Dr. Basuki Nath Bhagat
Family Physician
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello,
My father died from stomach cancer. It had spread just about everywhere. He was 58 years old and passed away due to gastric carcinoma. I just want to make sure I am not at risk. I have attached my blood work. Kindly review it.
Hello,
Welcome to icliniq.com.
I read your query and understand your concern. Let me download your laboratory report and reply to you in some time. Kindly let me know if you have any medical symptoms and why you got the above tests done.
Thank you.
Patient's Query
Hello doctor,
It is my annual checkup report. I have been feeling fatigued and that's all. I enjoy fasting and trying to live healthier. I recently stopped eating sugar. Because I was addicted to it.
Hello,
Welcome back to icliniq.com.
It will be easier for me to correlate clinical symptoms with the laboratory reports. Let me go through your laboratory report,
According to the laboratory reports (attachment removed to protect patient's identity)
1. CBC (complete blood count) - Normal except there are mild iron deficiency findings.
2. WBC (white blood cell)- Normal values but lymphocytes are mildly elevated.
3. FBS (fasting blood sugar) and HbA1c (glycated hemoglobin) are normal means no diabetes.
4. You have deranged lipid profile values. There is increased total and LDL (low-density lipids) cholesterol.
5. CK (creatinine kinase) and CK-MB (myocardial band) levels are normal.
6. Liver function test- All values are normal except for a mild increase in ALT (alanine transaminase) and GGT (gamma-glutamyl transferase) values. You do not have to worry about it. There is no need for any further investigations or medication for it.
7. Kidney function test- completely normal.
8. Thyroid function test - Normal and other endocrine values are also normal.
9. You have low Vitamin D and you may be suggested for Vitamin D supplementation if there is very low sunlight due to your lifestyle
Overall laboratory values are normal indicating normal health. At this value of increased total and LDL cholesterol diet control and exercise are recommended. Try to avoid fatty foods and do aerobic exercise for at least 45 minutes a day for five days a week to boost overall health and total and LDL cholesterol values to normal. You have mentioned complain of fatigue because your Hb (hemoglobin) level is low. You should take iron-rich foods and this would be enough to increase your Hb level. I hope I have cleared all your doubts.
Thank you.
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Family Physician
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