1. Chest/upper abdominal pressure after drinking water, burping
This is not cardiac.
Your symptoms are classic for:
→ GERD + Gastric Distension + Gas Reflux
Especially:
• Right-sided chest pressure
• Burping after water/food
• Mild discomfort under right rib
This fits stomach and
liver area irritation, not heart disease.
Your ECG is normal (you did not mention issues), and you have no breathing problems, which is reassuring.
2. Interpretation of Your Abnormal Test Results
CBC
• MCV 75.1 (low)
• MCH 23.9 (low)
• RDW 16.6 (high)
Suggests early iron-deficiency anemia or possible thalassemia trait.
(Usually due to long-standing acidity/poor absorption.)
ESR = 27 mm/hr
Mildly raised.
Seen in:
• Minor inflammation
• Gastritis
• Fatty liver
• Mild infection
This is not dangerous.
HbA1c = 5.8%
Prediabetes
Not
diabetes, but you need:
• Weight control
• Low-carb diet
• Walking 30–40 min daily
GGT = 181 (high)
ALP = 119 (mild high)
This pattern is typical of:
→ Fatty liver + Gastritis + High bile reflux
Especially in people who are:
• Pre-diabetic
• Overweight
• High-carb diet
• Sedentary
• Taking acidity/gas medicines repeatedly
No sign of dangerous liver disease (AST/ALT normal).
Uric Acid = 7.7 mg/dL
High.
Causes:
• High protein
• Dal, rajma, chana
• Dehydration
• Sedentary lifestyle
• Prediabetes
You should reduce purine foods for a few weeks.
Potassium = 5.06
Borderline high.
Usually due to:
• Dehydration
• Lab variation
• Diet high in bananas/coconut water
Not concerning unless above 5.5.
CRP 3.3 (mild elevation)
Shows minor inflammation, commonly due to:
• Fatty liver
• Gastritis
• Acidity
• Recent viral infection
Not dangerous.
Next Steps
Treatment Plan (Simple & Effective)
A. For chest discomfort / burping / acidity
• Pantoprazole 40 mg + Domperidone → morning empty stomach for 14 days
OR
• Penta DSR (if already taking)
• Avoid drinking large amounts of water at once
Take smaller sips.
• Syp. Gelusil / Digene 10 ml when burping is bad.
B. For fatty
liver
• Stop junk, fried, sugary, bakery foods
• Cut down rice/roti quantity
• Start 20–30 minutes brisk walk daily
• Reduce late-night eating
GGT improves within 4–6 weeks.
C. For iron-deficiency pattern
• Start Iron syrup/tablet daily for 6–8 weeks
•
Vitamin C with meals
• Check stool for hidden blood (if required)
• Reduce tea/coffee (block iron absorption)
D. For high
uric acid
Avoid:
• Red meat
• Organ meat
• Too much dal, rajma, chole
• Alcohol
• Soft drinks
Increase:
• Water intake
• Lemon water
• Fruits (except banana in excess)
If persistent: Febuxostat/Allopurinol (doctor-guided).
E. For prediabetes
• Walk daily
• Reduce
sugar
• Reduce roti/rice portions
• Start weight control
You can reverse
HbA1c in 2–3 months.
Health Tips
When to Worry
Seek medical attention if:
• Pain becomes severe
• Vomiting
• Jaundice
• Dark urine
• Fever
• Weight loss
Right now you have none of these.