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Dr. Kaushal  Maheshwari - Pathologist, NOIDA

Dr. Kaushal Maheshwari

88 (35 ratings)
MD - Pathology

Pathologist, NOIDA

13 Years Experience  ·  150 at clinic  ·  ₹100 online
Dr. Kaushal Maheshwari 88% (35 ratings) MD - Pathology Pathologist, NOIDA
13 Years Experience  ·  150 at clinic  ·  ₹100 online
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ONLY PATHOLOGY LAB IN NOIDA OWNED AND SUPERVISED BY MD PATHOLOGIST AND MICROBIOLOGIST...more
ONLY PATHOLOGY LAB IN NOIDA OWNED AND SUPERVISED BY MD PATHOLOGIST AND MICROBIOLOGIST
More about Dr. Kaushal Maheshwari
Dr. Kaushal Maheshwari is a renowned Pathologist in Sector-48, Noida. He has been a successful Pathologist for the last 12 years. He is a qualified MD - Pathology. You can meet Dr. Kaushal Maheshwari personally at PATH INDIA LABORATORY in Sector-48, Noida. Don?t wait in a queue, book an instant appointment online with Dr. Kaushal Maheshwari on Lybrate.com.

Lybrate.com has an excellent community of Pathologists in India. You will find Pathologists with more than 30 years of experience on Lybrate.com. You can find Pathologists online in NOIDA and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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MD - Pathology - ROHTAK MEDICAL COLLEGE - 2004
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English
Hindi

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PATH INDIA LABORATORY

A 116 SECTOR 48 NOIDA Get Directions
  4.4  (35 ratings)
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Natural Remedies To Increase Low Platelet Counts

MD - Pathology
Pathologist, Noida
Natural Remedies To Increase Low Platelet Counts

A number of natural food items have been considered beneficial in increasing low platelet counts. This blog article would be particularly beneficial to patients with dengue and help them decide which food items are beneficial and which items should be best avoided.

1.Papaya leaf juice .There are a lot of articles and you tube videos on how to prepare papaya leaf juice. Most of them are very good, but miss a few basic points that I would like to highlight.

* Take 2- 3 leaves.

* Inspect for any white spots or patches-. This could be fungal infection. Cut these portions from the leaves and throw them in the dustbin.

* Remove the stalk as well.

* Wash the leaves thoroughly with water. This would help to remove the bacteria, germs sticking on the leaves.

* Some people recommend – dipping the leaves in boiling water - , so as to kill germs. I am not in favour of this, as I feel that it would also destroy the beneficial enzymes present in the leaves, as well.

* Now, chop the leaves.

* Crush them using mortar and pestle – so that you get a thick pasty extract.

* Keep this extract in any thin clean cotton cloth, and press vigorously with palms, so that the juice is extracted.

* Collect this juice in a clean container.

* As this juice would be very bitter, add 1 tsp of honey. If you do not have honey, add sugar. Mix and consume.

* Repeat at least twice a day.

* Do not drink water or any other fluid, immediately after for a few minutes.

* Note: 2 leaves without stalk roughly yield 2 tablespoons of extract.

2.Milk

3. Folate rich foods - orange juice, fortified cereals, beans, spinach – In fact spinach juice is best. Prepare by boiling 4-5 leaves of fresh spinach in 2 cups of water for few minutes. Allow it to cool, and mix in half a glass of tomato juice. Drink three times a day.

4.Protein - chicken, oyster

5Cod liver oil and flax seed oil

6. Vitamin A rich foods – carrot, pumpkin and sweet potatoes, beetroot

7. Vitamin K rich foods – like eggs

8. Vitamin C rich foods – amla (2 tablespoon amla juice and honey. Drink 2 to 3 times daily.

9. Wheatgrass juice – Prepare in a similar way as papaya leaf juice

10. Giloy herbal remedy – Either use Patanjali or any other reputed brand. Or, if you have giloy stems- then simply soak in water overnight. In the morning, boil these soaked stems and few tulsi leaves in about 2-3 glasses of water till the time quantity becomes half of the original quantity.Let it cool and consume 2-3 times daily.

