Health Report
Hello, doctor.
I previously had a health check-up due to work and have some questions to ask you.
I am 20 years old, 155 cm tall, and weigh 62 kg.
The report indicates abdominal obesity, overweight, a white blood cell count of 11,500, the presence of glucose in urine, abnormal MCHC, elevated liver function tests at 44, and high lipid levels.
How can I improve my condition? Should I see a doctor again, and if so, which specialty should I consult? Thank you.
Qiqi, 20~29 year old female. Ask Date: 2016/03/25
Dr. Wu Fangcan reply Family Medicine
According to the data you provided, a BMI of 25.6 (recommended range 22-24) indicates overweight.
The presence of glucose in the urine suggests that blood sugar levels may also be elevated (possibly due to insulin resistance related to being overweight).
Elevated liver enzymes may indicate fatty liver disease, and there is also high lipid levels.
It is recommended to consult with a specialist in metabolism or family medicine.
The key point is weight loss.
Reply Date: 2016/03/25
More Info
Addressing health concerns following a check-up can be a daunting experience, especially when faced with multiple abnormal results. It's essential to approach this situation with a clear plan and understanding of what each finding might mean for your health.
First, let's break down the results you received:
1. Abdominal Obesity and Overweight: This indicates that your body mass index (BMI) is above the normal range. Abdominal obesity is particularly concerning as it is associated with a higher risk of metabolic syndrome, heart disease, and type 2 diabetes. To address this, consider adopting a balanced diet rich in fruits, vegetables, whole grains, and lean proteins while reducing processed foods and sugars. Regular physical activity is also crucial; aim for at least 150 minutes of moderate aerobic exercise each week, combined with strength training exercises on two or more days a week.
2. Elevated White Blood Cell Count (WBC): A high WBC count can indicate an infection, inflammation, or stress on the body. It is essential to monitor this with your healthcare provider, as they may want to investigate further to determine the underlying cause.
3. Presence of Glucose in Urine: This could suggest that your blood sugar levels are elevated, which might indicate diabetes or prediabetes. It is crucial to follow up with your doctor for further testing, such as a fasting blood glucose test or an HbA1c test, to assess your blood sugar control.
4. Abnormal MCHC: This refers to the mean corpuscular hemoglobin concentration, which can indicate various types of anemia or other blood disorders. Your doctor may recommend additional blood tests to clarify this finding.
5. Elevated Liver Function Tests: An elevated liver enzyme level (like ALT or AST) can indicate liver inflammation or damage. This could be due to various factors, including alcohol consumption, medication effects, or fatty liver disease. It is essential to discuss this with your doctor, who may suggest lifestyle changes or further testing.
6. High Blood Lipids: Elevated cholesterol or triglycerides can increase your risk of cardiovascular disease. Lifestyle modifications, including dietary changes and increased physical activity, are often the first line of defense. Your doctor may also discuss the possibility of medication if lifestyle changes are insufficient.
Given these findings, it is advisable to schedule a follow-up appointment with your primary care physician. They can provide a comprehensive evaluation of your health status, interpret your lab results in the context of your overall health, and recommend a tailored plan for improvement. Depending on the specifics of your results, they may refer you to specialists such as a nutritionist, endocrinologist (for blood sugar issues), or a gastroenterologist (for liver concerns).
In the meantime, consider implementing small, manageable changes to your lifestyle. Start by incorporating more physical activity into your daily routine, such as walking, cycling, or joining a fitness class. Focus on a balanced diet, and consider keeping a food diary to track your eating habits. Reducing stress through mindfulness practices, such as yoga or meditation, can also be beneficial for overall health.
Lastly, remember that health is a journey, and it’s essential to be patient with yourself as you work towards improvement. Regular check-ups and open communication with your healthcare provider will be key in managing your health concerns effectively.
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