Posts by electricmarlin62

brightgull95 said:Honestly, you should just ask her directly.

Maria Fisher46 said:Dear Ma'am,

Based on everything here, it looks like the anemia is being caused by GI bleeding, just like I mentioned before. To be safe, it’d be a good idea to go see a gastroenterologist. You really want to find out if there's anything else going on besides those hemorrhoids you already know about.

Thanks for getting back to me so fast... If you don't mind, could you explain the markers they ran in the tests? Like, what exactly are they looking for? What do they mean? Thanks so much!

Maria Fisher46 said:Hey there,

you didn't mention why this testing was ordered. What kind of symptoms is the patient actually having?

Anyway, there are definitely some deviations here that need more follow-up, especially that anemia. But honestly, the labs are pretty incomplete. There’s no differential on the CBC, and since there's leukocytosis, you definitely need to run a CBC with a differential. You also really need to check

ESR and CRP, beef up the biochemistry with LDH, plus bilirubin and ALP are missing. It would also be smart to get ferritin and a serum protein electrophoresis done too.

Seeing anemia alongside high urea when creatinine is still within the normal range... that could point toward GI bleeding (though, obviously, high urea can just be dehydration or whatever else). So, as a next step, they should probably do three fecal occult blood tests.

Depending on how the patient feels and what the results show, you'll need to send them for more work—labs, imaging, specialist visits, all that. I'm just listing things that can be handled at the primary care level before referring them out to a specialist.

Best regards... If you have a sec, maybe take a look at these other results? They did a full CBC and a fecal occult blood test... though I should mention, during one of the samples, there was visible blood... probably just hemorrhoids because they were feeling some stinging and stuff...
Regarding the previous CBC, the hemoglobin went up from 128 to 137.



https://ibb.co/bBvJQKq
https://ibb.co/wQ5h56f
https://ibb.co/hCttPCY
https://ibb.co/R0fMbR6

And this is the old result you commented on earlier
https://imgbb.com/c2W3fCb
Also, there aren't really any complaints or symptoms right now.

Maria Fisher46 said:Look, lady,

you didn't really say why this testing was even ordered. What kind of symptoms is the patient dealing with?

Anyway, there are definitely some red flags here that need more digging—mainly the anemia. But honestly, these results are pretty incomplete. There's no differential blood count, yet we're seeing leukocytosis, so you definitely need a CBC with a diff. You also need to check ESR and CRP, and grab an LDH to round out the biochemistry; plus, bilirubin and ALP are missing from the panel. It’d also be smart to run a ferritin test and a serum protein electrophoresis.

When you see anemia paired with high urea, but creatinine is sitting right in the normal range, it could point toward GI bleeding (though, obviously, high urea can just be dehydration or other stuff going on), so the next logical step is to run three fecal occult blood tests.

Depending on how they feel and what those tests show, you'll need to send them off for more work—lab work, imaging, maybe seeing a specialist. I'm just listing things that can be handled at a primary care clinic before you bother sending them to a specialist.

Thanks for getting back to me... the blood work was just part of a routine physical... and there aren't any actual symptoms. The only thing is hemorrhoids, so I was wondering if those could actually cause issues like anemia too?

https://ibb.co/c2W3fCb

Hey there... could you guys take a look at these results for me?
Man here is 58... dealt with hemorrhoids for a long time but hasn't really had any issues lately.. Thanks!

Sandra Vaughn50 said:Not really. If you could actually "see" what was happening in the blood, a bacterial infection would show up looking totally different (not gonna get into all the boring technical stuff though).

Alright.. thanks a ton for the answers everyone... Cheers

Sandra Vaughn50 said:When I say absolute, I mean the number isn't expressed as a percentage.
Hey there. 🙂

Thanks so much
Just one more thing though... back when this photo was taken http://s723.photobucket.com/user/luc...t=3&o=1..I actually had a nasty abscessed tooth—like a pulp infection—so I was wondering if maybe that could be linked to all this?