11. Aloe vera juice

12. Dry fruits – almond, peanuts, and walnuts, pistachio

13. Egg yolk with boiled milk. Add sugar according to taste. One of the simplest ways to improve platelet counts.

Regarding goats milk, I could not find a single indexed journal confirming the efficacy of this milk in dengue patients.Goats milk is rich in selenium ( a mineral), and is beneficial anyway. But its effectiveness in dengue patients is unknown .Drinking raw goats milk is dangerous , as it can lead to brucella ( a type of bacteria) infection, therefore it should always be boiled first and never consumed raw.

Take home message : papaya leaves juice extract is considered beneficial for dengue patients. However, similar claims for goats milk have not been scientifically proven till date. 

Food Items To Be Avoided By Patients With Low Platelet Count

MD - Pathology
Pathologist, Noida
Food Items To Be Avoided By Patients With Low Platelet Count

Now this is a very interesting topic. We have always focused on food items which help raise platelet counts. So, this topic is equally important, if not more. This blog lists various food items that are best avoided in patients having low platelet counts. Scientific evidence is lacking, in majority, on why these food items are best avoided. Most of these are gradual observations that people have noticed over the years.

So the list goes as :

  1. Ginkgo Biloba – used as a memory enhancer
  2. Ginseng – used as energy boosting supplement
  3. Raw garlic
  4. Pomegranates
  5. Omega three intake foods – fish etc
  6. Red wine
  7. Smoking
  8. Pineapple – which are considered as antiplatelet agents
  9. Fruits and vegetables that contain “salicyclates” - such as cucumbers, mushroom, raddish, berries, cherries. Salicyclates act as blood thinners and prevent clotting
  10. Coffee – it is not the caffeine but phenolic acids present in coffee that are the culprit.
  11. Alcohol
  12. Foods containing quinine – ex. Tonic water – a bitter liquid which is used as a mix for alcoholic drinks
  13. Foods containing Aspartame: Aspartame is a low calorie sweetener. It is used in diet sodas, energy drinks, protein shakes, flavoured milk and juices, breath mints and jellies. In fact ice-creams, and chewing gums and ketchups may also contain aspartame.
  14. The above food items are to be best avoided if you suffer from dengue.

    But if your low platelet counts are diagnosed due to autoimmune diseases ( such as celiac disease), then additionally you need to take an anti-inflammatory diet along with avoidance of gluten containing foods. Now gluten containing foods are wheat, barley, rye and other grains. So these items should not be consumed if you suffer from celiac disease – a type of autoimmune disease. Anti-inflammatory diet means including fresh food in diet, minimize processed food and fast food, eat more fruits and vegetables, restrict caloric intake to 2000 to 3000 calories per day in adults. Of this caloric intake, 40-50% should come from carbohydrates, 30 % from fats, and 20 -30% from proteins. 

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I have a skin biopsy report that said. Biopsy shows patchy nodular tuberculoid granulomatous infiltrate made up of lymphocytes, plasma cells, histiocytes and epithelial cells with occasional Langhans giant cells. Overlying epidermis shows moderate spongiotic psoriasiform change. Underlying dermis shows fibroplasia. Impression:Lupus vulgaris Sir is it a conform skin tb?

MD - Pathology
Pathologist, Noida
I have a skin biopsy report that said.
Biopsy shows patchy nodular tuberculoid granulomatous infiltrate made up of ly...
Lupus vulgaris is a common type of reinfection TB. Diagnosis is made on skin biopsy with AFB stain which may or may not be positive. IF the afb stain is positive then diagnosis is confirmatory. If the afb stain is negative then a combination of clinical findings and serological tests like Mantoux test would be used by the referring clinician to start combination therapy for TB.
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Mantoux Test or Tuberculin Skin Test

MD - Pathology
Pathologist, Noida
Mantoux Test or Tuberculin Skin Test

Diagnosis of tuberculosis is based on a combination of clinical features, smear examination of sputum where available, tuberculin skin testing or Mantoux test, chest X-ray and Histopathologic / cytologic examination as appropriate. Common clinical features are weight loss, persistent fever and /or cough of more than 2 weeks duration and history of close contact with another Tuberculosis patient.

