What is wrong in my annual health checkup report?

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

Answered by
Dr. Sadaf Mustafa
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Jun 26, 2016 and last reviewed on: Jul 11, 2023

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.



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.

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?



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.

Investigations to be done:

Please get the following blood work done:
1. Hepatitis C antibody.
2. Hepatitis B surface antigen and antibody.
3. Hepatitis B core antigen and antibody.
4. Hepatitis E antigen.
5. Fibrosure.

Regarding follow up:

Revert with the diet details to an internal medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician

Was this answer helpful?


Same symptoms doesn’t mean you have the same problem. Consult a doctor now!

Related Questions:
I have attached my parents annual health check-up results. Is any medication required?

 Usually, mild allergy, asthma, skin condition, and parasitic infection, are most common causes for that ...  But here eosinophilia does not seem from parasitic, or asthma-like conditions ...   Read full

I am underweight and my BMI is 16.5. How to improve my weight?

Hello doctor, I am underweight and my BMI is 165 ... Kindly help me to put on weight ...   Read full

How to normalize my high triglycerides?

My total cholesterol is 183 ... As per guidelines stated, people who are at risk of hypertension, diabetes, or any familial hypercholesterolemia or any other factors like smoking alcohol etc ... You need at least one hour of   Read full

Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read

PCOS and Liver Problems
The hormonal imbalances in polycystic ovary syndrome could cause liver diseases. Read the article to know the relationship between these medical conditions.  Read more»
Inferior Alveolar Nerve Lateralization Technique
The inferior alveolar nerve lateralization technique is a surgical lateralization technique to reposition the nerve. Read the article to know more about this.  Read more»
COVID-19 and Ebola: Similarities and Differences
This article gives a comparison and broader overview of the outbreak of the two deadliest diseases that showed a greater incidence over the last two decades.  Read more»

Ask your health query to a doctor online?

Ask an Internal Medicine Physician Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.