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Burging after urination and varicossel vains and following
What is the reason for following
Test values
CARDIAC RISK MARKERS
Homocysteine: 24.59 µmol/L
(Bio Ref Interval: < 15)
COMPLETE HEMOGRAM
Mean Corp Hemo Conc (MCHC): 30.7 g/dL
(31.5 – 34.5)
Monocytes – Absolute Count: 0.1 ×10³/µL
(0.2 – 1.0)
Plateletcrit (PCT): 0.17 %
(0.19 – 0.39)
Red Cell Distribution Width (RDW-CV): 14.4 %
(11.6 – 14.0)
Red Cell Distribution Width – SD (RDW-SD): 51.5 fL
(39 – 46)
Total Leukocyte Count (WBC): 3.83 ×10³/µL
(4.0 – 10.0)
DIABETES
Average Blood Glucose (ABG): 82 mg/dL
(90 – 120)
Blood Ketone (D3HB): < 0.2 mg/dL
(0.21 – 2.81)
Fructosamine: 293.08 µmol/L
(< 286)
LIPID
HDL / LDL Ratio: 0.32
(> 0.40)
LDL Cholesterol – Direct: 125 mg/dL
(< 100)
LIVER
Bilirubin (Indirect): 1.53 mg/dL
(0 – 0.9)
Bilirubin – Total: 1.81 mg/dL
(0.3 – 1.2)
Bilirubin – Direct: 0.28 mg/dL
(0 – 0.20)
RENAL
Cystatin C: 1.06 mg/L
(≤ 1.03)
VITAMIN
Vitamin D Total: 21.52 ng/mL
(30 – 100)
Answers (11)
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Need few more details for further evaluation. Kindly consult
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No relation with burning n varicose.
Vit d3 is low
Uprise d60k once a week for eight weeks followed by one per month for six months.
Attach report to the th
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I totally understand your concern. Before suggesting treatment, I would like to ask a few questions to ensure the correct management can be provided.
Contact me on Practo or WhatsApp chat.
92469306sevenfour
Dr. Harichandana,
MBBS, MD (General medicine)
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Results are not treated, share what symptoms you have, then I can help you.
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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 detailed free discussion
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Your main symptoms are burning after urination + varicose veins (likely in legs), along with the blood test abnormalities:
• Mildly elevated homocysteine (24.59) → linked to vascular issues, possible B-vitamin deficiency (B6, B9/folate, B12).
• Slightly low MCHC, low monocytes, low-normal WBC, mildly high RDW → mild nutritional/anemia tendency or inflammation.
• High LDL (125) + low HDL/LDL ratio → increased cardiovascular risk.
• Mildly elevated bilirubin (mostly indirect) → often Gilbert’s syndrome (harmless) or mild hemolysis/liver stress.
• Vitamin D low-normal (21.52).
Burning after urination is most likely a separate issue — usually urinary tract infection (UTI), urethritis, prostatitis (especially with mild prostatomegaly from earlier USG), bladder irritation, or stones (you had tiny kidney microliths). Varicose veins themselves do not cause burning urination — they are two different problems.
The varicose veins may be contributing to leg discomfort/swelling, and the high homocysteine + lipid issues suggest overall vascular/endothelial stress, which can worsen vein problems over time.
Next Steps
1. For burning after urination — See a urologist or general physician soon (within a few days):
• Urine routine + culture test (to check for infection).
• If needed, ultrasound prostate or post-void residual urine.
• Start treatment (antibiotics if infection, or other meds like alpha-blockers if prostate-related).
2. For varicose veins — Consult a vascular surgeon or phlebologist:
• Doppler ultrasound of legs to assess severity and reflux.
• Treatment: compression stockings, lifestyle, or procedures (sclerotherapy/laser) if symptomatic.
3. For blood abnormalities — See your general physician or endocrinologist (if already following for thyroid):
• Check Vitamin B12, folate, and B6 levels (high homocysteine often due to deficiency).
• Repeat lipid profile after 2–3 months of diet/exercise.
• Optimize thyroid dose if TSH not ideal (hypothyroidism can affect lipids/homocysteine).
• Consider low-dose aspirin or statin if cardiovascular risk is high (doctor decides).
Health Tips
• Drink plenty of water (3+ liters/day) — helps both burning urination and varicose veins/kidney stones.
• For varicose veins: Elevate legs 15–20 min, 2–3 times/day; wear compression stockings (class 1–2, doctor-fitted); avoid long standing/sitting; gentle walking.
• For burning urination: Avoid spicy food, caffeine, alcohol; urinate after intercourse if applicable; keep good hygiene.
• Diet to lower homocysteine & LDL: More green leafy veggies, fruits (oranges, berries), whole grains, nuts; less red meat, fried food; consider B-complex supplement after blood test confirmation.
• Take Vitamin D supplement (1000–2000 IU daily) with food — recheck in 3 months.
These issues are manageable with proper care — nothing looks life-threatening right now.
For a complete personalized plan (based on your age, gender, full symptoms, and previous reports), please consult with me online — I can help guide you step-by-step or explain what to discuss with specialists.
Get well soon!
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You can get an urine routine and microscopy with culture and sensitivity. You can have lot of water. You might have an urinary tract infection. And you might require antibiotics and other medications. As the previous doctor pointed you have low vit d levels. You can consult over online in practo if you want to.
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Vit d is lowe side,homocysteine level is increased,its may increase your renal stone risk also.you need to evaluate further ,please consult for further management and evaluation.
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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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