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What Do The Following Test Reports Suggest?
Question: Respected sir,
I was diagnoised with Scliding hiatus hernia and
Mild Hepatomegaly with grade II farry infiltration.
My blood tests are as follows
I feel pain in left side of chest and upper back and continuous dizziness and drowsiness.
TMT, echo, ecg etc all are normal.
Dear sir/madam,
My name is XXXXXXX XXXXXXX M, AGE 30 Years, Working in Insurance company (administration). I don't smoke, I don't drink and I don't have any other bad habits. I eat Non Veg sometimes.
I am married and I have one baby girl (TWO years of age). I don't have any tensions and stress in office and House. My office work is normal and no Heavy work. I am very calm and smooth going person.
My BP is 130/100 Some times and Normally it will be 130/90.
My pulse rate some times it will go to 110 Normally it is above 80 Very few times it will be under 80.
I don't have sugar.
Two years back exactly 20th August 2013, first time I got left side chest and left side upper back pain. And also left side shoulder and left hand pain. From then onwards I feel the same pain up to Today. I feel this pain 24 hours in a day. Some times very high and some times manageable. I have taken many pain killers and tablets but still I am suffering from this pain.
The pain will be some times very heavy and tightness in the chest and left side of the shoulder and upper back..
Some times I feel that some pin is pinching me in the upper back side of the shoulder and left side of the chest. I feel very uncomfortable through out the day.
I feel drowsiness and unsteadiness through out the day.
When I am walking or sitting or sleeping I feel that I am pulling down to ground and I feel extreme tiredness in my legs and pain in legs, At the same time feel air hunger and not able to breath comfortably.
With all this pains and drowsiness I am doing my routine work.
I went to many doctors and clinics and underwent almost all tests. All tests showing normal. But I feel that I am going to die and some major problem occurred to me.
Yesterday I.e I 04/08/2015 i underwent health check up. While I am doing Stress test, I felt very uncomfortable. I have to do walking up to 12 mnts but I did only 8 mnts . I stoped walking because, I got extreme tired XXXXXXX and completely dried through and I got breathing problem, I mean that I felt very uncomfortable while breathing..
For that 8 mnts the stress test is normal. Echo is normal and ECG also normal.
I am getting pain in neck also, but in dec 2013 I underwent mri cervical spine and it showed normal.
Now also I feel neck pain alon with all this.
I was diagnosed with Sliding hiatus hernia last month and I am taking pantacid tablet.
I underwent Appendicitis operation in November 2014.
I got very high triglycerides and abnormal lipid profile.
I m trying to go for walking and to do exercises, but I feel extreme tiredness, drowsiness, and feel abnormal heart rate and neck pain and leg weakness and some times I feel that heart beat has stopped with air hunger.
Kindly tell me how to get out from this pain and drowsiness and to become healthy. Kindly suggest tests if I have to undergo.
I am attaching the medical reports with dates for your perusal.
