HomeAnswersInternal Medicinehigh hs-crpPlease explain the changes seen in my routine blood test.

Can you explain the changes seen in my routine blood test?

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Published At August 25, 2016
Reviewed AtJuly 26, 2023

Patient's Query

Hello doctor,

I have done my routine checkup and blood test. My reports show some variation in the normal range, especially in CBC, hs-CRP, vitamin D and TSH. The night before the blood test, I met with an accident and my upper skin has been ruptured. Somewhere, I read that hs-CRP may significantly increase if tissues rupture. Around eight to nine months before, my weight was 85 kg and I reduced it to 83 kg now. Is vitamin D deficiency related to that? Because, I am not taking oily foods now. I have done cardio related test seven months back and my doctor found everything fine. But, I always have anxiety about my health.

Hello,

Welcome to icliniq.com. After reviewing the investigations, I understand your concern about heart disease. To better assess your risk, I'd like to inquire if you experience chest pain, palpitations, or shortness of breath. Additionally, it would be helpful to know if there's any family history of sudden cardiac arrest or cardiac deaths, and if you smoke or consume excessive alcohol. Let me tell you, hs-CRP (high-sensitivity C-reactive protein) testing has not been shown to be beneficial for cardiac risk assessment and is not recommended in asymptomatic high-risk individuals. That is, unless you have any of the above symptoms, hs-CRP is not indicated. As for the thyroid profile, TSH is slightly elevated, but T3 and T4 are normal, suggesting a possible technical error, so retesting after 12 weeks is advised. Your vitamin D levels are low, and to raise them, sensible sunlight exposure between 10 AM to 3 PM and a diet rich in vitamin D should be pursued. Supplementation with Vitamin D2 Drisdol 50,000 IU once a week for eight weeks, followed by a maintenance dose of 800 IU daily is recommended. Calcium carbonate, vitamin B12, and Folic acid supplements are also suggested. Be sure to consult your specialist doctor and proceed with their consent.

Patient's Query

Thank you doctor,

I do not have chest pain. I get palpitations some time when I feel anxiety. I never had shortness of breath. There is no family of cardiac arrest or death. I do not smoke. However, I do have alcohol twice a week. I am planning to stop the habit of drinking alcohol completely. As I had panic attacks occasionally, my doctor recommended Alprazolam.

Hi,

Welcome back to icliniq.com. Based on the negative results of the investigations, your risk for cardiovascular disease appears to be low according to Framingham's risk stratification. You can confirm this by using an online risk calculator. Therefore, there is no need to feel anxious or experience panic attacks. It's essential to focus on maintaining a happy, healthy lifestyle with a balanced diet and a positive outlook. Regarding your vitamin D deficiency, it's crucial to address it promptly to prevent potential bone problems like osteoporosis in the future. Adequate exposure to sunlight and consuming a diet rich in vitamin D are necessary. You can proceed with taking Alprazolam for panic attacks. Remember to follow the treatment plan for vitamin D deficiency, as it is especially important at your young age to prevent long-term complications.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Geetha Priyadarsini Kamminana
Dr. Geetha Priyadarsini Kamminana

Internal Medicine

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