Mantoux test also known as Tuberculin skin test is used for the detection of infection by Mycobacterium Tuberculosis bacteria. The test consists of slowly injecting a liquid intradermally (superficially within the layers of the skin) on the forearm, leading to formation of a raised vesicle which should be easily visible to the naked eye. This liquid, used in India, is Tuberculin PPD RT 23 strain. Tuberculin is a glycerol extract of the Tuberculosis bacteria. This is one of the two WHO accepted standard tuberculins, apart from PPD-S. In India, where the prevalence of tuberculosis is high, the recommended dose of this liquid is 0.1 ml of 1 TU (TU stands for tuberculin units) .1 TU is the strength of the liquid mentioned on the vial. This liquid is usually administered by a very tiny syringe, usually of 26 gauge. (Needle diameter).

Please click on the link to watch a video  demonstrating  how this procedure is performed.

Test principle : The individual who has been infected with Tubercle bacilli responds with a hypersensitivity reaction at the test site in the form of induration. Induration is the palpable raised hardening of the skin, while erythema refers to redness of skin. Only induration is clinically significant and measured after 48 to 72hours following injection. Diameter of the Induration is measured by a scale in millimetres perpendicular to the long axis of the forearm.

Interpretation of the tuberculin test

  1. Size of induration 15 mm and above : - signifies infection with tubercle bacilli
  2. Size of induration 10-14 mm : - could be due to infection with tubercle bacilli, BCG induced sensitivity, or due to cross reaction with other environmental mycobacteria.

It is more likely to be attributable to infection with tubercle bacilli in case of history of contact with smear positive case of pulmonary TB, clinically confirmed TB OR X-ray consistent with active TB.

  1. Size of induration 5 -9 mm: usually non tuberculous in nature generally
  2. Size of induration <5 mm : indicates absence of any type of mycobacterial infection.

Precautions during this procedure :

  1. If a raised vesicle does not appear it means that the liquid has been injected too deeply, and the test should be repeated on the other arm. If the same arm is used the injection site should be should be separated at least 5 cm from the first injection site.
  2. Occasional patients may experience severe allergic reaction to the tuberculin PPD

Comments :

  1. Larger the size of the induration, higher the probability of presence of infection with tubercle bacilli.
  2. Almost all reactions with induration more than 15 mm maybe considered attributable to infection with tubercle bacilli.
  3. Formation of necrosis (ulcer) at the test site, indicates high degree of tuberculin sensitivity and suggests presence of infection with tubercle bacteria.
  4. Tuberculin reaction may be suppressed (falsely low) in presence of immunosuppressive states. Like HIV, malnutrition, patient on steroid therapy etc.
  5. Mantoux test is generally not recommended for infants less than 12 weeks old. If the test turns out to be positive, then it is significant, but if the test is negative, then the test needs to be repeated again.
  6. The tuberculin test detects only the presence or absence of tuberculosis infection. The presence of infection is not synonymous with disease. It simply means, that even if you have tuberculosis infection in your body, as detected by positive Mantoux test, it does not mean you have active Tuberculosis in your body and require anti tuberculosis drugs in all cases. The clinician will correlate your mantoux test result with other tests ( as mentioned at the top of the blog) to give you a final picture.  
  7. For more such interesting articles please visit my blogsite www.doctors4patients.com
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What is FNAC?

MD - Pathology
Pathologist, Noida
What is FNAC?

FNAC or FNA stands for fine needle aspiration cytology. This is a simple OPD procedure generally done by pathologists . In this a patient would have a visible swelling or lump. The pathologist will insert a needle in the swelling ,move the needle back and forth, and aspirate ( suck) cells present within the lump. Slides are prepared from these cells aspirated. They then study the cells on a microscope and give a report.

Time required for procedure :  few minutes only

Done by : pathologists

Local anesthesia given for pain relief during the procedure :   Usually not given .

Fasting required : not necessary

Any complications of the procedure :  usually mild pain for a few minutes, rarely and depending on site of

lump,  may experience transient shock, hematoma etc

Report availability : usually by next day .Please check with the doctor performing the procedure.

Why it is done : To look for Tuberculosis, cancer cells, parasitic organisms etc

Special comments :

1. If the swelling is not visible, say it is within the body and detected on scans, then the procedure is done by a Radiologist who localizes the swelling and the pathologist inserts the needle under guidance.