RECENT REPORT
parameter result values normal values
creatine 0..9 mg/dl 0.5-1.4
electrolytes
sodium 134 mmol/L 135.0-150
potassium 3..5 mmol/L 3.5-5.5
chloride 98 mmol/L 98-107
fasting blood glucose 101 mg/dl 70-110
post parandial blood glucose 122 mg/dl 70-140
liver function test
Total bilirubin 1.1. mg/dl 0.2-1.0
Direct bilirubin 0.3 mg/dl < 0.3
Indirect bilirubin 0.8 mg/dl 0.2-0.7
SGOT 145 IU/L < 35
SGPT 75 IU/l < 40
Alkaline phosphatase 287 IU/L 108-306
Total protein 7.7 gm/dl 6.5-8.0
Albumin 3.8 gm/dl 3.5-5.0
globulin 3.9 gm/dl 2.3-3.5
A/G Ratio 1 1.0-2.0
LIPID Profile
Total Cholesterol 186 mg/dl Boarder line High : 200-239
High : > 240
Desirable < 200
Triglycerides 565 mg/dl Desirable < 200
Boarder line High : 200-239
High : > 240
HDL 39 mg/dl Low (high risk) : < 40
High (Low risk) : >= 60
LDL 121 (D) mg/dl optimal : < 100
Near Optimal : 100-129
Boarder line High : 130-159
high : 160-189
very high : >= 190
Total cholesterol/HDL ratio 4.8 3.5-4.4
LDL/HDL Ratio 3.1 1.8-3.0
Thyroid Profile
T3 Total 1.3 ng/ml 0.62-1.65
T4 Total 6.7 ug/dl 4.4-11.0
TSH 4.2 uIU/ml 1.25-5.25
Microalbuminuria
Specimen spot urine
urine albumin NIL
Urine volume 15
micro albumin 07 mg/l Normal < 30
Microalbuminuria : 30-299
Clinical albuminuria > 300
Haemogram
Haemoglobin 13.9 g/dl 13.5 to 16.5
PCV 39% 37-53
MCV 81 fl 80-96
MCH 28 pg 27-32
MCHC 35% 30.-3.6
Total RBC count 4.88 Millions/cumm 40-60
Total & Differential count
Total WBC count 6100 cells/cumm 4500-11000
Polymorphs 53% 40-75
Lymphocyteds 39% 22-45
Eosinophils 4% 1.0-6
Monocytes 4% 2.0-10
Basophils 0% 0-1
Platelet Count 2.25 Lakhs/cumm 1.5 -4
ESR 10 mm/hour 1-10.0
peripheral smear
RBC Normocytic Normochromic
WBC with in normal limits
Platelet Adequate
HIV (TRI-DOT)
HIV Non Reactive
HIV - I Non Reactive
HIV - II Non Reactive
HBSAG (Rapid) Non Reactive
Hepatitis C Virus (HCV Rapid) Non Reactive
Urine Complete Examination
Colour Pale yellow
Appearance Clear
Volume 15.0 ml
PH 6 <6.0
Reaction Acidic
Specific Gravity 1.01 1.01 - 1.025
Biochemical Examination
Urine Albumin Nil
urine sugar Nil
Phosphates Absent
Nitrates Negative
bile salts Negative
bile pigments Negative
urine ketone bodies Negative mmol/l <0.5
urobilinogen negative mg/dl 0.2 - 1.0
blood Absent
leukocytes Esterase Negative
Microscopic Examination
RBC NIL /hpf
Pus cells 1-2 /hpf
Epithelial Cells 1-2 /hpf
casts NIL
crystals NIL
Bacteria NIL
Others NIL
*****************End of Report*******************
USG ABDOMEN
Liver is mild enlarged in size (16 Cm) andshows diffuse increased echotexture.
There is no evidence of any focal lesion/IHBD
Gall bladder distended. No e/o calculi/ wall thickening/ pericholecystic fluid collection seen.
No e/o focal lesion
CBU is not dilated. Portal Vein is normal
Pancreas is normal in size and texture
no obivious paraaortic lymphadenopathy
spleen is normal in size (9.4) and echotexture
right kidney measures 12.5 * 4.5 CM
left kidney measures 11.8 * 5.4 cm
both kidneys are normal in size and echotexture
no e/o hydronephrosis there is no focal lesion seen
CMD maimtained
Urinary bladder is distended. No e/o calculi/diverticula/ wall thickening seen
Prostate is normal in size (vol ; 19 cc and echotexture
no evidence of dilated bowel loops
there is no evidence of ascites
no pleural effusion bilaterally
IMPRESSION:
Mild Hepatomegaly with grade II farry infiltration.
*****************End of Report*******************
I was diagnoised with Scliding hiatus hernia and
Mild Hepatomegaly with grade II farry infiltration.
My blood tests are as follows
I feel pain in left side of chest and upper back and continuous dizziness and drowsiness.
TMT, echo, ecg etc all are normal.
Dear sir/madam,
My name is XXXXXXX XXXXXXX M, AGE 30 Years, Working in Insurance company (administration). I don't smoke, I don't drink and I don't have any other bad habits. I eat Non Veg sometimes.
