Q. What is wrong in my annual health checkup report?

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.

Thank you doctor,

Please also reply on 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, thought it would be a stone problem. I had kidney stones earlier, had taken some ayurveda medicines and it was cured. But, it was not there in the recent test. So, I do not know what was the reason, but it went on its own. No, there is no BP issue I have ever observed. Even in stress test 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 and no tobacco as well. Yes, I would like to reduce my weight. Please help me regarding that. My hernia does not even bother me, but is it necessary to be removed. Will it cause any damage in the future?