2. Always discuss the report with the pathologist who has done the procedure. Please do not make your own impressions from the report.  They may be vastly different from what the pathologist is trying to convey

3. Usually FNAC is diagnostic of parasitic infections .In cases of suspected cancer, report usually says that atypical ( not good looking cells ) present. This needs to be further worked up by biopsy for definite categorization of swelling.

4. Tiny swellings ( usually less than 0.5 cm in diameter ), indiscreet swellings, or swellings that usually cannot be fixed between two fingers generally , should not undergo FNAC procedure -  as chances of aspirating cells are pretty low in such cases. So the report would be misleading in most such cases.

I am 15 years old boy. My full body pains a lot. And I asked the doctor to advise something. He said to walk daily. I am doing that but it don't works. I am scared that I am suffering from diabetes because my father is suffering. But doctor negotiate for that. Please suggest something!

MD - Pathology
Pathologist, Noida
I am 15 years old boy. My full body pains a lot. And I asked the doctor to advise something. He said to walk daily. I...
If you are scared that you have diabetes, then simply get your blood sugar levels - fasting (empty stomach for minimum 8 - 10 hours) and post prandial (sugar levels after 2 hours of eating food) along with hbaic levels (reflect your previous 3 months average glucose levels) done. From these tests you can determine whether you have diabetes or not.
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REPORTING PLATELET COUNTS IN DENGUE – MANUAL OR AUTOMATED ? Which is more reliable ?

MD - Pathology
Pathologist, Noida
REPORTING  PLATELET COUNTS IN DENGUE – MANUAL OR AUTOMATED ? Which is more reliable ?
 Platelets are the smallest type of blood cells. They are important in blood clotting. When bleeding occurs, the platelets swell, clump together, and form a sticky plug that helps stop the bleeding. If there are too few platelets, uncontrolled bleeding may be a problem.
In the current season, dengue is not the only cause of decrease in platelet counts. Other causes like malaria, other viral infections, Vitamin B12 and folate defiiency etc can also cause reduction in platelet counts. That said, dengue patients may also clinically present without any decrease in platelet counts.

It is well-known that thrombocytopenia ( reduction in platelet counts) is one of the critical parameters in patient management. Therefore, it is very important that laboratories assess platelet counts with utmost accuracy. The normal range of platelet count in a healthy adult individual is 150000 - 400000/μL. Babies and children have different reference ranges.compared to adults Therefore please check on the lab report for normal age wize reference range. A count of 1.5 lacs would be considered as normal in adults but would qualify as decreased count in a child.

Platelets can be counted either on automated machines( automated method) or on manual blood smear by pathologist.(manual method).

Generally hospitals and laboratories measure platelet counts on automated hematology analyzers- as .these are simple to use and give fast results.However, they suffer from a very big disadvantage. This disadvantage is based on the principle on which these machines work.The machines are programmed in such a manner that any blood particle falling within a predermined size range is counted as platelet and above this range is counted as red cell(RBC – which contains hemoglobin and is responsible for red colour of blood).Although this concept works well in majority of cases, but machine readings are seldom reliable , especially when platelet counts are below 30,000/ cmm. Giant platelets will be counted as RBCs and the machine will give a factitiously low reading of platelets. - Again , if the sample has not been properly mixed at the time of collection, platelets will stick and form clumps. Again the size of these clumps will be more than that of individual platelets and machine will count these as RBCs , thus give a falsely low platelet count. Also, if the sample is collected in a periphery and takes a lot of time to reach the main lab , by this time the platelets would have swelled up due to presence of additives in the blood tube, and not be counted in platelets.but as RBCs instead. (due to size factor)
So what is the solution, ?
All such cases, where platelets are reported low on analyzers, must be screened on peripheral smear by pathologist. Only on looking at the peripheral smear , will the pathologist be able to confirm whether the platelet counts are actually low or not.

Summary : The analyzer is reliable in majority of cases . However, for all cases with low platelets, manual screening by a pathologist is must for confirmation and to avoid unnecessary panic and unrequired platelet transfusions.
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Hi, I am consult about my mother decease she have lot of swelling in body, weight gain and pain in all body.