I am married and I have one baby girl (TWO years of age). I don't have any tensions and stress in office and House. My office work is normal and no Heavy work. I am very calm and smooth going person.
My BP is 130/100 Some times and Normally it will be 130/90.
My pulse rate some times it will go to 110 Normally it is above 80 Very few times it will be under 80.
I don't have sugar.
Two years back exactly 20th August 2013, first time I got left side chest and left side upper back pain. And also left side shoulder and left hand pain. From then onwards I feel the same pain up to Today. I feel this pain 24 hours in a day. Some times very high and some times manageable. I have taken many pain killers and tablets but still I am suffering from this pain.
The pain will be some times very heavy and tightness in the chest and left side of the shoulder and upper back..
Some times I feel that some pin is pinching me in the upper back side of the shoulder and left side of the chest. I feel very uncomfortable through out the day.
I feel drowsiness and unsteadiness through out the day.
When I am walking or sitting or sleeping I feel that I am pulling down to ground and I feel extreme tiredness in my legs and pain in legs, At the same time feel air hunger and not able to breath comfortably.
With all this pains and drowsiness I am doing my routine work.
I went to many doctors and clinics and underwent almost all tests. All tests showing normal. But I feel that I am going to die and some major problem occurred to me.
Yesterday I.e I 04/08/2015 i underwent health check up. While I am doing Stress test, I felt very uncomfortable. I have to do walking up to 12 mnts but I did only 8 mnts . I stoped walking because, I got extreme tired XXXXXXX and completely dried through and I got breathing problem, I mean that I felt very uncomfortable while breathing..
For that 8 mnts the stress test is normal. Echo is normal and ECG also normal.
I am getting pain in neck also, but in dec 2013 I underwent mri cervical spine and it showed normal.
Now also I feel neck pain alon with all this.
I was diagnosed with Sliding hiatus hernia last month and I am taking pantacid tablet.
I underwent Appendicitis operation in November 2014.
I got very high triglycerides and abnormal lipid profile.
I m trying to go for walking and to do exercises, but I feel extreme tiredness, drowsiness, and feel abnormal heart rate and neck pain and leg weakness and some times I feel that heart beat has stopped with air hunger.
Kindly tell me how to get out from this pain and drowsiness and to become healthy. Kindly suggest tests if I have to undergo.
I am attaching the medical reports with dates for your perusal.
RECENT REPORT
parameter result values normal values
creatine 0..9 mg/dl 0.5-1.4
electrolytes
sodium 134 mmol/L 135.0-150
potassium 3..5 mmol/L 3.5-5.5
chloride 98 mmol/L 98-107
fasting blood glucose 101 mg/dl 70-110
post parandial blood glucose 122 mg/dl 70-140
liver function test
Total bilirubin 1.1. mg/dl 0.2-1.0
Direct bilirubin 0.3 mg/dl < 0.3
Indirect bilirubin 0.8 mg/dl 0.2-0.7
SGOT 145 IU/L < 35
SGPT 75 IU/l < 40
Alkaline phosphatase 287 IU/L 108-306
Total protein 7.7 gm/dl 6.5-8.0
Albumin 3.8 gm/dl 3.5-5.0
globulin 3.9 gm/dl 2.3-3.5
A/G Ratio 1 1.0-2.0
LIPID Profile
Total Cholesterol 186 mg/dl Boarder line High : 200-239
High : > 240
Desirable < 200
Triglycerides 565 mg/dl Desirable < 200
Boarder line High : 200-239
High : > 240
HDL 39 mg/dl Low (high risk) : < 40
High (Low risk) : >= 60
LDL 121 (D) mg/dl optimal : < 100
Near Optimal : 100-129
Boarder line High : 130-159
high : 160-189
very high : >= 190
Total cholesterol/HDL ratio 4.8 3.5-4.4
