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What Do My Lab Test Reports Indicate?

Posted on Sat, 11 Jun 2016

Question: Hi,

I have done preventive health checkup for my wife and want to get consulation on the reports of the tests. Could you please review the reports and let me know further course of actions? Any medications, etc to follow?

Thanks,
xxxxxxx

Answered by Dr. Sonia Raina (1 hour later)

Brief Answer:
Reports are normal, no need of medication

Detailed Answer:
Hello, greetings!
Thanks for posting your query in hcm.
I have gone through your wife's attached reports.
Her amylase level, blood sugar and urine sugar levels all appear to be normal.
There is no need of medication presently.
If you can give me details or symptoms about her health condition, I maybe able to help you better.
If you have any further doubts/ clarifications, you may get back to me.
Regards,
Dr. Sonia

Above answer was peer-reviewed by : Dr. Deepak

Follow up: Dr. Sonia Raina (57 minutes later)

Thanks Dr. XXXXXXX I have some more questions on this.

The TOTAL CHOLESTEROL is 204 and THYROID STIMULATING HORMONE (TSH) is 7.80. These are beyond the specified limit. Anything to worry?

Is this increase in TSH cause any problem in future?
How do we control this?
Is it anything related to weight gain & muscle pain?

Apart from this, in the health checkup report for the HEMOGRAM tests, there are quite a few entries are in bold (those are not in the applicable range).
Is this cause of any worry?

Thanks,
xxxxxxx

Answered by Dr. Sonia Raina (16 minutes later)

Brief Answer:
Needs thyroid medication

Detailed Answer:
Hello, greetings!
Thanks for getting back. I am able to view your wife's complete reports now.
Her total cholesterol is 204, it is a very mild negligible raise. It can be controlled by incorporating lifestyle changes like physical activity of around 40 minutes a day and avoiding fatty, oily and junk food.

Her TSH is elevated which means she has an underactive thyroid or Hypothyroid status. For this, she has to start tablet THYRONORM once a day after consulting with her physician. Yes thyroid disorders can be related to weight gain, tiredness and mood disorders.

The entries which you are referring to in bold include lymphocytosis, which are excess white blood cells. This points towards body warding off a recent infection.
Rest of the elevated values like MCV and MCH point towards mild anaemia, but since her haemoglobin is 13.5, you may repeat it again after a month.
You need not worry and she has to be started on thyroid medication only.
If you have any further doubts/ clarifications, you may get back to me.
Regards,
Dr. Sonia

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Sonia Raina (21 minutes later)

Thanks Doctor. I will follow your advice. Last but not the least.
What is the dosage information for tablet THYRONORM she can take?
Does it needs to be taken in empty stomach and how long?

Regards,
xxxxxxx

Answered by Dr. Sonia Raina (9 minutes later)

Brief Answer:
Dosage depends on body weight

Detailed Answer:
Hello,
The dosage depends on the body weight of the patient. You need to get her examined before starting the dose and only then your physician can decide the dose. For a normal body weight person, I would start with tablet Thyronorm 25mcg dosage once a day. You may obtain the prescription from your local doctor.

She needs to take it empty stomach before breakfast. Repeat the thyroid profile after 3 months and then further action can be decided.
Regards,
Dr. Sonia

Above answer was peer-reviewed by : Dr. Prasad