AskDocDoc
/
/
/
I want to know detailed related to health
FREE! Ask a Doctor — 24/7, 100% Anonymously
Get expert answers anytime. No sign-up needed.
Cardiac & Vascular Health
Question #20029
21 hours ago
32

I want to know detailed related to health - #20029

Reyansh

Patient Summary Name: Mahesh Kumar Age/Sex: 50 years, Male Date of Tests: 30 December 2025 Location: Samastipur, Bihar History of Present Problem On 28th December, around 12:00 AM, patient fell suddenly after returning from the toilet. No chest pain, breathing difficulty, or severe headache at that time. Patient has significant mental stress and tension regarding family and children’s future. Taken to a nearby government hospital; blood pressure was nearly normal. Advised overnight observation. Following day, doctor advised 1-week BP monitoring and blood tests. A portable ECG was done at home (report to be shared). Current Medications None Laboratory Findings (Aarogyam Camp Profile + Urine, 30 Dec 2025) 1. Blood Sugar HbA1c: 6.0% (prediabetes; normal < 5.7%) Average Blood Glucose (ABG): 126 mg/dL (slightly high; target 90–120 mg/dL) 2. Lipid Profile Parameter Result Normal Interpretation Total Cholesterol 214 mg/dL < 200 High LDL (Bad) 136.33 mg/dL < 100 High HDL (Good) 30 mg/dL 40–60 Low Triglycerides 245 mg/dL < 150 High Non-HDL Cholesterol 183.4 mg/dL < 160 High Cholesterol/HDL Ratio 7.1 3–5 Raised Triglyceride/HDL Ratio 8.13 < 3.12 High LDL/HDL Ratio 4.5 1.5–3.5 High HDL/LDL Ratio 0.22 > 0.40 Low Overall: Unfavorable lipid profile; high cardiovascular risk 3. Inflammation Markers ESR: 60 mm/hr (very high) CRP: 3.38 mg/L (slightly high) hs-CRP: 3.42 mg/L (high cardiovascular risk) 4. Complete Blood Count (CBC) Hemoglobin: 12.3 g/dL (slightly low) Hematocrit: 36.8% (low) RBC: 4.4 million/µL (slightly low) Platelets: 2.02 lakh/µL (normal) MPV, PDW, PLCR: mildly raised Smear: normocytic normochromic with ovalocytes Overall: Mild anemia 5. Vitamins Vitamin D (25-OH): 11.8 ng/mL (deficient) Vitamin B12: 194 pg/mL (borderline low) 6. Thyroid Profile T3: 177 ng/dL (normal) T4: 6.73 µg/dL (normal) TSH ultrasensitive: 0.089 µIU/mL (low) Interpretation: Suggestive of hyperthyroid pattern; further correlation advised 7. Kidney Function Serum Creatinine: 0.34 mg/dL (slightly low, usually not harmful) BUN: 9.76 mg/dL (normal) eGFR: 140 mL/min/1.73 m² (normal) 8. Liver Function Parameter Result Normal Total bilirubin 0.75 mg/dL 0.3–1.2 Direct bilirubin 0.09 mg/dL 0–0.2 AST (SGOT) 24.74 U/L < 35 ALT (SGPT) 20.61 U/L < 45 Alkaline Phosphatase 89.4 U/L 45–129 Total Protein 6.96 g/dL 5.7–8.2 Albumin 4.07 g/dL – Globulin 2.89 g/dL – A/G Ratio 1.41 – Overall: Liver function normal 9. Iron Profile Serum Iron: 93 µg/dL (normal) TIBC: 329 µg/dL (normal) Transferrin saturation: 28% (normal) 10. Electrolytes Sodium: 135.52 mmol/L (slightly low) Chloride: 98.8 mmol/L (normal) Calcium: 9.1 mg/dL (normal) Uric Acid: 5.4 mg/dL (normal) 11. Cardiac Risk Markers Lipoprotein(a): 3.4 mg/dL (low risk) ApoA1: 93 mg/dL (normal) ApoB: 109 mg/dL (normal) ApoB/ApoA1 ratio: 1.2 (normal) Overall: Apo profile acceptable; standard lipids and hs-CRP indicate increased cardiovascular risk 12. Urine Routine Color: pale yellow, clear Specific gravity: 1.015 (normal) pH: 7 (normal) Protein, glucose, ketone, bilirubin, blood, nitrite, leukocyte esterase: absent Microscopy: 0–5 pus cells/HPF (normal) Overall: Urine normal Summary of Key Findings Prediabetes (HbA1c 6.0%) Unfavorable lipid profile – high LDL, high triglycerides, low HDL High inflammation markers – ESR, hs-CRP Mild anemia Vitamin D deficiency and borderline B12 deficiency Low TSH (possible hyperthyroid pattern) Slight sodium decrease Kidney and liver functions normal Urine normal