LDL/HDL Ratio 3.1 1.8-3.0
Thyroid Profile
T3 Total 1.3 ng/ml 0.62-1.65
T4 Total 6.7 ug/dl 4.4-11.0
TSH 4.2 uIU/ml 1.25-5.25
Microalbuminuria
Specimen spot urine
urine albumin NIL
Urine volume 15
micro albumin 07 mg/l Normal < 30
Microalbuminuria : 30-299
Clinical albuminuria > 300
Haemogram
Haemoglobin 13.9 g/dl 13.5 to 16.5
PCV 39% 37-53
MCV 81 fl 80-96
MCH 28 pg 27-32
MCHC 35% 30.-3.6
Total RBC count 4.88 Millions/cumm 40-60
Total & Differential count
Total WBC count 6100 cells/cumm 4500-11000
Polymorphs 53% 40-75
Lymphocyteds 39% 22-45
Eosinophils 4% 1.0-6
Monocytes 4% 2.0-10
Basophils 0% 0-1
Platelet Count 2.25 Lakhs/cumm 1.5 -4
ESR 10 mm/hour 1-10.0
peripheral smear
RBC Normocytic Normochromic
WBC with in normal limits
Platelet Adequate
HIV (TRI-DOT)
HIV Non Reactive
HIV - I Non Reactive
HIV - II Non Reactive
HBSAG (Rapid) Non Reactive
Hepatitis C Virus (HCV Rapid) Non Reactive
Urine Complete Examination
Colour Pale yellow
Appearance Clear
Volume 15.0 ml
PH 6 <6.0
Reaction Acidic
Specific Gravity 1.01 1.01 - 1.025
Biochemical Examination
Urine Albumin Nil
urine sugar Nil
Phosphates Absent
Nitrates Negative
bile salts Negative
bile pigments Negative
urine ketone bodies Negative mmol/l <0.5
urobilinogen negative mg/dl 0.2 - 1.0
blood Absent
leukocytes Esterase Negative
Microscopic Examination
RBC NIL /hpf
Pus cells 1-2 /hpf
Epithelial Cells 1-2 /hpf
casts NIL
crystals NIL
Bacteria NIL
Others NIL
*****************End of Report*******************
USG ABDOMEN
Liver is mild enlarged in size (16 Cm) andshows diffuse increased echotexture.
There is no evidence of any focal lesion/IHBD
Gall bladder distended. No e/o calculi/ wall thickening/ pericholecystic fluid collection seen.
No e/o focal lesion
CBU is not dilated. Portal Vein is normal
Pancreas is normal in size and texture
no obivious paraaortic lymphadenopathy
spleen is normal in size (9.4) and echotexture
right kidney measures 12.5 * 4.5 CM
left kidney measures 11.8 * 5.4 cm
both kidneys are normal in size and echotexture
no e/o hydronephrosis there is no focal lesion seen
CMD maimtained
Urinary bladder is distended. No e/o calculi/diverticula/ wall thickening seen
Prostate is normal in size (vol ; 19 cc and echotexture
no evidence of dilated bowel loops
there is no evidence of ascites
no pleural effusion bilaterally
IMPRESSION:
Mild Hepatomegaly with grade II farry infiltration.
*****************End of Report*******************
Brief Answer:
Left Chest pain with Hepatomegaly and Sliding Hernia.
Detailed Answer:
Provisional Diagnosis-Left Chest pain with Hepatomegaly and Sliding Hernia.
Hi,Dear.Thanks for the query to HCM virtual Clinic.
I studied your marathon and complex query for 30 mts almost.I understood your health concerns about the chest pain /sliding hernia etc.
In brief your main concerns are-
Left Chest Pain with back pain
Drowsiness and dizziness.
Dear, In my opinion you are a complex case with multiple issues and would need good long term treatment plan to be executed seriously.
You have obesity with Fatty liver and disturbed lipid profile along with it,which is causing all the problems you have in chest/back and the drowsy feeling.
Your case needs better management and treatment as soon as possible,as the things are definitely serious from the late medical examination reports.
Please update more info on the following-
Give detailed days schedule /
and daily food /eating plan
Office work and daily work hours.
Don't be nervous and don't ever think of death,as you are quiet young.
You have consulted many doctors with no relief to your problem.
Don't take painkillers on your own as it would complicate the matter.
