Q. Please explain the abnormal factors in my sister's health report.

Answered by Dr. Rahul Ramakrishnan and medically reviewed by iCliniq medical review team.

 

New
Do you have a question on Hypothyroidism or Easy Tiredness? We have medical experts to help you right away. Ask a Doctor Now »
 

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.


Related Questions:
How to reduce weight through yoga?
My energy levels are low, and feel sad and cranky. What can I do?
Is there any way to reduce weight after pregnancy?
 

Dr. Rahul Ramakrishnan
MBBS., MD
Preventive Medicine

Hi,

Welcome to icliniq.com.

  • From the history that you have provided for 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.
  • 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.

For further information consult a preventive medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/preventive-medicine-physician

 

Thank you doctor,

I updated her height, which by mistake submitted as 154 cm, which is actually 162 cm. 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 mmol/L, TC/HDL cholesterol ration 3, alkaline phosphatase photometry 114 U/L, thyroid stimulating hormone (TSH) CLIA less than 0.01 uIU/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.

 

Dr. Rahul Ramakrishnan
MBBS., MD
Preventive Medicine

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.

For further information consult a preventive medicine physician online -->https://www.icliniq.com/ask-a-doctor-online/preventive-medicine-physician

 

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.

 

Dr. Rahul Ramakrishnan
MBBS., MD
Preventive Medicine

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 phosphate, 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.

For further information consult a preventive medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/preventive-medicine-physician

 
 
Ask your health query to a doctor online?
 
Ask a Doctor Online »
* guaranteed answer within 4 hours.

Related Questions & Answers


How can I lose weight after pregnancy?
Query: Hello doctor, I am 26 years old and delivered my baby four months ago. I feel very stressed out nowadays. After my delivery, I started hating my post-pregnancy body. My baby is four months old and I have not lost even half kg. I am trying to lose my weight but nothing is working.  Read Full »
Dr. Padmapriya Chandran
Psychologist Counsellor

Answer: Hi, Welcome to icliniq.com. Pregnancy and motherhood involve changes in both body and mind for a woman. Be proud of it. It is too early to think of weight loss, especially when you are feeding your baby. Give some time for your body to come back to normalcy. A healthy, balanced diet and mild exerc...  Read Full »
 
What is the cause of left-sided hand and leg numbness?
Query: Hello doctor,Left side hand and leg numbness and tiredness. I am taking cardiac medications.  Read Full »
Dr. Muhammad M. Hanif Md.
Cardiologist

Answer: Hello, Welcome to icliniq.com. I have seen your health investigations (attachment removed to protect patient identity). There are different possibilities that may cause weakness of one side of the body as in your case. Bleeding or clotting of blood in brain areas. There may be a lesion that compres...  Read Full »
 
How to reduce weight through yoga?
Query: Hello doctor, I am a 23 year old obese boy. My weight is 110 kg and I feel myself unfit. I want to start practicing yoga for weight loss. But, I do not know anything about yoga. I want to know, how to meditate and relax our body and mind?  Read Full »
Dr. Omnath Alvoor
Naturopathy Specialist

Answer: Hi, Welcome to icliniq.com. As per the data your weight is too high for an individual. You need to rebuild your lifestyle by giving time to exercise and yogic techniques. Especially fast rounds of suryanamaskara will help you with your problems. Start slowly and day by day increase the speed of prac...  Read Full »
 
 

Ask your health query to a doctor online?
 
Ask a Doctor Online »
* guaranteed answer within 4 hours.
 

Ask a Doctor Online

* guaranteed answer within 4 hours
 

Most Viewed


Is it possible to cure my respiratory allergy and throat infection with some medicine?
Hi doctor, I am suffering from nose block, throat pain, fever, occasional running nose, and headache. I am taking Nasaf ...Read more »
Can inhaling enamel paint residual fumes cause health issues?
Hello doctor, I (66 years, 145 lbs) am using a can of enamel paint in my basement. Total of 1 to 2 minutes. Had a mask ...Read more »
Arthritis in Its Many Forms
Arthritis is defined as the inflammation of a joint. There are various types of arthritis and despite their similarities ...Read more »