FREE
FREE! Ask a Doctor — 24/7,
100% Anonymously
Get expert answers anytime, completely confidential.
No sign-up needed.
CTA image asteriksCTA image

Doctors’ responses

Dr. Arsha K Isac
I am a general dentist with 3+ years of working in real-world setups, and lemme say—every single patient teaches me something diff. It’s not just teeth honestly, it’s people… and how they feel walking into the chair. I try really hard to not make it just a “procedure thing.” I explain stuff in plain words—no confusing dental jargon, just straight talk—coz I feel like when ppl *get* what's going on, they feel safer n that makes all the difference. Worked with all ages—like, little kids who need that gentle nudge about brushing, to older folks who come in with long histories and sometimes just need someone to really sit n listen. It’s weirdly rewarding to see someone walk out lighter, not just 'coz their toothache's gone but coz they felt seen during the whole thing. A lot of ppl come in scared or just unsure, and I honestly take that seriously. I keep the vibe calm. Try to read their mood, don’t rush. I always tell myself—every smile’s got a story, even the broken ones. My thing is: comfort first, then precision. I want the outcome to last, not just look good for a week. Not tryna claim perfection or magic solutions—just consistent, clear, hands-on care where patients feel heard. I think dentistry should *fit* the person, not push them into a box. That's kinda been my philosophy from day one. And yeah, maybe sometimes I overexplain or spend a bit too long checking alignment again but hey, if it means someone eats pain-free or finally smiles wide in pics again? Worth it. Every time.
17 hours ago
5

Hello,

High cholesterol + triglycerides, very low HDL → high heart disease risk

hs-CRP high + ESR very high → body inflammation, vascular risk

Prediabetes (HbA1c 6.0%) should control sugar

He has high cardiovascular risk and possible thyroid issue; the fall could be stress/weakness related but cannot ignore.

🛑See physician/cardiologist soon + repeat thyroid evaluation. Likely need cholesterol medicine + vitamin supplements. Lifestyle: diet control, walking, stress reduction.

Thank you

549 answered questions
50% best answers

1 replies
Anonymous
Client
17 hours ago

Thyroid profile repeated already and got nearly same result

Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
6 hours ago
5

Hello dear See the overall summary of your results shows three things High cholesterol raising concern towards heart health and obesity Low vitamin d showing decreased immunity Low tsh with chances of thryrotoxicosis issues Please follow below precautions for improvement Vitamin d sachet once a week for 2 month Physical exercise must for atleast half an hour Reduce fat intake by 50 percent Zincovit multivitamin therapy onca a day for 1 month In addition please get following tests Serum troponin Serum ferritin Serum tsh repeat Crp repeat Please share the result with general physician medicine for better clarity Regards

1280 answered questions
62% best answers

0 replies
FREE! Ask a Doctor — 24/7,
100% Anonymously

Get expert answers anytime, completely confidential. No sign-up needed.

About our doctors

Only qualified doctors who have confirmed the availability of medical education and other certificates of medical practice consult on our service. You can check the qualification confirmation in the doctor's profile.


Related questions