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High plateletcrit (PCT) & High cholester
Hi Doc ,
I recently done a full body check up and found that High plateletcrit (PCT) is 2.39 where as normal range defined in report is 0.15 to 0.62%. And my Lipid profile looks as below:
Cholesterol Total 211.4 mg/dL < 200
Triglycerides-TGL 94.7 mg/dL < 150
Cholesterol-HDL 44.3 mg/dL 40-60
Cholesterol-LDL 148.16 mg/dL < 100
Cholesterol- VLDL 18.94 mg/dL 7-35
Non HDL Cholesterol 167.1 mg/dL < 130
Cholesterol Total /HDL Ratio 4.77 % 0-4.0
HDL / LDL Ratio 0.30
LDL/HDL Ratio 3.34 % 0-3.5
Earlier few months back it was 247 but now reduced to 211 after controlling diet and physical activity.As described under my profile ,I am under b.p controlling medication. I used to have pain around chest region before taking b.p tablets, but it is significantly reduced and rarely having those symptoms. But now worrying sign is PCT is showing as 2.39% which is above normal levels and don't know whom to contact, should I consult my cardiologist or hematologist, kindly suggest ?
Answers (23)
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As per your report, its good that you have improved on your total cholesterol but you still need to lower your LDL levels.
Continue this for another month and reanalyze.
As far and increased platelets are considered, please get cbc redone with manual method, and report back (to me or any other qualified general physician), coz you haven't reported any other complaint apart from deranged reports.
Next Steps
Repeat your CBC and then report back if still deranged,
Health Tips
Continue your lifestyle modification like you are already doing, if needed help for higher ldl values, than you may consider consulting a general physician or even a dietician at this point to help it improve without any drugs.
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Lipid profile is deranged even after life style modification.
You should give a trial of 3-6 months total of lifestyle modification, otherwise drug therapy may be needed.
Increased production of platelets can be seen as a response to infection or inflammation or some bone marrow disorders.
You can repeat CBC after 15 days or so.
If persistently raised PCT then consult a hematologist.
For detailed evaluation of your case/further queries /guidance/management plan,whatsapp nine three seven zero two eight four three seven six or connect via Practo.
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Based on the information provided, it appears that you have two main concerns: elevated plateletcrit (PCT) and a lipid profile that is not optimal, particularly regarding LDL and non-HDL cholesterol levels.
### 1. **Plateletcrit (PCT)**:
A high PCT (2.39%) indicates an increase in the volume of platelets in the blood, which could be due to a variety of factors. Although the normal range is 0.15% to 0.62%, slightly elevated PCT levels could be a response to inflammation, infection, or other underlying conditions.
You mentioned that you are on blood pressure-controlling medication and that your chest pain has significantly reduced. Itâs reassuring that your symptoms are improving, but an elevated PCT could sometimes be linked to cardiovascular risks, particularly if there are clotting or bleeding concerns. In your case, the raised PCT level might need further evaluation, especially since it can sometimes indicate an underlying issue in the bone marrow or an inflammatory response.
### 2. **Lipid Profile**:
Your cholesterol levels, while improved, still show areas that need attention:
- **Total Cholesterol (211.4 mg/dL)**: This is slightly above the desirable range (
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- [x] According to your query and sign and symptom you want to know about the cause and Treatment of disease as you have mentioned as above as -
- [x] Please take consultation for better evaluation and best Treatment as it need complete history of patient as personal and family history.
- [ ]
Please follow good life style as
• take plenty of fluid and
• take less spicy and fatty foods and
• take home made food only and
do exercise regularly with yoga and meditation and
• keep positive attitude to fight any disease and any problem of your life .
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HIGH CHOLESTEROL LEVELS
Next Steps
A balanced diet and healthy lifestyle can help manage cholesterol levels and support overall heart health. Consult a healthcare professional for personalized advice.
Health Tips
Here are some cholesterol-lowering foods:
1. Oatmeal: High in soluble fiber, which helps remove excess cholesterol.
2. Fatty Fish: Fatty fish like salmon, mackerel, and sardines are rich in omega-3 fatty acids, which lower triglycerides.
3. Avocados: Rich in monounsaturated fats, which improve overall heart health.
4. Nuts and Seeds: Almonds, walnuts, chia seeds, and flaxseeds are rich in healthy fats and fiber.
5. Fruits: Apples, berries, and pears are high in fiber, antioxidants, and polyphenols.
6. Leafy Greens: Spinach, kale, and collard greens are rich in lutein, which helps lower cholesterol.
7. Legumes: Lentils, chickpeas, and black beans are rich in protein, fiber, and potassium.
8. Tea: Green tea, black tea, and white tea are rich in antioxidants and catechins.
9. Dark Chocolate: Contains flavonoids, which improve blood flow and lower blood pressure.
10. Flaxseed Oil: Rich in alpha-linolenic acid (ALA), which lowers triglycerides.
Remember to also limit or avoid foods that raise cholesterol, such as:
- Saturated and trans fats (red meat, full-fat dairy, processed snacks)
- Refined carbohydrates (white bread, sugary drinks)
- Fried foods and processed meats
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High cholesterol.
Deranged lipid profile.
Avoid coffee and tea in empty stomach.
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