Patient's Query
Hi doctor,
My sister is 35 years old. She feels tired and weak. So, she went through a preventive health checkup and the following parameters are shown as not normal in her report. Regarding her medication, she takes 100 mg thyroid tablet daily. I have attached her report. Please let me know if there is anything serious.
Hi,
Welcome to icliniq.com.
From the history that you have provided of your sister it looks like she is having hypothyroidism. This requires medication such as Thyroxine as she is already taking. Tiredness and weakness are the symptoms of this thyroid disorder and dosage should be monitored regularly by an endocrinologist. As per the BMI - body mass index given here (attachment removed to protect patient identity) it puts her in the obese category. The focus should be more on losing weight as it has lots of benefits in the treatment of the condition. There is no need to worry as long as the medications are taken regularly and ask her to get a consultation with her specialist doctor.
Thank you.
Patient's Query
Thank you doctor,
I updated her height, which by mistake submitted as 5 feet, which is actually 5.3 feet. I am concerned about the abnormal factors which are shown in her health report. She went through a preventive health checkup of 78 tests and the following parameters are shown as abnormal. Chloride ISE 108.8 mEq/L, TC/HDL cholesterol ratio 3, alkaline phosphatase photometry 114 U/L, thyroid stimulating hormone (TSH) CLIA less than 0.01 mIU/mL, 25-OH vitamin D (total) CLIA - 8.92 ng/mL, Basophils - absolute count 0.01 x 10^3/u, mean corpuscular volume (MCV) 100.5 fL, mean corpuscular hemoglobin concentration (MCHC) 28.8 g/dL, red cell distribution width - SD (RDW-SD) 50.6 fL. Please have a look of the attached report file.
Hi,
Welcome back to icliniq.com
I went through her report (attachment removed to protect patient identity) and according to the reports her thyroid function is not up to the mark. This needs a visit to the consultant for dosage adjustment. She has vitamin D deficiency and for which I suggest Calcium tablet along with vitamin D, which also comes as powder nowadays. Other blood results are non-specific and has to be correlated with physical examination of the subject. I would advise you to consult your physician with your sister in person.
Patient's Query
Thank you doctor,
We visited a physician and he asked to reduce thyroid tablet to 75 mg from 100 mg and to take vitamin D doses. But, I want your attention towards her increased alkaline phosphatase, chloride, mean corpuscular volume (MCV) and TC/HDL cholesterol ratio.
Hi,
Welcome back to icliniq.com.
First of all the thyroid tablets are in mcg and not mg. If the physician has decreased the dose, then I would say to follow that. As far as the increased level of alkaline phosphatase, it has to be correlated with the ultrasound of the liver and any symptoms. But, as other liver function tests are normal I would not be so worried about it. Just repeat the test after six months. Chloride levels can be high if you use high chlorine content water. I would advise to use purified water for drinking purpose. Blood reports which are abnormal has to be linked with any complaints if any your sister is showing. I would not be able to comment on it as these parameters change in a variety of situations and are non-specific.
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Answered by Education: MBBS Professional Bio: Dr. R. Rahul is an expert in Internal Medicine. He is experienced and well-versed in all treatment modalities of Internal Medicine. This doctor is not available for online consultations on the platform anymore. Dr. R. Rahul
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Dr. R. Rahul
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