Your Health Check Report: When to Seek Medical Advice - Family Medicine

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Health Check Report


Hello Doctor: A few days ago, my friend had blood drawn for biochemical tests, CBC, and urine analysis.
Some of the results were slightly above the normal values.
I would like to ask if these results require a visit to the hospital, and which department I should see.
Thank you.

Biochemical results (only listing abnormal values):
ALB 5.1 g/dL > RR 5.0
T-CHO 242 mg/dL > RR 200
LDL 190 mg/dL > RR 160
GOT 35 IU/L > RR 34
GPT 56 IU/L > RR 44
AMY-L 108 IU/L > RR 100
LIPA 200 U/L > RR 190
CHE 11885 U/L > RR 11400
Hematology results (only listing abnormal values):
Eosin 8%
Urinalysis results are all normal.

wei, 20~29 year old female. Ask Date: 2003/02/11

Dr. Lin Mingxing reply Family Medicine


1.
Cholesterol levels above normal.
2.
Abnormal liver function.
3.
Elevated eosinophil count, which usually indicates a tendency for allergic conditions.
Please consult a family medicine physician!

Reply Date: 2003/02/11

More Info


When it comes to understanding your health check report, especially when you notice some values that are slightly above the normal range, it is essential to approach the situation with a clear plan. Based on the biochemical and hematological results you provided, it seems that several parameters are elevated, which could indicate underlying health issues that may require further investigation.


Understanding Your Results
1. Biochemical Parameters:
- Albumin (ALB): Your level is slightly elevated at 5.1 g/dl, which is marginally above the normal range. Elevated albumin can sometimes indicate dehydration or other conditions affecting protein levels.

- Total Cholesterol (T-CH): At 242 mg/dl, this is above the recommended level of 200 mg/dl. High cholesterol can increase the risk of cardiovascular diseases.

- Low-Density Lipoprotein (LDL): At 190 mg/dl, this is considered high. Elevated LDL is often referred to as "bad cholesterol" and is a significant risk factor for heart disease.

- GOT (AST) and GPT (ALT): Both liver enzymes are elevated (GOT at 35 IU/L and GPT at 56 IU/L). This could indicate liver stress or damage, possibly due to fatty liver disease, alcohol consumption, or other liver conditions.

- Amylase (AMY-L): At 108 IU/L, this is above the normal range, which could suggest pancreatic issues or other gastrointestinal problems.

- Lipase (LIPA): At 200 U/L, this is also elevated and could indicate pancreatitis or other pancreatic disorders.

- Cholinesterase (CHE): At 11885 U/L, this is significantly elevated and may indicate liver dysfunction or other metabolic issues.

2. Hematological Parameters:
- Eosinophils: At 8%, this is higher than the normal range. Elevated eosinophils can indicate allergic reactions, parasitic infections, or other inflammatory conditions.


When to Seek Medical Advice
Given the number of elevated values in your report, it is advisable to consult a healthcare professional. Here’s how to proceed:
1. Primary Care Physician (PCP): Start by scheduling an appointment with your primary care physician. They can review your results in detail, take a comprehensive medical history, and perform a physical examination.

2. Referral to Specialists:
- Cardiologist: Given the elevated cholesterol levels, a referral to a cardiologist may be warranted to assess your cardiovascular risk and discuss lifestyle changes or medications if necessary.

- Hepatologist or Gastroenterologist: Since both GOT and GPT levels are elevated, consulting a liver specialist may be beneficial to evaluate liver function and rule out any serious conditions.

- Endocrinologist: If there are concerns about metabolic issues related to your lipid levels or if diabetes is suspected, an endocrinologist may be appropriate.


Additional Considerations
- Lifestyle Modifications: Regardless of the specific follow-up, consider discussing lifestyle changes with your physician, such as dietary adjustments, increased physical activity, and weight management, which can significantly impact cholesterol levels and overall health.

- Follow-Up Testing: Your physician may recommend additional tests to further investigate the elevated levels, such as liver function tests, lipid panels, or imaging studies like an ultrasound of the abdomen.

- Monitoring Symptoms: Pay attention to any symptoms you may experience, such as fatigue, jaundice, abdominal pain, or changes in appetite, and report these to your physician.


Conclusion
In summary, while some of your test results are only slightly elevated, it is crucial to take them seriously and seek medical advice. Early intervention can help prevent potential complications and ensure that any underlying conditions are addressed promptly. Always remember that your health is a priority, and proactive management is key to maintaining it.

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