What Do My Lab Test Reports Indicate?

Posted on Mon, 25 Apr 2016

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Mon, 25 Apr 2016 Answered on

Sat, 11 Jun 2016 Last reviewed on

Question : Hi,

I have done a routine health checkup and would like to review the reports.
Could you please check the reports and let me know further course of actions, any medications etc ?

Thanks,
xxxxxxx

Answered by Dr. Dr. Prasad J (3 hours later)

Brief Answer:
No alarming disturbance. Few tests need to be repeated...

Detailed Answer:
At the outset, I believe the tests were performed as part of health check and that you are currently asymptomatic. If you had symptoms while doing the test, please update me in the follow up.

On the test results, I would a few abnormal finding. I shall note down here.

1. Serum amylase was marginally elevated. It is directly related to alcohol consumption. Other conditions like gall stones, inflammation and so on are also associated to elevated amylase.
2. High ALP level is associated with liver disease and gall bladder stones.
3. You have borderline elevated total counts with High MCV
4. Fasting blood sugar is borderline elevated too.

Now, based on these findings I would suggest the following measures.

1. If you consume alcohol, you need to strictly control it. It would be beneficial if you stopped consuming alcohol.
2. Stop smoking if any.
3. I would order for an ultrasound scan to check for liver as well as gall bladder status especially for gall stones.
4. Check vitamin b12 level
5. Repeat fasting blood sugar and post prandial blood sugar a week later.

Please visit your physician and discuss aforementioned measures.

Regards

Above answer was peer-reviewed by : Dr. Deepak

Follow up: Dr. Dr. Prasad J (49 minutes later)

Thanks Dr. XXXXXXX for the analysis and valuable feedback.
I have few questions based on your response for now.

What is ALP you mentioned? Is it ALKALINE PHOSPHATASE?

So you are suggesting ultrasound for liver (whole abdomen probably) for this ALP increase and elivated serum Amylase, right?

Which one the High MCV related to? Is it related to Vitamine B12?

BTW doctor, I do not smoke and drink.

Thanks & Regards,
xxxxxxxx

Answered by Dr. Dr. Prasad J (8 minutes later)

Brief Answer:
You have understood it rightly....

Detailed Answer:
Yes, ALP refers to Alkaline phosphatase. Since it is elevated along with high amylase, it would be worthwhile to get an ultrasound abdomen.

I have ordered vitamin b12 test in reference to high MCV.

I am glad you don't smoke and drink.

Regards

Above answer was peer-reviewed by : Dr. Deepak

Follow up: Dr. Dr. Prasad J (9 minutes later)

Thanks Sir. I will follow your advice.

Answered by Dr. Dr. Prasad J (2 minutes later)

Brief Answer:
Welcome...

Detailed Answer:
You are welcome.

If you have no more questions, please close this discussion.

Regards

Above answer was peer-reviewed by : Dr. Deepak