MD - Pathology
Pathologist, Noida
Hi, I am consult about my mother decease she have lot of swelling in body, weight gain and pain in all body.
Please get the following tests done and share the reports with me for further guidance. 1. Complete blood count with esr 2. Blood sugar fasting and pp 3. Hbaic 4. Thyroid profilev (t3, t4, tsh) 5.25- oh vitamin d.
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Hi I am 28 year old I have a problem of hiv aids, and from last 7 month I had reduced about 17 kg of weight but also my cd 4 count is 630 and some doctor suggest me that to start hiv medicine also some doctor suggest me to start after my cd4 count come below 350 but still I don't have any disease or any problem except weight loss, so please suggest me what should I do

MD - Pathology
Pathologist, Noida
A normal cd4 count ranges from 500? 1, 200 cells/mm3 in adults/adolescents. Hiv medicine is recommended for everyone with hiv, but the urgency to start hiv medicine is greater in people with low or rapidly falling cd4 counts. When the amount of hiv in your blood is lowered by art (hiv medication), it allows the cd4 cells to reproduce and increase in number. The higher your cd4 count, the better able you are to fight hiv and other infections.
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What are the various tests that a t2 diabetic should do on a regular basis and what is the timeframe to be followed? this is for my mother who is on bedtime tresiba (8 units ave.) and also takes galvusmet 500/50 mg twice daily and amaryl 2mg twice daily.

MD - Pathology
Pathologist, Noida
First thing is to decide whether your sugar levels are controlled (within range) or not. - means that sugar fasting, post prandial should all be within normal range. This needs to be supplemented by hbaic test - done 3 monthly, to check preceding sugar levels. Again a baseline lft, kidney panel are a must and based on abnormal parameters in these tests, further course to be decided.
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I am 42 years old and had fasting glucose level of 5.15 mmol/l. The last gtt showed that after two hours of taking food the glucose level is still high. My family had hereditary diabetic signs. I would like to ask you, if I am prone to diabetics at any stage. I weight 68 kgs with height 5.2.

MD - Pathology
Pathologist, Noida
In your case, your fasting levels are below 6.1 mmol/l (110mg%). Only your pp levels are increased. You have not mentioned the exact value. Diabetes to be diagnosed only if you have some clinical symptoms of diabetes (like incresed thirst, increased urination etc), along with fasting glucose values more than 126 mg%, pp values more than 200 mg%, and/or hbaic test > 6.5%. So, based on the above criteria you currently do not have diabetes. However, since you have a strong family history of diabetes, it is likely, that you may develop diabetes later on. You need to get your tested at regular intervals and be observant for any clinical symptoms also.
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I am 48 years I am suffering diabetic from 7 years today my fasting blood sugar level is 160, colestroal level is 210, and blood preassure is 135/85.

MD - Pathology
Pathologist, Noida
Your fasting levels are still to high and need to be brought under control. Your medicine for diabetes is either not effective/ or your dosage needs to be changed. Please consult a endocrinologist to control your fasting sugar levels. What are your hbaic levels? your cholesterol is also on the borderline high range. Please get a complete lipid profile done and share the results.
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Hi Alkaline phosphate content is high in my liver profile suggest why it so how to reduce it what is the danger.

MD - Pathology
Pathologist, Noida
Alkaline phosphatase(alp) levels are increased in liver and bone disorders. If your other liver tests are normal - sgot, sgpt, ggt then you can be reasonably sure that increased alp is due to bone diseases. If your alp in increased due to liver disorder, then most likely cause is obstruction to bile which is produced by the liver and stored in gall bladder). Most likely causes of obst are either gall stones or some growth obstructing flow of bile. Please let me know your usg report and status of the rest of your liver function test blood report? with your ggt levels.
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I am a diabetic age 38 years so I want to know that my sugar level always near to 400 but I have no such problem in my body but there are some people sugested that it will ne dangerous so please advise me.

MD - Pathology
Pathologist, Noida
Yes definitely. Your sugar levels are way above normal. You will gradually start experiencing ill- effects of such high sugar, as almost all your body organs will be affected. Please consult a endocrinologist urgently.
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I had unprotected sex with a person who's HIV status unknown after 2 week am feeling tired extreme fatigue low fever less then 98 night sweats is it early hiv symptoms ?i am depress unable to eat.

