What Does The Following Biochemistry Report Indicate?

Posted on Sat, 4 Apr 2015

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

Sat, 4 Apr 2015 Answered on

Mon, 27 Apr 2015 Last reviewed on

Question : I am a male of 59+ age. On 21.3.2015 my Biochemistry reports are as under:-
Blood glucose fasting:73 mg/dl
Blood glucose PP:85
Serum Bilirubin (total): 0.9 mg/dl
Serum Bilirubin direct: 0.4 mg/dl
Serum Bilirubin Indirect: 0.5 mg/dl
SGOT/AST:22.3
SGPT/ALT:33.9
ALKALINE PHOSPHATE:85.6
LIPID PROFILE
Serum cholesterol: 254.6 mg/dl
TRIGLYCERIDE: 132.6
HDL CHOLESTROL:56.8
VLDL:26.52
LDL:171.28
TOTAL CHOLESTEROL/HDL RATIO:4.48
BP: NORMAL
PLEASE NOTE: ON 27.3.15 MY HOLMIUM LASER PROSTATE SURGERY (S NO.898) AND CYSTOPANENDOSCOPY (S nO.765) WAS DONE FOR ENLARGED PROSTATE.
All above blood test were done before surgery i.e. on 21.3.15. All other tests before surgery were found normal including ECG and Echocardiography.
Please advise as my serum cholesterol is: 254.6 and LDL: 171.28
please advise for this what to do and food items to take I am taking toned milk one cup regularly evening and morning
regards,
XXXX.

Answered by Dr. Suresh Heijebu (2 hours later)

Brief Answer:
Lifestyle and dietary modifications are strongly recommended.

Detailed Answer:
Hi Sir.

I understand your query and concern.

I have gone in detail through your lab reports.

Yes certainly you seem to have elevated total and LDl cholesterol.

This can initially managed by lifestyle modification.
Drugs are needed only in case if lifestyle modification is needed.

For this I advise you the following.
1.Daily brisk walk for 20 min a day for at least 5 days a week.
2.Regular intake of oats 30 grams in diluted milk for breakfast initially for 2 months followed by similar intake for dinner as well.

Drugs like statins are needed only if the above measures fail .

Post your further queries if any,

Thank you.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Suresh Heijebu (34 minutes later)

Dear Dr. Dietary items mentioned above noted . Please prescribe fruits and vegetables also.
regards
XXXX

Answered by Dr. Suresh Heijebu (17 hours later)

Brief Answer:
Bitter gourd will help.

Detailed Answer:
Hi Sir.

I understand your concern.

Fruits particularly pomegranate and apple will be useful.

These fruits can be used once a day at bedtime.

Vegetables particularly Bitter Gourd and bananas are helpful.

Green leafy vegetables twice a week will help to increase the fiber content.

Capsicum and Beans will also help to protect heart.

Avoid POTATOES.

THANK YOU

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar