended if agreed upon. It is relevant to know if alcohol consumption is involved. A body mass index (BMI) of 31, which is high and indicates a high body weight, means a weight loss of at least 22.05 lb is advised.
Lastly, unless the umbilical hernia causes discomfort, there is typically no need for immediate concern.
I hope it helps.
Thank you.
Patient's Query
Hello doctor,
Thank you for the reply.
Please also reply to my USG spleen and feces examination. I had breathing issues for around two to three days in the last month, but it went off on its own. I had abdominal pain as well and thought it would be a stone problem.
I had kidney stones earlier and had taken some ayurvedic medicines, and it was cured. But it was not there in the recent test. So, I do not know what the reason was, but it went on its own. No, there is no BP issue I have ever observed. Even in the stress test, the doctor who did the test was saying my BP is well below the limits.
Please suggest the tests to be done for hepatitis B and C. No, I do not drink alcohol or tobacco as well. Yes, I would like to reduce my weight. Please help me with that.
Please help.
Thank you.
Hello,
Welcome back to icliniq.com.
Repeat the CBC (complete blood count) again when doing the urine test; meanwhile, take any anti-allergies if you have symptoms.
Please get the following blood work done:
I suggest you take Atorvastatin 80 mg daily to regulate cholesterol. Repeat the cholesterol test in six months while fasting.
No, you do not have to remove the hernia if it is not bothering you.
The stool exam looks normal, and I would not worry about it.
Now, for weight loss, give me a detailed report about what you eat or drink in 24 hours (be honest). I will make a plan for you.
Your BP looks good, and yes, I saw that two normal readings would be enough.
Revert with the diet details.
I hope it helps.
Thank you.
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