Creator: Dr. Naresh Kumar Monigari
Published: 2016-12-20T22:30:17-04:00

Patient's Query

Hello doctor,

I just got my blood results, which I have uploaded. There are two files. One is about three months old and the other one is from today. I am afraid that I have a liver damage. Should I get tested for hepatitis A, B and C? I had donated blood four months ago and that time there was no problem. I got an ultrasound scan done five months ago along with other every other checkups. I drink two to three beers every day and sometimes, I drink wine. My weight is 83 kg with a waist size of 94 cm and my height is 183 cm. I would appreciate any advice you can give me.

Answer

Dr. Naresh Kumar Monigari

General Medicine Internal Medicine

Hi,

Welcome to icliniq.com.

I have gone through all the data posted (attachment removed to protect patient identity).

There are two abnormalities in your reports.

The first one is that the percentage of lymphocytes are high and that of the neutrophils are low. This is commonly seen in viral fever. Your previous old report was also showing borderline elevated lymphocytes and low normal neutrophils. Kindly get a peripheral smear done as well as serum LDH (lactate dehydrogenase).

Secondly, the liver enzymes are a cause of concern in the present report. The alanine aminotransferase (ALT) and aspartate aminotransferase (AST) were normal in the old reports. In the recent reports, the ALT is mildly elevated, whereas the AST is normal.

There is no need to worry much. Kindly avoid alcohol and repeat the liver function test after one month. Right now further testing for hepatitis virus is not required.

Kindly clarify whether you are experiencing fever, cold or cough. Do you have any vomiting? Is there any history of blood in vomit? Do you have any previous history of hepatitis?

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

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Patient's Query

Thank you doctor,

I do have slight swelling in my hand and feet, mostly on the feet. The swelling is there from the past six months and I am used to it now. I have also done a full cardiac checkup and everything is fine. I had got itchy skin previously and it had lasted for about a month. I do experience mild chills occasionally. I do not have any fatigue or vomiting. My appetite is normal. I have got the vaccination for hepatitis A and B during my school days. I did not have problems so far. I will do serum LDH tomorrow and repeat ALT again. Should I worry about this hepatitis? I am not sharing any needles. I do not have the habit of drug abuse. I have a girlfriend and we are staying together for the past two years. Occasionally, we have safe sex. I had done a hematology examination last year. Last year also my lymphocyte and neutrophils were abnormal. At that time, the doctor said that it might be an allergic reaction. I do have slight dust, pollen and dust mite allergy. I do not have any food or drug allergy.

Answer

Dr. Naresh Kumar Monigari

General Medicine Internal Medicine

Hi,

Welcome back to icliniq.com.

You need not worry much regarding hepatitis.

As your previous report also shows elevated lymphocytes and low neutrophils, we need to do a peripheral smear to look for atypical lymphocytes. Also, get a serum lactate dehydrogenase test done.

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

Was this answer helpful?

Patient's Query

Thank you doctor,

I have uploaded today's results. The ALT and AST are slightly more elevated. I think these are elevated because I drank two glasses of wine at a friend's birthday party yesterday night. I know that alcohol is bad. I am thinking to repeat blood tests for ALT and AST in a week's time. Henceforth, I will drink only coffee. I heard that coffee is good for the liver. I am having Dandelion tea, milk whey, green tea and I am eating only non-fatty foods. I hope this will help me reduce the ALT and AST values to the normal level.

Answer

Dr. Naresh Kumar Monigari

General Medicine Internal Medicine

Hi,

Welcome back to icliniq.com.

I have gone through all the data posted (attachment removed to protect patient identity).

Your AST and ALT are elevated. The neutrophils and lymphocytes are within the normal range and LDH is also normal.

Avoid alcohol and oily foods. Have green tea and do regular exercises.

I suggest you take tablet Ursodeoxycholic acid 300 mg, once at night time for 15 days. Please consult your specialist doctor, discuss with him or her and take the medicine with consent.