I would review your case after I get your information soon.
I would help you out if you take it up seriously and start executing the protocols.
Welcome with further query in this regard to HCM by direct questions,as the subject is very laborious and would take many sessions for you to get the results.
All your problems could be sorted out in 3 mths time.
So take care and update me your information to me soon.
Hope this would calm you down and would help you to take care in time to come.
Write good review and hit thanks after reading this reply.
Have a Good day.Take Care.
Dr.Savaskar M.N.
M.S.Genl-CVTS XXXXXXX Specialist and Consultant in Non-Curable Diseases by Rejuvenation therapies.
Left Chest pain with Hepatomegaly and Sliding Hernia.
Detailed Answer:
Provisional Diagnosis-Left Chest pain with Hepatomegaly and Sliding Hernia.
Hi,Dear.Thanks for the query to HCM virtual Clinic.
I studied your marathon and complex query for 30 mts almost.I understood your health concerns about the chest pain /sliding hernia etc.
In brief your main concerns are-
Left Chest Pain with back pain
Drowsiness and dizziness.
Dear, In my opinion you are a complex case with multiple issues and would need good long term treatment plan to be executed seriously.
You have obesity with Fatty liver and disturbed lipid profile along with it,which is causing all the problems you have in chest/back and the drowsy feeling.
Your case needs better management and treatment as soon as possible,as the things are definitely serious from the late medical examination reports.
Please update more info on the following-
Give detailed days schedule /
and daily food /eating plan
Office work and daily work hours.
Don't be nervous and don't ever think of death,as you are quiet young.
You have consulted many doctors with no relief to your problem.
Don't take painkillers on your own as it would complicate the matter.
I would review your case after I get your information soon.
I would help you out if you take it up seriously and start executing the protocols.
Welcome with further query in this regard to HCM by direct questions,as the subject is very laborious and would take many sessions for you to get the results.
All your problems could be sorted out in 3 mths time.
So take care and update me your information to me soon.
Hope this would calm you down and would help you to take care in time to come.
Write good review and hit thanks after reading this reply.
Have a Good day.Take Care.
Dr.Savaskar M.N.
M.S.Genl-CVTS XXXXXXX Specialist and Consultant in Non-Curable Diseases by Rejuvenation therapies.
Above answer was peer-reviewed by :
Dr. Shanthi.E
Respected sir,
I use to wake up at 6.30 or 7. I will play with my daughter up to 8 and I will take bath and break fast at 9.00 AM . Afternoon 1.30 pm I will take my lunch.
and evening 7.30 or 8 my dinner . and I will go to sleep round 10 pm.
My office hours is 10 AM to 6.00 PM . with half an hour break 1.30 to 2.00 PM.
food I use to take idly or dosa with chetney in the morning.
After noon I will take rice with curry and curd.
Night some times rice and some times chapathi. oil less.
at present I am taking leafy vegitables and fruits. once in a week I am taking nonveg like chicken.
I feel very uncomfortable in the middle of the chest and stomach sir.... with air hunger. some times sweating also ...
I use to wake up at 6.30 or 7. I will play with my daughter up to 8 and I will take bath and break fast at 9.00 AM . Afternoon 1.30 pm I will take my lunch.
and evening 7.30 or 8 my dinner . and I will go to sleep round 10 pm.
My office hours is 10 AM to 6.00 PM . with half an hour break 1.30 to 2.00 PM.
food I use to take idly or dosa with chetney in the morning.
After noon I will take rice with curry and curd.
Night some times rice and some times chapathi. oil less.
at present I am taking leafy vegitables and fruits. once in a week I am taking nonveg like chicken.
I feel very uncomfortable in the middle of the chest and stomach sir.... with air hunger. some times sweating also ...
Brief Answer:
Hypertension with Chest pain with Obesity induced Sliding hernia
Detailed Answer:
Diagnosis-1-Hypertension with Chest pain with Obesity induced Sliding hernia
2- with secondary Hepatomegaly from Fatty liver
Hi,Dear.Good Evening.Sorry for the late reply as I was busy in critical case.
