What is wrong in my annual health checkup report?

Question

Hi doctor,

I am a 31 year old male. Recently, I have gone for an annual health checkup. Following are the areas which are highlighted as abnormal for which I seek consultation in evaluating it 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 report and highlighting the areas which are mentioned as abnormal in these reports. I request you to please go through all the reports in details and advice.

The reports are CBC - RBC 5.59, PVC 50.1, absolute eosinophils 858.6 and overall comment on CBC is eosinophilia. Vitamin D total (25-OH) 15.6. Chemical examination of feces reaction (pH) – acidic (6.0). On microscopic examination, undigested particles present and concentration method for ova - no ova detected. Urine examination - blood and proteins traced in chemical examination and on microscopic examination leukocytes (pus cells) or hpf 2-3, red blood cells or hpf - occasional and epithelial cells or hpf 0-1. 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 USG liver, bright parenchymal echo pattern. In USG spleen, mildly enlarged in size 12.1 cm. In USG abdomen, there is evidence of a small umbilical hernia with omental herniation through an abdominal wall defect measuring 10.8mm. Overall impression Grade I fatty infiltration of 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.

Answer 1

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 3 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. With a (BMI) body mass index of 31 is high, which indicates a high body weight, 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.

Answer 2

Hello,

Welcome back to icliniq.com.

Repeat the CBC (complete blood count) again when doing the urine test, meanwhile take any anti-allergy if you have symptoms.

I suggest you to take Atorvastatin 80 mg daily to regulate cholesterol. Repeat the cholesterol in six months in fasting.

No, you do not have to remove the hernia if not bothering you.

The stool exam looks normal and I would not worry about.

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 two normal readings would be enough.