Your Health Check Report: Key Insights and Improvement Tips - Family Medicine

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Health Check Report (Some parts are unclear)


I recently received my health check report and have a few questions:
1.
What can I do to improve my elevated blood pressure?
2.
The microscopic examination showed:
- White blood cells in urine: 8-10, with a reference value of 0-5 (units/HPF).
What does this mean since it is slightly elevated?
- Epithelial cells in urine: 12-15, with a reference value of 0-12 (units/HPF).
What does this mean since it is also elevated?
- Triglycerides (TG): 36, with a reference value of 43-138 (units mg/dL).
What does it mean that this is low?
In summary, I am unclear about the implications of these results.
Are there ways to improve these conditions, or specific foods I should increase in my diet?

Wu, 20~29 year old female. Ask Date: 2002/06/04

Dr. Liu Jinyong reply Family Medicine


Hypertension Management
1.
Methods to Improve Elevated Blood Pressure:
a.
Pharmacological Treatment: Generally effective, but requires patient cooperation, such as:
i.
Taking medication regularly, on time, and in the prescribed dosage.
ii.
Consulting a physician if any discomfort arises after long-term medication.
iii.
Undergoing regular check-ups.

b.
Lifestyle Modifications:
i.
Do not smoke.
ii.
Avoid excessive alcohol consumption.
iii.
Maintain an ideal body weight.
iv.
Engage in moderate and consistent exercise.
v.
Pay attention to a balanced diet, reducing intake of high-fat, high-cholesterol, and overly salty foods.
vi.
Maintain a regular sleep schedule and ensure adequate rest.
General prevention of hypertension should focus on the following eight categories:
1.
Regularly visit a physician to check blood pressure; it is advisable to learn how to measure blood pressure at home.
2.
Follow the physician's instructions regarding medication; do not adjust dosages on your own.
3.
For those on a low-sodium diet, reduce the amount of salt in cooking by half.
4.
Limit consumption of high-fat foods such as liver and lard; use vegetable oil for cooking, and consume lean meats and tofu in moderation.
5.
Avoid overeating.
6.
Refrain from smoking and drinking alcohol to prevent constipation.
7.
Maintain a normal weight and engage in regular physical activity, such as exercises, walking, and stretching, consistently.
8.
Keep a relaxed mindset, avoiding impatience and maintaining calmness.
2.
Slightly Elevated White Blood Cells in Urine:
The normal value for white blood cells is fewer than 4 per high-power field; exceeding this indicates pyuria.
Pyuria can occur in any acute or chronic inflammation or infection of the urinary system and is a non-specific change.
In cases of drug-induced acute interstitial nephritis, eosinophils may appear in the urine, which requires weight's stain for detection.
It is important to drink plenty of water and avoid holding urine.
3.
Abnormal Epithelial Cells in Urine:
The normal value for epithelial cells is 0 to 3 per high-power field; exceeding this number is considered abnormal.
Epithelial cells can originate from any part between the kidneys and the urethra and typically appear round or columnar.
The presence of squamous epithelial cells indicates a urinary tract infection.
When renal tubules are damaged, epithelial cells may shed into the urine, leading to a significant increase during acute tubular necrosis.
Conditions such as nephrotic syndrome, prerenal azotemia, and renal sclerosis can also result in increased epithelial cells, especially during exercise or when using diuretics.
4.
Low Triglycerides:
Clinically, low triglycerides can lead to conditions such as beta-lipoprotein deficiency, endocrine disorders (hyperthyroidism and adrenal insufficiency), liver diseases (cirrhosis and severe hepatic parenchymal damage), malabsorption syndromes, cachexia, or following the use of heparin.
If the aforementioned conditions are not adequately addressed, patients should seek further evaluation and treatment from a specialist in internal medicine or urology at a nearby hospital under the Department of Health.
Prevention is better than treatment.

Reply Date: 2002/06/04

More Info


Understanding your health check report is crucial for maintaining your overall well-being. Let's break down the components of your report and provide insights on how to improve your health based on the findings.


1. High Blood Pressure: How to Improve It
If your blood pressure is elevated, it’s essential to take proactive steps to manage it. Here are some effective strategies:
- Dietary Changes: Adopt a heart-healthy diet, such as the DASH (Dietary Approaches to Stop Hypertension) diet. This includes plenty of fruits, vegetables, whole grains, and lean proteins while reducing sodium intake. Aim for less than 2,300 mg of sodium per day, or ideally 1,500 mg if you have high blood pressure.

- Regular Exercise: Engage in regular physical activity, such as brisk walking, cycling, or swimming, for at least 150 minutes a week. Exercise helps lower blood pressure and strengthens your heart.

- Weight Management: If you are overweight, losing even a small amount of weight can help reduce your blood pressure.

- Limit Alcohol and Quit Smoking: Reducing alcohol intake and quitting smoking can significantly improve your blood pressure and overall heart health.

- Stress Management: Practice relaxation techniques such as yoga, meditation, or deep breathing exercises to help manage stress, which can contribute to high blood pressure.


2. Urine Test Results: Understanding the Findings
- White Blood Cells in Urine (8-10 HPF): The presence of white blood cells (WBC) in urine can indicate an infection or inflammation in the urinary tract. The normal range is typically 0-5 WBCs per high power field (HPF). Since your result is slightly elevated, it may suggest a urinary tract infection (UTI) or another inflammatory condition. It’s advisable to consult a healthcare provider for further evaluation and possibly a urine culture to identify any underlying infection.

- Epithelial Cells in Urine (12-15 HPF): Epithelial cells are shed from the lining of the urinary tract. A small number is normal, but an increase can indicate irritation, infection, or other conditions affecting the urinary tract. Similar to the WBC count, this finding warrants further investigation, especially if you have symptoms like frequent urination or discomfort.


3. Low Triglycerides (TG 36 mg/dl)
Your triglyceride level is below the normal range (43-138 mg/dl). While low triglycerides are generally not a concern, they can sometimes indicate underlying health issues, such as malnutrition or hyperthyroidism. It’s important to maintain a balanced diet that includes healthy fats, such as those found in avocados, nuts, and olive oil.

Summary and Recommendations
In summary, your health check report indicates a few areas that require attention, particularly your blood pressure and urine test results. Here are some steps you can take:
- Follow Up with a Healthcare Provider: Given the elevated WBCs and epithelial cells in your urine, it’s crucial to consult with a healthcare provider for further testing and diagnosis.

- Monitor Your Blood Pressure: Keep track of your blood pressure readings at home and maintain a healthy lifestyle to manage it effectively.

- Dietary Adjustments: Focus on a balanced diet rich in fruits, vegetables, whole grains, and healthy fats. Avoid processed foods high in sodium and sugars.

- Stay Hydrated: Drink plenty of water throughout the day, which can help with urinary health and overall bodily functions.

- Regular Check-Ups: Schedule regular health check-ups to monitor your blood pressure and other health markers. This will help you stay proactive about your health.

By taking these steps, you can improve your health outcomes and maintain a better quality of life. Remember, early intervention and lifestyle changes can make a significant difference in your overall health.

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