Thuis is my report and i have tremors
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cd /tmp/workspace/attachments/98220524-ef6f-4afc-ac41-8111c50fef76/ && python3 -c " import pdfplumber with pdfplumber.open('NAVED_260821_231856.pdf') as pdf: print('Pages:', len(pdf.pages)) for i, page in enumerate(pdf.pages): print(f'--- Page {i+1} ---') text = page.extract_text() print(text) tables = page.extract_tables() for t in tables: for row in t: print(row) "
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causes of hand tremor with elevated liver enzymes low platelets young male
Here's what I found in your report and how it relates to your tremors.
Key findings in the report (Mr. Naved, 23M, District Hospital Ayodhya, 21-Aug-2026)
Abnormal:
| Test | Result | Normal range | Flag |
|---|---|---|---|
| Platelet Count | 83,000/mm³ | 150,000-400,000 | Low (thrombocytopenia) |
| MPV | 13.1 fL | ~7.5-11.5 typical | High |
| PDW | 18.8% | 10-17 | High |
| PCT | 0.11% | 0.15-0.62 | Low |
| LPCR | 51.1% | 13-43 | High |
| SGOT (AST) | 41.3 IU/L | 0-40 | Mildly high |
| SGPT (ALT) | 73.9 IU/L | 0-45 | High |
| Serum Cholesterol | 261 mg/dL | 130-200 | High |
| Serum Creatinine | 0.66 mg/dL | 0.8-1.3 | Slightly low (not concerning) |
Normal: Hemoglobin, TLC, kidney panel (urea/calcium), triglycerides, HDL/LDL, random glucose (129, non-fasting), Vitamin D (76.4, normal), Active B12 (124, normal-high), Anti-CCP (1.2, negative for rheumatoid arthritis).
Does anything here explain the tremors?
Not directly, and that's the important point.
- Nothing classic for tremor is abnormal here. Vitamin B12 is normal (deficiency is a known tremor/neuropathy cause), calcium is normal (low calcium causes tremor/tetany), and blood sugar is in range.
- The single most useful test for a new tremor - thyroid function (TSH, free T4) - was NOT ordered. Hyperthyroidism is one of the most common medical causes of fine hand tremor in a young adult, and it wouldn't show up on any test in this panel. I'd flag this as the top thing to check next.
- Your liver enzymes (AST/ALT) are elevated, and cholesterol is high, which together often point toward fatty liver, alcohol use, or a viral/metabolic cause. Significant liver dysfunction can cause a coarse "flapping" tremor (asterixis), but that usually only happens with more advanced liver impairment (encephalopathy) - your bilirubin, albumin, and total protein are normal, so your liver is likely mildly affected, not failing. Still worth having a doctor look at.
- Your platelet count is notably low (83,000) along with abnormal platelet indices (high MPV/PDW/LPCR, low PCT). This is unrelated to tremor itself, but it is the most clinically significant abnormality on this report and needs its own workup (repeat CBC with peripheral smear to rule out lab artifact/clumping vs. true thrombocytopenia from viral infection, autoimmune process, marrow issue, or splenic cause).
What I'd recommend
- See a doctor soon (this week) - mainly to investigate the low platelet count, not just the tremor. A combination of thrombocytopenia + new tremor + elevated liver enzymes in a young adult should be evaluated in person rather than worked up piecemeal.
- Ask for a thyroid panel (TSH, free T4/T3) - this is the missing piece most likely to explain an isolated tremor.
- Mention any other symptoms: weight change, palpitations, sweating, anxiety, caffeine/stimulant or alcohol use, any new medications, family history of tremor - these help distinguish essential tremor, anxiety-related tremor, hyperthyroid tremor, or a liver-related cause.
- Repeat CBC with peripheral smear to confirm the platelet count is real (not a lab artifact from clumping, which is common and can falsely lower automated platelet counts).
I'm not able to give you a diagnosis from a lab report alone - tremor has many possible causes (essential tremor, anxiety, thyroid disease, medication/caffeine, low blood sugar episodes, early liver dysfunction, or a neurological cause), and the one test most likely to explain it wasn't part of this panel. Please don't wait on the thrombocytopenia finding - get that confirmed and evaluated by a physician promptly.
