Please review report.

2025-11-25 07:34:55
Hi doctor I have done some routine test as I feel pressure and pain like under breast right side chest, also burps when drink more water. No breathing issues. Please advise. Age 38 Male Non smoke & non alcoholic Escalated parameters CBC (Blood Test) MCV: 75.1 fL MCH: 23.9 pg RDW-CV: 16.6% 2. ESR ESR: 27 mm/hr 3. HbA1c HbA1c: 5.8% 4. Liver Function GGT: 181 U/L Alkaline Phosphatase: 119 U/L 5. Kidney / Metabolic Uric Acid: 7.7 mg/dL Potassium: 5.06 mEq/L 6. Inflammation Marker CRP: 3.30 mg/L
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Answered2025-12-03 15:20:48

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Take lots of fluids.. may be due to gastritis. Do a USG whole abdomen.. review with reports

Answered2025-11-26 12:46:57

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Cut down on potassium containing foods. Rest will be fine. Go for ECG. Kindly consult with me on 94 two six 86 seven eight 96.

Answered2025-11-26 08:05:35

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Gastritis Avoid spicy foods Avoid coffee and tea in empty stomach Use more of curd and butter milk

Answered2025-11-26 05:37:06

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Please send full CBC report. You can have anemia due to gastritis. Take tab Pan40 1tab odac for 7 days If pain do not subside, please consult. Your lft is slightly deranged,  it can be some gall stone.
Next Steps
send full report of cbc. Take a consult.
Health Tips
drink 4-5 lit water.

Answered2025-11-26 05:18:55

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Lft deranged. Other reports quite good.  Change life style n diet plan drastically first.  Gas Tab nexpro RD40 ONE IN EMPTY STOMACH FOR ten days.

Answered2025-11-26 05:14:48

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Avoid fried and spicy food Water intake more. Do connect and consult

Answered2025-11-26 04:02:26

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You can consult me directly on Practo, or reach out via WhatsApp: Eight Seven Six Two Seven Four Nine Nine Seven Four I’ll guide you step-by-step with easy-to-follow treatment plans. Early consultation helps avoid complications — feel free to connect. Only whatsapp message no calls

Answered2025-11-25 15:59:02

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Need few more details for proper understanding of your issue. You can consult with me online on Practo or whatsapp on eight three one eight four six nine eight eight six for proper diagnosis, conclusion and management

Answered2025-11-25 15:08:27

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Do USG breast.

Answered2025-11-25 13:32:21

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Can help you, kindly consult and provide detailed history for proper diagnosis and further management

Answered2025-11-26 23:54:24

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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.

Answered2025-11-26 07:40:56

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