Q. Please evaluate my condition from the medical report.

Answered by
Dr. Muhammad M. Hanif Md.
and medically reviewed by iCliniq medical review team.
Published on Jun 22, 2016

Hi doctor,

I am suffering from dullness and tiredness all the time. Also, I have anxiety and irritation. My current medication includes Lodoz 2.5 and Cilaheart 5, VALZ 40. My medical report shows some abnormalities. Please suggest.

Dr. Muhammad M. Hanif Md.

Cardiology Critical Care Physician General Medicine Internal Medicine
#

Hi,

Welcome to icliniq.com.

I feel sorry for the dullness and tiredness you feel. It is really troublesome for a patient at this early age.


The Probable causes:

I have carefully gone through your case and thanks for making it easy to evaluate on the basis of the attached reports (attachment removed to protect patient identity).

1. You have a very high body mass index that makes the heart issues justified even at this young age.

2. Your ideal weight for this age and height must be between 60 kg and 65 kg. Above 65 kg means a very high risk.

3. You need to keep a balanced diet intake, physical activity on a regular and healthy pace. Do not go for any heroic measures or faster weight loss measures that may even make you more unhealthy.

4. Your laboratory reports, which are out of range, will be discussed here in detail as you need to know about them. Please follow the suggestions so that you may live a long healthier life.

5. Avoid smoking, alcohol, spices and fried foods, junks and energy drinks. Only a bland diet, homemade and good hygienic. No refined foods. Keep wholegrain foods in your scheduled menu.

6. You have a high level of cardiac marker that shows a risk to the heart due to its own blood supply. In simple words, the pipes which supply blood to the heart's own muscles are somewhat at a high risk of blockage due to the disease inside them. This situation may lead to future heart attacks or pain and discomfort in the chest.

7. Your symptoms also suggest the heart disease related to the muscle's blood supply. This kind of symptoms warrants a prompt, thorough evaluation of the heart from a cardiologist who will need to run a specific laboratory tests on you to see what is happening inside.

8. The cardiac evaluation is also necessary, because sometimes there is not any cardiac disease and the values of the above said test that the hs-CRP is still high. And sometimes, the symptoms you have right now are also due to anxiety and other non-cardiac causes. So, clinical evaluation is the most important next step. Make an appointment as soon as possible to see how is your heart.

9. Fortunately, as for many other tests, your blood cholesterol levels are also very much in the normal range and this is very encouraging sign for your good health. Please keep away from oily edibles and remain physically active.

10. You have high levels of alkaline phosphatase, an enzyme that is high in liver damage and disease related to the biliary system that is attached to the liver. You also have high liver enzymes that once again indicate you have some liver problems, for example hepatitis or other issues. You need to go for a thorough abdominal ultrasound and viral marker test from the same laboratory test for this purpose.

11. Other test derangements also implicate the same liver issues. When you get the laboratory results I mentioned below, come back with uploading the results as you did before. I will review and let you know how to proceed further.

Investigations to be done:

1. HBsAg (hepatitis B surface antigen) and anti HCV (hepatitis C virus), both by ELISA - enzyme-linked immunosorbent assay.
2. Abdominal ultrasound.

Regarding follow up:

Revert back with the reports to a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner

Thank you doctor,

I have done a hepatitis test. Please find the attachment. Any other test should I do?

Dr. Muhammad M. Hanif Md.

Cardiology Critical Care Physician General Medicine Internal Medicine
#

Hi,

Welcome back to icliniq.com.

I have thoroughly gone through your case and can well understand your genuine health concerns. Your reports have been reviewed (attachment removed to protect patient identity) and I am very glad to tell you that you do not have a viral infection of the liver (hepatitis).

  • We have seen that you are clear of the liver disease related to viral hepatitis. Now, we need to go for your medication review, which you are taking or have taken for a long time recently.
  • We also need to see the most important aspect of your lifestyle, which is drinking alcohol. Alcohol is one of the main causes of liver damage and related deranged or high liver enzymes as I have seen in your previous laboratory reports.
  • I suggest you to abstain from smoking and drinking alcohol, if you do so. It may destroy the liver and very soon may cause serious issues.
  • If you are not a drinker; then we need to screen you for hepatitis A and E as this is also a prevalent cause of liver injury. It depends on how you respond in the follow up.
  • Right now, avoid taking spices and junk food. The medications you are taking have no serious relation to the liver injury and are safe to take for the liver.

For further information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner

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