Name – Biman Das
Age – 28 years
Indian origin, stays in Bangalore, India.
9th July 2012 - hemoglobin electrophoresis suggestive of Homozygous Hemoglobin E disease
Complaint – Weakness since 1year.
Hi…. Below are the complete tests I have done two days back…..
Blood Urea Nitrogen – 11.00 mg/dl
Serum Creatinine – 1 mg/dl
Serum Glucose – 94 mg/dl
SERUM LIVER FUNCTION TEST
Billirubin Total – 1.30 mg/dl
Billirubin – direct – 0.30 mg/dl
SGOT/AST (P5P, IFCC) – 63.00 IU/ml
SGPT/ALT (P5P, IFCC) – 142.00 IU/ml
ALP – 74 IU/ml
Total protein – 7.80 g/dl
Serum Albumin – 4.90 g/dl
Serum Globulin – 2.90 g/dl
ALB/GLOB Ratio – 1.69 g/dl
SERUM TSH (ECLIA) – 6.240 IU/mL
COMPLETE BLOOD COUNT
WBC – 9300.00 /cu.mm
RBC – 6.15 million/cu.mm
Hemoglobin – 11.90 g/dl
Haemotocrit (PCV) – 37.00 %
MCV – 61.00 fL
MCH – 19.40 Pg
MCHC – 31.30 g/dl
Platelet count – 135000.00 /Cu.mm
DIFFERENTIAL COUNT
Neutrophils – 52 %
Lymphocytes – 43 %
Monocytes – 3.00 %
Eosinophils – 2.00 %
ESR – 4.00 /1st hour.
PERIPHERAL SMEAR EXAMINATION
RBC’s – Show moderate anisopoikilocytosis, are microcytic hypochromic with few eliptocytes, target cells.
WBC’s – Leucocytes are normal in total count and distribution
Plateletes – Plateletes are reduced. Macroplateletes noted.
Impression – Microcytic hypochromic blood picture with thrombocytopenia. (Kindly correlate with serum iron,TIBC, ferritin and Hb variant analysis [To rule out hemoglobinopathy])
OTHER TESTS –
Routine Urine analysis – All values are normal
ECG – Normal study
X-Ray of chest – PA View – Normal Study
MY HABBITS –
Non veg 3 days a week
Beer – 3 days a week( 700ml per day) drinking since 10 years.
Smoking – 12 cigarettes per day (Smoking since 10 years).
More Anxiety and less physical activities.
Last one year I am inside my house, just for half an hour I go outside in the morning.
MY HISTORY AND TESTS DONE EARLIER –
History of acidity, constipation and digestion.
9th July 2012 - Haemoglobin electrophoresis suggestive of Homozygous Haemoglobin E disease.
16th October 2012 - Ultrasound of liver – Fatty Liver
18th October 2012 – Liver function test – All values are normal
18th October 2012 – Pulmonary test – Normal spirometery
18th October 2012 – Complete Haemoglobin – Haemoglobin 12.5 gm/dl, WBC – normal in number and morphology, RBC – Anicocytosis with microcytic hypochromic erythrocytes, mild polychromasia, elliptocytes and taget cells, platelets- adequate
Please let me know is it very serious and also let me know some medicines and diet...
Regards
Biman Das
Doctor's Answer
Hi,
I am not sure,your doctor must have examined you so he can might be telling better,but i belive you should have complet liver tests including pt aptt and coagulation profile and billirubin levels and also repeat the tests you already have.
Although yellow eyes can also be due to mddy sclera,some people have muddy sclera.
Your tsh is also raised so he might be telling you for some test or may be you could be directly be put on medicines for this.
Time taken is different for diffirent person ...
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