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Family Physician
Family Physician, Doctor
Category: Medical
Satisfied Customers: 2592
Experience:  Emergency Medicine and Family Practice for over 26 years
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Bilirubin is at 1.4, Anion Gap 7.70 mmol/L 4.00-12.00 Final

Customer Question

Bilirubin is at 1.4
JA: Have you seen a doctor about this yet? What medications are you taking?
Customer: Anion Gap 7.70 mmol/L 4.00-12.00 Final
BUN/Creat Ratio 20.91 Ratio H 12.00-20.00 Final
Calcium 9.9 mg/dL 8.7-10.3 Final
AST (SGOT) 59 U/L H 13-43 Final
ALT (SGPT) 100 U/L H 10-48 Final
Alkaline Phosphatase 70 U/L 46-116 Final
Bilirubin Total 1.4 mg/dL H 0.3-1.2 Final
Total Protein 7.0 g/dL 6.2-8.2
JA: What medications do you take daily? Are you allergic to any medications?
Customer: just got m y blood test back I'm on 25 MG fo Losartan Potassium,25 mg Metoprolol succer, 20 MG Simvastatin, no I'm not Allergic that I know of I just started the Losartan so that was after the blood test I was taking 5mg Lisinpril before.
JA: Anything else in your medical history you think the doctor should know?
Customer: I have been having numbness/ pain in my forehead and left area under Eye, then headaches at times over that last 6 to 8 months, also using Fluticasone Nasal Spray.
Submitted: 9 months ago.
Category: Medical
Expert:  Dr. David replied 9 months ago.

Hello, this is Dr. David. I am reviewing your question now and will be with you momentarily.

Expert:  Dr. David replied 9 months ago.

your blood work don't point to anything worrisome and most likely are not related to your pain symptoms in your forehead and under your left eye.

you could be having a bacterial sinus infection or chronic sinusitis causing your sinus pain symptoms.

you may benefit from a course of antibiotics and allergy medications like Allegra 180mg along with your steroid nasal sprays.

total bili of 1.4 could be due to inflammation of your gall bladder or a small gall stone.

I am not worried about your BUN/Creat ratio.

your AST and ALT are a bit high but that can be due to taking simvastatin cholesterol medication

let me know if you have questions.