Download FREE Practo app
Get ₹200 HealthCash
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 (6)
Get your queries answered instantly with Care AI FREE
20000+ health queries resolved in last month
Please consult a physician physically for clinical evaluation.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Didn't find the answer you are looking for?
Talk to experienced doctor online and get your health questions answered in just 5 minutes.
+181
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.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
You need physical examination
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
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.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Articles you may like
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
The question asked on this page is a free question. You can ask a free health question by downloading the Practo app.
Articles you may like
Tell us what's troubling you
Tell us what's troubling you
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.