Thanks for the updates on your daily Schedule.
In my opinion you should consult a Physician and plan your treatment for Hypertension induced Chest pain and air hunger
with simultaneous treatment for Obesity which has induced Sliding hernia in your case.
In the mean while contact me for further definitive treatment for 3 mths protocol to control chest discomfort and stomach discomfort.
I would suggest-
Diet Restrictions in volume and quantity , and restrictions strictly for oil/ and excess caloric intake x for 1 mth to start with.
Daily Brisk walk for 30 minutes.
Change your 3 times intake to 1 afternoon meal(1 Pm) with supports by liquid intake not after 7 pm.
Take anti-hypertensive medicines under instructions from Physician.
Reduce salt and tea intake for next 3 weeks.
Keep watch on BP records with your Physicians advise.
These important suggestions would reduce your weight and would reduce your sliding hernia over a time.
But this would need strict follow up by direct question to ME on HCM platform,every 2 weeks.
I would help you to guide and help you to come out of this complicated health issues.
Impression-
You are quite young with Normal TMT and reversible bio-chemical status of your body.
If you feel still worried about the chest pain and sweating, I would advise you to have ER Cardiologist,in case of any emergency of chest discomfort.
So don't worry for fear of death due to something serious in your body.
AS your case needs controlled medications I avoided to give specific drug plan for you.I tried to impress on you that Holistic approach would bring solution to your intricate problem ,as diagnosed here in above.
Welcome for any further query in this regard by direct query to Me.
Feel free to update more details to my mail id- YYYY@YYYY
Write good review and hit thanks after reading this reply.
Wishing you fast recovery.
With Regards,
Dr.Savaskar M.N.
M.S.Genl-CVTS XXXXXXX Consultant and Expert in Non-Curable -Diseases by Rejuvenative therapies.
Hypertension with Chest pain with Obesity induced Sliding hernia
Detailed Answer:
Diagnosis-1-Hypertension with Chest pain with Obesity induced Sliding hernia
2- with secondary Hepatomegaly from Fatty liver
Hi,Dear.Good Evening.Sorry for the late reply as I was busy in critical case.
Thanks for the updates on your daily Schedule.
In my opinion you should consult a Physician and plan your treatment for Hypertension induced Chest pain and air hunger
with simultaneous treatment for Obesity which has induced Sliding hernia in your case.
In the mean while contact me for further definitive treatment for 3 mths protocol to control chest discomfort and stomach discomfort.
I would suggest-
Diet Restrictions in volume and quantity , and restrictions strictly for oil/ and excess caloric intake x for 1 mth to start with.
Daily Brisk walk for 30 minutes.
Change your 3 times intake to 1 afternoon meal(1 Pm) with supports by liquid intake not after 7 pm.
Take anti-hypertensive medicines under instructions from Physician.
Reduce salt and tea intake for next 3 weeks.
Keep watch on BP records with your Physicians advise.
These important suggestions would reduce your weight and would reduce your sliding hernia over a time.
But this would need strict follow up by direct question to ME on HCM platform,every 2 weeks.
I would help you to guide and help you to come out of this complicated health issues.
Impression-
You are quite young with Normal TMT and reversible bio-chemical status of your body.
If you feel still worried about the chest pain and sweating, I would advise you to have ER Cardiologist,in case of any emergency of chest discomfort.
So don't worry for fear of death due to something serious in your body.
AS your case needs controlled medications I avoided to give specific drug plan for you.I tried to impress on you that Holistic approach would bring solution to your intricate problem ,as diagnosed here in above.
Welcome for any further query in this regard by direct query to Me.
Feel free to update more details to my mail id- YYYY@YYYY
Write good review and hit thanks after reading this reply.
Wishing you fast recovery.
With Regards,
Dr.Savaskar M.N.
M.S.Genl-CVTS XXXXXXX Consultant and Expert in Non-Curable -Diseases by Rejuvenative therapies.
Note: For further follow up on digestive issues share your reports here and Click here.
Above answer was peer-reviewed by :
Dr. Neel Kudchadkar
Answered by
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