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Abnormal result and symptoms
Attaching my reports
I am very stressed all elevated results I am very
tensed please do help
Googling the symptoms all tends to something serious only
Please do help me what should I do
I have chest pressure and sudden palpitations ,too much anxiety
Answers (9)
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You need to do the following
1. Start Thyronorm 25mcg once a day (this can be gradually increased by your local doctor)*Remember this is life long treatment *
2. Start oral Iron tablets 200mg (of ferrous sulphate) once a day for 6 weeks
3. Repeat blood tests in 4 weeks- CBP, SGOT/SGPT, Hepatitis B and Hepatitis C, TSH and TPO antibodies
You have underactive thyroid (and liver blood tests likely from that) and iron deficiency anaemia (which I suspect would be from your periods).
All the best.
J G S R clinic
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Please continue iron tablets and thyroid medication, and further you need to consult with a general physician.
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I have reviewed your attached reports carefully. The abnormalities seen are mild to moderate and explainable, and none suggest an emergency or life-threatening condition.
Key findings explained simply:
• Hemoglobin 11.4 g/dL → Mild anemia (very common in young females).
• MCV/MCH low → Suggests iron deficiency anemia, which can cause palpitations, chest discomfort, fatigue, and anxiety.
• Liver enzymes (SGOT, SGPT, GGT) mildly elevated → Can be due to stress, recent illness, medications, fatty liver, or lack of sleep. These levels are not dangerously high.
• ESR 30 mm/hr → Mild inflammation; non-specific, commonly elevated in stress, anemia, or minor infections.
• Thyroid (TSH 24.83, Total T4 low) → Hypothyroidism, which can cause anxiety, palpitations, chest tightness, fatigue, and weight/mood changes.
Overall, your symptoms (chest pressure, palpitations, anxiety) are well explained by a combination of anxiety + anemia + untreated hypothyroidism, rather than a serious heart problem.
Next Steps
1. Consult a physician/endocrinologist to start thyroid hormone replacement (levothyroxine).
2. Begin iron supplementation after doctor confirmation (iron deficiency pattern).
3. Repeat LFTs after 4–6 weeks (often normalize with lifestyle correction).
4. Get a baseline ECG for reassurance (very important for anxiety relief).
5. Adequate sleep, hydration, regular meals.
6. If anxiety persists, short-term anti-anxiety support or counseling may help.
Health Tips
• Your reports do NOT indicate cancer, heart attack, or organ failure.
• Hypothyroidism and anemia are treatable and reversible.
• Anxiety can amplify physical symptoms, especially chest sensations.
• Avoid Googling symptoms—it worsens panic.
• Go to ER only if chest pain is severe, crushing, radiating, associated with fainting, or breathlessness not settling.
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Hey, dnt get stressed. Kindly consult with me on 94 two six eight six 78 nine six for proper guidance and treatment.
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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 Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Sohan Kulria
General Physician
5 yrs exp
Firozabad
If you want to discuss your problem in more detail, feel free to message me on WhatsApp at nine one one nine two five five six nine nine for a free detailed discussion*
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