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Palpitation and liver issue
Hi Senior Doctor, I have some palpitation issue, so I have done ECG, kindly look into it. My pulse rate is always constant above 100, during some anxiety moment, it goes beyond 120. Further, I have done my blood test result whereby liver enzymes are elevated: SGPT (ALT): 83.9 U/L (normal
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Take ecg echo tmt..spirometry test..hb..bre rft lft ure
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Kindly consult for better treatment and management , need more history and information from you ..
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Need full pic of ecg connect with me through practo for proper evaluation and treatment
Next Steps
do cbc ,Thyroid profile
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Your ECG shows sinus tachycardia at around 111 bpm — the rhythm is normal but the rate is fast. The most important next step is to find the cause: anxiety can explain this, but hyperthyroidism is a key medical cause to rule out that also explains elevated liver enzymes. Your blood results show a concerning metabolic picture: elevated liver enzymes suggest fatty liver, HDL of 34.9 is very low, LDL and triglycerides are borderline high, and fasting sugar of 101.5 is in the pre-diabetes range. Together, this is consistent with early metabolic syndrome and needs active management.
Next Steps
Get TSH urgently to rule out hyperthyroidism. Also do CBC to rule out anemia. Lifestyle changes (diet, exercise, weight management) are essential for the fatty liver and lipid issues. Please consult me directly on Practo for a detailed evaluation.
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It would have been great if you had sent full picture of ECG. Your heart rate is 111 as per report. Sometimes ECG reports may go wrong. Heart rate is high in many occasions. It can be from 1. Anemia 2. Hyperthyroidism 3. Fever 4. After physical activity or exertion 5. Many other Heart related issues 6. Kidney related issues 7. Anxiety etc...etc... Reason varies from person to person. You should consult a doctor and run some tests
Next Steps
feel free to consult me on practo for further evaluation and management
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Need few more details for proper understanding of your issue. You can consult with me online on Practo or whatsapp on eight three one eight four six nine eight eight six for proper diagnosis, conclusion and management
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In case you are consuming alcohol, you have to cut down or stop
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Your lipid profiles are borderline can be manage with dietary control and medication prior to start
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Repeat exg
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You should consult Need some more history from your side to give you better treatment plan and advice on your case Kindly do connect and consult with me
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Need a full medical report kindly consult with me
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Your complete ecg not seen. Get Haemoglobin, thyroid function tests done for the high heart rate to exclude anemia, hyperthyroidism.   For now you can take tab ciplar 10mg daily for the fast heart rate.Please share detailed history of your symptoms  and Test results,  then I can help you to heal.
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Alcohol and smoking habits ? Any weight loss , thyroid illness, need a detailed history
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ECG picture needed Do some Lifestyle modifications have leafy green, fruits and exercise Do you have history of smocking or alcohol?
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Full ECG report
Next Steps
lifestyle modifications
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Need full ECG Any alcohol history?? Thyroid disease history???
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No worry.lifestyle modifications needed only.
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occupation history ? DIABETIC HISTORY? You will drink alcohol and smoking ? I need a mode of detailed history ? Report the ECG
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Cipla la20 one after breakfast  when u feel palpitations. CHANGE LIFE STYLE N DIET PLAN DRASTICALLY FIRST  SO LIVER ENZYME  SETTLE  SLOWLY. MENTION  COMPLAINT,  ENZYME RAISED  DUE TO EATERY HABITS. WITHOUT COMPLAINT  NO MEANING  BUT CHANGE STOP PROGRESS.
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Hi, Proper evaluation and personalised advice needed, a detailed consultation would be best. Feel free to consult me for further guidance.
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Plz provide full picture of ecg and I want detailed history plz consult
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Need a few more details please consult for further evaluation and treatment
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Check Thyroid profile.
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Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Get Repeat ECG done and do one CBC test and consult to any physician no need to worry about SGOT and GGT it will get better, and for cholesterol levels do follow diet no need to start any medicine as of now
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Need a complete ecg view
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Avoid fried and spicy food Water intake more Green leafy vegetables more Fiber meal Do connect and consult
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.