Thats my previous report
Running Command
cd "/tmp/workspace/attachments/98220524-ef6f-4afc-ac41-8111c50fef76/" && python3 -c " import pdfplumber with pdfplumber.open('NAVED KHAN-1.pdf') as pdf: print('Pages:', len(pdf.pages)) for i, page in enumerate(pdf.pages): print(f'--- Page {i+1} ---') text = page.extract_text() print(text) "
Good, this gives real context. Comparing your 29-Jun-2026 report (previous) with the 21-Aug-2026 one (recent), about 8 weeks apart:
Side-by-side comparison
| Test | 29-Jun-2026 | 21-Aug-2026 | Trend |
|---|---|---|---|
| Platelet Count | 1.23 Lac (123,000) | 0.83 Lac (83,000) | Falling |
| MPV / PDW / LPCR | 13.1 / 17.9 / 50.8 | 13.1 / 18.8 / 51.1 | Stable, both high |
| SGOT (AST) | 34.0 | 41.3 | Rising |
| SGPT (ALT) | 24.0 | 73.9 | Rising (~3x) |
| Cholesterol | 260.7 | 261.1 | Stable, high both times |
| Triglycerides | 325.4 | 142.7 | Improved |
| Vitamin D | 8.1 (deficient) | 76.4 (normal) | Corrected |
| Active B12 | 107 | 124 | Normal both |
| T3 / T4 / TSH | 1.17 / 7.53 / 2.35 (all normal) | not repeated | Normal in June |
| RF-Quant / Anti-CCP | 16.5 (normal) / <0.5 (negative) | not repeated / 1.2 (negative) | Normal/negative both |
| HBsAg / HCV | Non-reactive | not repeated | Negative |
| PSA (free/total) | Normal | not repeated | Normal |
What this changes about the tremor question
- Thyroid is ruled out (for now). Your June T3/T4/TSH were all normal, so hyperthyroidism - one of the most common medical causes of fine tremor - is unlikely to be the explanation, at least as of two months ago. If the tremor started or worsened recently, it would still be reasonable to recheck TSH, since thyroid function can shift over weeks to months.
- Calcium, B12, and glucose are normal in both reports - so the classic metabolic/nutritional causes of tremor still don't explain it.
- Vitamin D deficiency was severe in June (8.1 ng/mL) and is now normal (76.4) - likely you were started on supplementation. Severe vitamin D deficiency rarely causes a true tremor on its own, but can contribute to muscle irritability/weakness if calcium was also affected (it wasn't, calcium was normal both times).
The two findings that actually matter here
- Your platelet count is trending down - 123,000 to 83,000 in 8 weeks - not just a one-off low value. A one-time low platelet count is often lab artifact (clumping), but a falling trend over two months is more concerning and should not be dismissed. This needs a repeat CBC with peripheral smear now, and if confirmed, follow-up for causes (viral infection, autoimmune process, marrow production issue, splenic sequestration).
- Your ALT has roughly tripled (24 to 74 IU/L) while AST also rose (34 to 41). This is a real trend, not noise, especially with your cholesterol/triglycerides also elevated (metabolic fatty liver is a plausible driver, but this should be confirmed, not assumed). Hepatitis B/C were negative in June; worth asking your doctor whether to recheck given the enzyme rise, and consider an abdominal ultrasound to check for fatty liver.
Neither of these two findings classically causes a fine tremor by itself, but taken together (declining platelets + worsening liver enzymes + persistent high cholesterol in a 23-year-old) they point to a systemic issue worth a proper in-person workup rather than piecing it together from reports. I'd bring both PDFs to your doctor and specifically ask for:
- A repeat CBC + peripheral smear (to confirm the platelet trend)
- Liver ultrasound and repeat LFTs
- A repeat thyroid panel if the tremor is new or worsening
- A general exam to characterize the tremor itself (resting vs action tremor, symmetric or one-sided, any anxiety/caffeine/medication link) - this determines whether it's benign (essential tremor, anxiety, caffeine) or needs neurological workup.
I can't tell you what's causing the tremor from these labs alone - the report data doesn't point to one clear culprit, but it does flag two trends (platelets, liver enzymes) that deserve follow-up regardless of the tremor.
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