MD - Pathology
Pathologist, Noida
See, the only way to decide whether you are HIV positive or not is to go for blood tests. Now, The time it takes for a person who has been infected with HIV to show a positive test result (also known as sero converting) is commonly called the "window period. There are different types of HIV Tests, and each type has a different window period. Antibody tests ("Rapid" tests) ? give a positive result based on antibodies to HIV, not the virus itself.In about 3 months after infection, 97% of people will have positive antibody test. Antigen tests (RNA tests) ? show a positive result based on the presence of the virus. 1-3 weeks after infection, there will be enough viral material for a positive result. However, they are not routinely used. So, in your case, after 3 months of infection get yourself tested for HIV antibody (through rapid card test). If it comes negative , repeat the test after another 3 months. If it again comes negative, only then you can be reasonably sure, that you are not infected with HIV .
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My friend is a divorcee, and he is about to get married. He is worried that he might get STD's/ AIDS, if he gets married again to another divorcee. Please advice.

MD - Pathology
Pathologist, Noida
The only way to rule out these STDs is to get yourself and your partner tested. Simple blood tests are routinely done at all the big pathology labs in your city. GET hiv, VDRL( for syphilis) done,That should suffice.
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What should be threshold level of sugar in blood for the age group above 50 years ( Fating and PP) What is HbA1C1 test. What it indicates

MD - Pathology
Pathologist, Noida
There is no age wise specific reference range for glucose. WHO protocols says fasting sugar levels below 110 are normal, between 110-125 - impaired glucose tolerance, and > 126 - diabetes. Similarly for PP samples , < 140 is normal, 140-200 is impaired , > 200 is - diabetes . These tests must be repeated at least once, PLUS you must also have some clinical symptoms of diabetes. HBAic test indicates your average blood sugar levels for preceding three months.It is basically to assess whether your sugar levels were controlled during the preceding 3 months or not. Again, a Hbaic > 6.5 % is highly suggestive of diabetes.
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My blood sugar level Fasting is 90 to 110 PP is 140 to 180 after 1.30 hr of breakfast there is big thirst of water now question is this i am a diabetic of not

MD - Pathology
Pathologist, Noida
You seem to have polydipsia meaning increased thirst , which is one of the symptoms of diabetes, but, your blood levels suggest otherwize. Fasting sugar levels are normal, whereas PP sample is mildy raised but is considered as less specific. Based on this , you are currently not a diabetic patient but you come in the danger zone. Please repeat your fasting sugar levels after strict overnight fasting of 12 hours and also get a HbAic test done. Also get fasting insulin level done. Your reports will decide further course of action.
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Am aged 54 diabetic patient. Glucose (F)- 133 mg/dl: serum cholestrol(Total)- 254 mg/dl : serum TGL - 279 mg/dl : HDL - 51 : LDL: 147 : VLDL - 56 mg/dl: HBA1C = 8.4 % : Hemoclobin = 14.1.% : liver function test SGPT = 26 LU/LI : Wartenberg pinwheel test =normal : Foot sensation: RIGHT/LEFT = 10 on 6 sites. Often affected by Urinal infection on that time pain at back and front left side down belly. Also gastic there. Give good medicine ?

MD - Pathology
Pathologist, Noida
I am writing the answer as a pathologist , so would not be able to comment on treatment part , but yes most of your problems seem to be related to high sugar levels, which is also not controlled. Secondly, your cholesterol levels are on higher side and you would need to recheck that . Give a sample after 12 hours of fasting only. You may need to take medicines for that also. Is your BP on control ?
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Can i get hiv if some one prick me with injection neddel ? Can needel prick had visbl blood on boody ? Last dAy one of my frnd go with me in markit i have doubt that he prick me but i dnt feel any pain on my body nd after comeing home i check my cloths i dnt seen any blood on my inner or under wear . What are chances to get hiv by this ? Iss every neddel prick couse bleeding ?

MD - Pathology
Pathologist, Noida
Number of studies have calculated the risk of HIV infection from any single needlestick injury where HIV-contaminated blood is involved is around 0.32% four factors were associated with increased risk of infection: 1.Deep injury. 2.Visible blood on the device which caused the injury. 3. Injury with a needle which had been placed in a source patient?s artery or vein. 4.Terminal HIV-related illness in a source patient who is not on therapy and has a high viral load.
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