Abnormal Health Check Results: When to Seek Medical Advice - Family Medicine

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When interpreting abnormal health check results, it is crucial to understand what each abnormal value signifies and when it is necessary to seek medical advice. Based on the results you provided, several key indicators warrant further investigation.

1. Triglycerides (191 mg/dL): This value is slightly elevated, as normal triglyceride levels are typically below 150 mg/dL. Elevated triglycerides can increase the risk of cardiovascular disease and may be associated with conditions such as metabolic syndrome. It is advisable to consult a healthcare provider, particularly a cardiologist or an internist, to discuss lifestyle modifications, dietary changes, and possibly medication to manage this risk.

2. Creatine Kinase (CK) (310 U/L): This enzyme is often elevated in cases of muscle damage, strenuous exercise, or certain medical conditions. Normal levels vary by laboratory but are generally below 200 U/L. An elevated CK level could indicate muscle injury or inflammation, and it may also be related to conditions such as rhabdomyolysis. It would be prudent to follow up with a physician, possibly a neurologist or a rheumatologist, to determine the cause of this elevation.

3. Alcoholic Liver Disease (74 U/L): This value suggests liver enzyme elevation, which may indicate liver inflammation or damage. Normal levels for liver enzymes like AST and ALT are typically below 40 U/L. Given your history of elevated liver enzymes and the positive test for Helicobacter pylori, it is essential to consult a gastroenterologist. They can evaluate your liver function further, possibly through imaging studies or additional blood tests, and discuss treatment options for H. pylori, which can lead to gastritis or peptic ulcers.

4. Uric Acid (9.5 mg/dL): This level is elevated, as normal uric acid levels are typically between 3.5 and 7.2 mg/dL. High uric acid levels can lead to gout, a form of arthritis characterized by sudden and severe pain, redness, and swelling in the joints. It is advisable to consult a rheumatologist for further evaluation and management of hyperuricemia, which may include dietary changes and medications to lower uric acid levels.

5. Albumin (0.93 g/dL): This value is low, as normal albumin levels range from 3.5 to 5.0 g/dL. Low albumin can indicate liver disease, kidney disease, or malnutrition. Given your other liver-related results, it is essential to discuss this with a healthcare provider, particularly a gastroenterologist, to assess liver function and overall health.

6. Helicobacter pylori (+): The presence of H. pylori indicates a bacterial infection that can lead to gastritis and peptic ulcers. Since this was also positive in your previous check, it is crucial to seek treatment. A gastroenterologist can prescribe appropriate antibiotics and medications to eradicate the infection and help heal any associated gastric damage.

In summary, your health check results indicate several areas of concern that require further evaluation. It is advisable to schedule appointments with a primary care physician who can coordinate care with specialists such as a cardiologist, gastroenterologist, and rheumatologist. They can help interpret these results in the context of your overall health, recommend lifestyle changes, and determine if any immediate interventions are necessary. Regular follow-ups and monitoring of these conditions are essential to prevent potential complications and maintain your health.