Hello,

Thank you for choosing DoctorSpring.

I can see that there are two consults from your email ID with overlapping information. Could you please clarify ? Are you asking for the same person / or are they two different consults ? I can see an investigation report attached of a 51 year old patient. Am I supposed refer that for this query ?

Thank you

Hello,

Thank you for the clarification.

I have gone through your report and understand your concern.
Your lymphocytes, eosinophils, ESR are slightly on the higher side. This is not a concern. WBCs (white blood cells) are supposed to go up and down during minor inflammations and infections :

The Random blood sugar is non specific. You will need to get a Fasting Blood Sugar

What is concerning is the altered liver function values :
You have a high and SGOT and SGPT (which represents the liver function )
This might require further evaluation.

I would like to know

1) Alcohol intake history -
2). Any medical illness , infections recently ?
3) Any history of jaundice in the past ?
4) Body weight and Height
5) Any medications ?

I will suggest further investigation in the followup email
Thank you

The patient has several factors which can result in the raised SGPT and SGOT. - Alcohol intake, Medications, possible metabolic syndrome.
The fatty liver could be an early sign of cirrhosis (both will manifest similarly in the ultrasound) . Patient cannot afford to drink alcohol any further. If so, it might lead on to irreversible liver damage. So as first step stop the alcohol intake. Repear the LFT after 1 month.

He also needs to do the following tests :

Thyroid function test
HBsAg
Anti HCV.
Fasting Blood Sugar
H1AbC

You can followup with your Doctor or me.

Thank you