Question 1

Sir, these are my reports. Liver bilirubin direct is 0.50, ALT SGPT is 63, hemoglobin is 17.50, PCV is 51.40, RBC is 5.76, lymphocytes in DLC are 41.70, monocytes in ALC are 0.18, glucose fasting plasma is 107, LDL is 106, and HbA1c glycosylated hemoglobin blood is 6.8. Kindly tell me if I am a healthy person or not. What is the problem?

Question 2

Dear Sir, I have chikungunya since 2 days. My CBC report shows MCHC 34, Neutrophils 89, Lymphocytes 6, PDW 16, WBC 6499, and Platelet count 260000. My main symptoms are burning on the tongue and throat due to difficulty in eating. What treatment should I take and what is the reason for burning on the tongue and throat? Is it due to the virus or medication? I also have joint pain and sometimes fever.

Question 3

I received my blood test report. My cholesterol was high at 211, LDL was 153, HDL was 36, vitamin D was less than 10.5 (normal 75 to 110), and B12 was 320. I was given 60k vitamin D capsules weekly. After the third week, I started experiencing dizziness and discomfort on the right side of my abdomen. My liver and kidney panel were normal, but ALT was 71 (normal 30 to 65). My bowel movements are fine, but I have bloating most of the time, and my abdomen feels tight like a tyre, which is very uncomfortable. I am worried, but my physician said my liver and kidneys are fine and it may be just gas. He asked me to continue the vitamin D tablets and take an antacid in the morning. What should I do? Can I take magnesium supplements too, as I read that vitamin D requires magnesium? My right knee hurts a lot while coming down the stairs, and I also have muscle cramps. My major issue is lower abdomen bloating and dull pain below the lower ribs on the right side.

I got my blood report today. SGOT is 43 and SGPT is 69, with normal values being 40 and 45 respectively. Total cholesterol is 185, HDL is 39, and TSH is 10.13. I will meet a doctor, but is this a matter of concern?

Mild liver enzyme elevation. Low HDL and high TSH suggest hypothyroidism. Start thyroid meds if advised.

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