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Overall test report done in Aug
Main abnormal/borderline findings:
• Hemoglobin 11.3 g/dL (low)
• RBC 3.77 million/cumm (low)
• Hematocrit 34.6% (low)
• Total WBC 3,470/cumm (low)
• Vitamin B12 209 pg/mL (low-normal/borderline)
• Vitamin D 25.30 ng/mL (insufficient as per lab)
• HbA1c 5.9% (prediabetes range) with fasting glucose 99 mg/dL
• Total cholesterol 201 mg/dL (borderline high)
• LDL 118 mg/dL (above optimal)
• Total bilirubin 1.9 mg/dL (high)
• Indirect bilirubin 1.5 mg/dL (high)
• Alkaline phosphatase 39 U/L (slightly low)
• Potassium 5.6 mmol/L
• Ultrasound shows 3 uterine fibroids: 23×22 mm intramural, 14×13 mm intramural, and 13×9 mm subserosal.
Relevant history: Height 155 cm, weight 54 kg (BMI ~22.5), mostly vegetarian, physical activity ~30 min 3×/week, and sleep ~4 hours/night. Apart from this, I have a severe pain between the chest area and upper stomach which is there since April, which happens anytime even if I eat or don't eat & bilirubin keeps on increasing every time, please advice something.
Answers (13)
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If you would like to discuss your concern in more detail, please feel free to contact me on WhatsApp at eight six one nine six six nine nine zero six. Alternatively, you can connect with me through the Practo app for a detailed consultation
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If you would like to discuss your concern in more detail, please feel free to contact me on WhatsApp at nine one one nine two five five six nine nine. Alternatively, you can connect with me through the Practo app for a detailed consultation
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Please consult a physician physically for clinical evaluation.
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Your reports are not alarming, they fit three separate small things. The persistently high total bilirubin with a high indirect fraction and completely normal liver enzymes is almost certainly Gilbert's syndrome - a harmless inherited variant that rises when you skip meals, sleep less or get stressed, exactly your pattern. Mild anaemia with low haemoglobin and haematocrit plus low B12 and vitamin D explains fatigue, and HbA1c 5.9 with fasting 99 is prediabetes. The epigastric-to-chest pain since April sounds like acid reflux or gastritis, not the bilirubin.
Next Steps
Get iron studies with ferritin, peripheral smear, reticulocyte count and LDH to confirm the anaemia type, and repeat LFT after a normal-eating day. Start B12 and vitamin D correction, iron if ferritin is low, eat every 4 hours without long fasting, and take a PPI before breakfast for 4 weeks for the burning pain. Book a Practo consult with me and I will go through the whole report set and the prediabetes plan with you.
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You need physical examination
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kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app
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potassium 5.6 needs repeat testing, and a proper evaluation rather than self treatment a consultation can review LFTs, repeat potassium and assess the pain safely.
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Dr. Shaikh Huzaif
General Physician
20 yrs exp
Mumbai
Please consult
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Dr. Gaurav Jaiswal
General Physician
7 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Green leafy vegetables more
Fiber meal
Walk
Do connect and consult
Will help you
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Dr. Ankita Gahlot
Obstetrician
12 yrs exp
Bangalore
Since you already have diagnosed fibroids and known low blood counts, this report reads more like a monitoring check than a new finding. The vitamin D level and blood sugar edging toward the prediabetes range are still worth flagging to your physician at the same visit.
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Anuj Mothsra
General Practitioner
7 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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