What Does This Blood Report Indicate?

Posted on Thu, 28 Jul 2016

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

Thu, 28 Jul 2016 Answered on

Thu, 18 Aug 2016 Last reviewed on

Question : Hello Doctor,

I am thyroid patient since 1 year 6 months. Presently using 75mcg tablet daily. My sexual activity have been affected. So i would like to go for viagra. Is it suggestable. all other reports are very good as per blood reports which was taken 1 month back.

Answered by Dr. Shehzad Topiwala (32 minutes later)

Brief Answer:
Thyroid

Detailed Answer:
Sorry to learn about your bothersome symptoms. You could consider taking viagra but you should undergo an in-person check up with a doctor first. When I see someone like you in my practice, I typically order the following blood tests in addition to a detailed physical examination:

CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts)
Electrolytes (Sodium and Potassium in particular)
HbA1c (Glycosylated Hemoglobin = your last 3 months' glucose average). Also known by other names such as GlycoHemoglobin or Glycated Hemoglobin or A1c
Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase)
Kidney function tests (BUN, Creatinine)
TSH (checks your thyroid)
Free T4 (this checks your thyroid too) Thyroid autoantibodies : Anti Thyroid Peroxidase (TPO) antibodies and Anti Thyroglobulin antibodies
25 hydroxy Vitamin D levels (ideal range 40 to 60 ng/ml = 100 to 150 nmol/liter)
 None of these tests require any fasting and can be done at any time of the day

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

Follow up: Dr. Shehzad Topiwala (17 minutes later)

I have reports of that . attaching please go through it
0

Any update on my reports and question i asked

Answered by Dr. Shehzad Topiwala (17 hours later)

Brief Answer:
Follow up

Detailed Answer:
I have reviewed the attached reports

1 Your TSH is high

See an endocrinologist in-person and discuss the possibility of increasing your thyroid medication dose.

2 Your vitamin D is low

Ask your doctor to prescribe vitamin D

3 Your vitamin B12 is low

You will also need to be treated with vitamin B12 supplements

4 Your liver enzyme is mildly high

Monitor it and make a plan with your doctors' advice

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

Follow up: Dr. Shehzad Topiwala (4 hours later)

Thank you doctor. I already using the medication. However my questions stands still. is there any serious problem if i use viagra. I am using medication for theyroid, B12 and D.

Answered by Dr. Shehzad Topiwala (1 hour later)

Brief Answer:
Second follow up

Detailed Answer:
There is no known direct problem in using viagra if you have vitamin d and B12 deficiency. It is possible that if the thyroid is not regulated properly, as is the case with you, you may not see optimal results with the use of viagra.

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