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Dr Anil Kumar
Dr Anil Kumar, Doctor
Category: Medical
Satisfied Customers: 14932
Experience:  M.D with over 30 years of experience in practice.
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I have just had blood test yesterday and says that I need to

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I have just had blood test yesterday and says that I need to speak to my GP but cannot get through, is all okay?

Hello and thanks for trusting me to help you. I am a board-certified consultant with over 30 years of experience.

NOTE - All phone call requests are auto-generated and you may ignore these requests. Communicating through text chat is just fine with me.

We can continue our conversation now through text in this reply forum.
Please provide more information regarding your question so I can help you in detail.

What are your age and gender?

Please upload your blood reports to review.

What are your symptoms?

Any medical history?

Are you taking any medications?

Since how long have you been suffering?

Waiting for your response.
Thanks.

Customer: replied 21 days ago.
Good morning, just some history. I had abdominal pain last year ended up with gallbladder being removed in March. Since then still have some pain and a lot of belching. Had colonscopy last year all clear, endscope recently all good but a few polyps in stomach but nothing alarming. Recent Ultrasound was good but showed cyst on liver and some fat. Been diagnoised with IBS currenltly on 40g pantoprazole and just started taking 10mg of amitriptyline in the evenings. Blood test in summer showed I had raised colestrol and this was a follow up blood test yesterday which said abnormal results need to speak to doctor..
Customer: replied 21 days ago.
2 Nov 2020
Dr Parveen Masud (Clinical Practitioner Access Role)
St George's Medical Practice (General Practice)
Test result
Serum amylase level;Full blood count;Serum ferritin level;Serum lipid levels;Liver function tests;Urea and electrolytes;eGFR using creatinine (CKD-EPI) per 1.73 square metres Report, Abnormal, but expected, Need to speak to doctor (Patient Informed)Coded entry
Lymphocyte count (42M..) 2.15 10^9/L [1 - 4.5]Coded entry
Monocyte count - observation (42N..) 0.39 10^9/L [0.2 - 0.8]Coded entry
Mean platelet volume (42Z5.) 7.9 fLCoded entry
Neutrophil count (42J..) 2.06 10^9/L [1.7 - 7.5]Coded entry
Eosinophil count - observation (42K..) 0.07 10^9/L [0 - 0.4]Coded entry
Serum lipid levels (XE2q7) Information about this testCoded entry
Serum cholesterol level (XE2eD) 4.6 mmol/L Information about this testCoded entry
Basophil count (42L..) 0.02 10^9/L [0 - 0.1]Coded entry
Serum ferritin level (XE24r) 177 ng/ml [15 - 300] Information about this testCoded entry
Haemoglobin concentration (Xa96v) 167 g/L [130 - 180] Information about this testCoded entry
Total white blood count (XaIdY) 4.7 10^9/L [4 - 11] Information about this testCoded entry
Serum amylase level (XM14L) 114 iu/L [28 - 100] Information about this testCoded entry
Full blood count (424..) Information about this testCoded entry
Platelet count - observation (42P..) 204 10^9/L [150 - 400] Information about this testCoded entry
Mean cell volume (42A..) 88.8 fL [80 - 100]Coded entry
Mean cell haemoglobin level (XE2pb) 30.8 pg [27 - 32]Coded entry
Haematocrit (X76tb) 0.48 [0.4 - 0.52] Information about this testCoded entry
Red blood cell count (426..) 5.44 10^12/L [4.5 - 6.5] Information about this testCoded entry
Urea and electrolytes (X77Wi) Information about this testCoded entry
Serum sodium level (XE2q0) 141 mmol/L [133 - 146] Information about this testCoded entry
Serum total bilirubin level (XaERu) 10 umol/L [0 - 21] Information about this testCoded entry
Serum alanine aminotransferase level (XaLJx) 17 iu/L [0 - 50] Information about this testCoded entry
Serum potassium level (XE2pz) 4.3 mmol/L [3.5 - 5.3] Information about this testCoded entry
eGFR using creatinine (CKD-EPI) per 1.73 square metres (XacUK)Coded entry
eGFR using creatinine (CKD-EPI) per 1.73 square metres (XacUK) 79 mL/min [60 - 250]Coded entry
Serum urea level (XM0lt) 4.3 mmol/L [2.5 - 7.8] Information about this testCoded entry
Serum creatinine level (XE2q5) 103 umol/L [59 - 124] Information about this testCoded entry
Serum LDL cholesterol level (44P6.) 2.72 mmol/L [0 - 3] Information about this testCoded entry
Serum cholesterol/HDL ratio (XaEUq) 4.7 mmol/mmol Information about this testCoded entry
Serum triglyceride levels (XE2q9) 1.97 mmol/L [0.6 - 2.3] Information about this testCoded entry
Serum HDL cholesterol level (44P5.) 0.98 mmol/L [0.9 - 3] Information about this testCoded entry
Liver function tests (X77WP) Information about this testCoded entry
Serum globulin level (XE2eB) 26 g/L [20 - 35]Coded entry
Serum alkaline phosphatase level (XE2px) 70 iu/L [30 - 130] Information about this testCoded entry
Serum total protein level (XE2e9) 74 g/L [60 - 80] Information about this testCoded entry
Serum albumin level (XE2eA) 48 g/L [35 - 50] Information about this test

Please allow me just a few minutes.
I’ll reply to you back soon after reviewing it.

Thanks for your cooperation and patience.

Sorry for the late reply and inconvenience.

Thanks for all this additional information.

I understand your concern.

I reviewed your reports.

I found only Serum Amylase is high and all other parameters are within a normal range.

Still, This level may not be significant as the normal level of amylase varies widely.

In acute pancreatitis, the level of amylase rises about 4 - 6 times above normal.

This needs to be correlated with other symptoms or tests.

It is advised to take fat -free diet.
You should avoid caffeine, peppermint, chocolate, smoking.
You should eat fruits, veggies, wheat bran, and whole-grain(unrefined) products.
You should increase Vegetable Protein (especially soy protein ), foods containing Pectin (Apples), and foods containing Cellulose (Celery and Crisp Fruits & Vegetables).
You should avoid saturated fat intake, animal meat, all white flour products, and artificial food additives.
In the meantime, you should take OTC Simethicone, Metamucil, and Prilosec.
Also, keep yourself hydrated with plenty of fluids.

Let me know if you have any further queries so we can discuss it thoroughly in every aspect.

It’s my pleasure to continue this conversation until you satisfy.

Waiting for your response.

Thanks.

Customer: replied 21 days ago.
My serum amylase has generally been just above borderline at each blood test, thankfully never a massively high difference. Sadly my father in law passed away from pancreatic cancer last year and that has always been my concern but his readings were off the chart. So you feel it is something to do with the pancreas?

Thanks for replying back.
I understand your concern.

Consider a specific diet.

https://www.healthline.com/health/pancreatitis-diet

Be physically active.

Lose weight.

And see your doctor for a clinical correlation.

I am happy to answer follow-up questions - please do get in touch with extra information or further queries and I will do my best to help you.

Customer: replied 21 days ago.
Ok great, that's some good news then. I'm trying to watch what I eat after they said my colestrol was raised, so have started cutting out diary from my diet, trying to drink more water, eat fruit extra and cut out all the naughty stuff!

Yes, consider dietary and lifestyle modifications.

I wish you good health.
Welcome.
Kind Regards
Dr.Anil

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