IMG-20260715-WA0011.jpg
IMG-20260715-WA0012.jpg
Analyse this report
analyse_media
analyse_media
Here is the full analysis of Asif's lab report from Rahila Medical Lab (dated 01-Jul-2026):
Patient: ASIF | 34 Years, Male
🔴 ABNORMAL RESULTS (Flagged)
Liver Function Tests
| Test | Result | Normal Range | Status |
|---|---|---|---|
| Bilirubin Total | 0.82 mg/dl | 0.2 - 1.1 | ✅ Normal |
| SGPT (ALT) | 64 U/L | 5 - 42 | 🔴 HIGH |
| SGOT (AST) | 52 U/L | 5 - 40 | 🔴 HIGH |
| Alkaline Phosphatase | 254 U/L | 65 - 306 | ✅ Normal |
Interpretation: Both liver enzymes (ALT and AST) are elevated. ALT is ~52% above the upper limit, and AST is ~30% above. This suggests active liver inflammation (hepatitis). The elevation is mild-to-moderate, not severe. Possible causes include viral hepatitis, H. pylori-related systemic inflammation, typhoid, fatty liver, or medication effects.
Serology Report
| Test | Result | Interpretation |
|---|---|---|
| Typhidot IgG | Negative | No past typhoid infection |
| H. Pylori | Positive | 🔴 Active H. Pylori infection |
| Typhidot IgM | Negative | No acute typhoid |
Interpretation: H. Pylori is positive - this is a bacterial stomach infection. It commonly causes gastritis, peptic ulcers, and stomach pain. It requires a specific antibiotic regimen (triple or quadruple therapy). Typhoid is ruled out (both IgG and IgM negative).
Haematology (Blood Complete Count)
| Test | Result | Normal Range | Status |
|---|---|---|---|
| Haemoglobin | 13.1 g/dl | 13 - 18 | ✅ Low-normal (borderline) |
| WBC (TLC) | 10.4 x10³/uL | 4 - 11 | ✅ Normal (upper limit) |
| ESR | 46 mm/hr | 1 - 10 | 🔴 HIGH |
| Total RBC | 4.8 x10⁶/uL | 4.5 - 6.5 | ✅ Normal |
| HCT (PVC) | 38.8% | 38 - 52 | ✅ Low-normal |
| MCV | 95.2 fL | 80 - 96 | ✅ Normal |
| MCH | 25.3 pg | 27 - 32 | 🔴 LOW |
| MCHC | 33.1% | 30 - 35 | ✅ Normal |
| Platelets | 366 x10³/uL | 150 - 450 | ✅ Normal |
ESR is significantly elevated (46 vs normal 1-10). This is a non-specific but important marker of active inflammation or infection in the body - consistent with H. Pylori infection and elevated liver enzymes.
MCH is low (25.3 vs 27-32), suggesting red blood cells are carrying less hemoglobin than normal. Combined with borderline-low hemoglobin, this points toward early iron-deficiency or nutritional deficiency.
Differential Leucocyte Count
| Test | Result | Normal | Status |
|---|---|---|---|
| Neutrophils | 61% | 40 - 75 | ✅ Normal |
| Lymphocytes | 35% | 20 - 45 | ✅ Normal |
| Monocytes | 3% | 2 - 10 | ✅ Normal |
| Eosinophils | 1% | 1 - 6 | ✅ Normal |
| Basophils | 0% | < 1 | ✅ Normal |
Blood Glucose & Malaria
| Test | Result | Status |
|---|---|---|
| Glucose Random | 100 mg/dl | ✅ Normal (< 160) |
| Malarial Parasite | Negative | ✅ Clear |
Summary & Key Concerns
-
H. Pylori Positive - The most actionable finding. Requires treatment with a doctor-prescribed antibiotic regimen (typically 10-14 days). Left untreated, it can lead to ulcers and gastric complications.
-
Elevated Liver Enzymes (ALT/AST) - Mild hepatitis picture. The H. Pylori infection itself may partially contribute, but further workup (Hepatitis B/C serology, ultrasound abdomen) may be advisable.
-
High ESR - Confirms an ongoing inflammatory or infective process in the body. Should normalise once the underlying cause is treated.
-
Low MCH with borderline Hb - Mild hypochromic picture. Iron studies (serum ferritin, serum iron) may help clarify if iron deficiency is present.
Important: This analysis is for informational purposes only. Please consult a qualified physician - ideally a gastroenterologist or general physician - who can correlate these findings with Asif's symptoms, prescribe H. Pylori treatment, and decide whether further tests (hepatitis panel, liver ultrasound, iron studies) are needed.
What is the main diagnosis
Based on the lab results, the main diagnosis is:
H. Pylori Infection (Helicobacter pylori)
This is the clearest, most direct finding - the serology test came back positive.
H. Pylori is a bacterial infection of the stomach lining. It explains several of Asif's other abnormal results:
- High ESR (46) - the body is fighting an active infection
- Elevated ALT/AST - H. Pylori can cause systemic inflammation that affects the liver
- Borderline low hemoglobin & low MCH - chronic H. Pylori infection interferes with iron absorption, leading to mild anaemia over time
What this means practically:
- He likely has gastritis (stomach inflammation) caused by the bacteria
- He may be experiencing symptoms like stomach pain, bloating, nausea, or acidity
- Treatment is needed - a doctor will typically prescribe a 10-14 day course of 2 antibiotics + a proton pump inhibitor (e.g., Amoxicillin + Clarithromycin + Omeprazole)
- After treatment, a follow-up test confirms the bacteria is cleared
What is NOT the diagnosis:
- Typhoid - ruled out (both IgG and IgM negative)
- Malaria - negative
- Diabetes - blood glucose is normal
- Severe liver disease - enzyme elevation is mild, not at a dangerous level
Asif should see a physician or gastroenterologist promptly for H. Pylori treatment, as leaving it untreated raises the risk of peptic ulcers and long-term stomach damage.
This is a shared conversation. Sign in to Orris to start your own chat.