Hi sir, I am 30 years old male. I am working in an insurance company. No habit of smoking or drinking. My height is 5'10" weight is 84 kg. I am getting left-sided chest pain since two years. I also have left-sided shoulder pain which radiates in the upper back and left hand pain. I had a CT angiogram last year which was normal. I had an ECG two weeks back which was also normal. When I had a blood test done last week I got to know my cholesterol levels are too high. My last cholesterol report is as follows: Total cholesterol 231 mg/dL (normal range 125 mg/dL-200 mg/dL)HDL cholesterol- 31 mg/dL (normal range 35 mg/dL-80 mg/dL)LDL cholesterol - 99 mg/dL (normal range 85 mg/dL-130 mg/dL)Triglycerides 590 mg/dL (normal range 25 mg/dL-200 mg/dL)TC/HDL cholesterol ratio calculated 7.5 (normal ratio 3.0-5.0)LDL/HDL ratio calculated 3.2 (normal ratio 1.5-3.5)VLDL cholesterol calculated 117.9 mg/dL (normal range 5 mg/dL-40 mg/dL)Non-HDL cholesterol calculated 199.9 mg/dL (normal range <160 mg/dL) I am more anxious about my condition. I am pleased for your advice.
Hi. From your query I understood your concern. Epigastric pain radiating to back and shoulders should be evaluated for gastric discomforts like gastritis and cholecystitis which is very common in deranged lipid profile. I believe this is due to hyperlipidemia. Your lipid profile is out of proportion. You need to bring these values down. Also you need investigations and thorough assessment to rule out other hereditary causes of hyperlipidemia. Below mentioned measures have to be followed to maintain the cholesterol within range, Management: A good and most important start would be to lose weight at least 15 kg. Your current BMI (body mass index) is 27 which means your are obese, reduce it to less than 25. The key is healthy diet and lifestyle, regular exercise, weight balance, etc. Choose healthier fat like omega 3, omega 6, mono and polyunsaturated fat (olive oil, canola oil, almonds, walnuts, etc) and say good bye to bad cholesterol like saturated fat. Planning diet with limited fat intake will also help. Make sure that you get no more than 300 mg of cholesterol a day. Select grains with more fiber such as wheat, pasta, cornflour, etc. Prefer fresh fruits and vegetables. Avoid processed and canned products as well as fries. Eat heart friendly fish with less fat content like tuna, mackerel, salmon, halibut etc. Avoid alcohol, if impossible keep the intake to minimum and never exceed moderation levels. Avoid smoking. Doing exercise regularly for 45 minutes a day and 250 minutes a week should be your main goal. Artichoke, garlic, oat bran, sitostanol (stigmastanol), blond psyllium, margarines, etc., help. Lipid lowering agents like statin analogues can be considered too. Talk to your doctor for physical examination and let them help you in this regard. 1. Abdominal ultrasound. 2. Serum amylase, lipase, amylase to lipase ratio. 3. Urinary amylase. 4. GI endoscopy. 5. 24 hour pH monitoring. 6. Work up for hereditary causes of hyperlipidemia. 1. Diet and lifestyle modifications. 2. Statin analogues. 3. Symptomatic care. Diet and lifestyle modifications. For further follow up consult a family physician online.--->