Sandra Vaughn50 said:And those random colds or little viruses you catch probably just bump up your Lymphocyte count temporarily. From what I can see, it seems to settle back down to normal levels in some follow-ups (like back in April 2015).

But hey, once the thyroid stuff hits a more stable phase—and if that Absolute Lymphocyte count ever climbs above 4—then maybe we'd need to look into extra hematology tests, but let's not get ahead of ourselves.

For now, while things are just bouncing around a bit, I wouldn't rush into anything.

Thanks for getting back to me... I was just digging through my old blood work... and it looks like my lymphocytes have always been high (especially right when the Hashimoto started). If you don't mind me asking
Which number is the absolute lymphocyte count... just so I know what to watch? Is it the one marked with the % or something else?
Thanks so much

Sandra Vaughn50 said:That last (Prescribed) KKS is mathematically impossible—either the lab messed up or the leukocyte count was transcribed wrong, you should double-check those numbers.

The results could be (like I already mentioned to another lady on here) consistent with autoimmune thyroid issues. That said, it’s totally possible you brushed off some viral infection earlier this year without even realizing it (do you remember having swollen lymph nodes, a sore throat, or a fever?). But honestly, it's hard to say for sure what happened six months ago.
Your doctor is right, the labs are mostly fine. Of course, that’s assuming you’re living with the condition you have now and will carry with you for life.

Yeah, yeah, leukocytes are 8.9... it was just typed in wrong. 😵..
As for the cold thing... yeah, I had a couple of classic colds (runny nose stuff...)
but nothing with a fever or swollen lymph nodes.😉

Can someone take a look at these three blood panels? I just had them done for a checkup..
I’ve been dealing with Hashimoto (hypothyroidism), but I haven't started any treatment yet..
These results are really messing with my head.. My doctor says everything looks relatively fine.. But honestly, I'm freaking out because I see stuff being high or low everywhere.. and this has been going on for such a long time now.
The first two panels are in these links
http://s723.photobucket.com/user/luc...tml?sort=3&o=0
http://s723.photobucket.com/user/luc...tml?sort=3&o=1

And here's the third one
Platelet 232 (!) Leukocyte 6.0 DKS
Erythrocytes 4.31 (3.86-5.08)
Hemoglobin 129 (119-157)
Hematocrit 0.380 (0.356-0.470)
MCV 88.1 (83.0-97.2)
MCH 89.8 (27.4-33.9)
MCHC 339 (320-345
Platelets 241 (158-424

Neutrophil granulocytes 40 (44-72) L
Lymphocyte 48.9 (20-46) H
Monocytes 6.5 (2-12)
Eosinophil granulocytes 7.1 (0-7) H
Basophil granulocytes 0.7 (0-1)
Luc 2.3 (0.0-4.0)
Neutrophil granulocytes 3.08 (2.06-6.49)
Lymphocyte 4.00 (1.19-3.35) H
Monocytes 0.57 (0.12-0.84)
Eosinophil granulocytes 0.53 (0.00-0.43) H
Basophil granulocytes 0.06 (0.00-0.06

Hey everyone, could you guys take a look at these two blood panels for me? One was done back on Jan 22, 2015, and the other on April 22, 2015. It looks like some of my numbers are constantly dipping low while others are always spiking up. Is this anything to worry about? I’ve been dealing with hypothyroidism, but I'm not actually on any meds for it right now. Just grabbed these for a routine checkup.
It's those values that just won't stay steady that have me a bit worried!..
Here are the links to the results!

http://s723.photobucket.com/user/luc...tml?sort=3&o=0

http://s723.photobucket.com/user/luc...tml?sort=3&o=1

Hey, can anyone give me their take on these blood results? I had them done because of this constant stuffy nose and coughing that’s been dragging on for about 6 months now. We did allergy testing but everything came back negative... plus we got some sinus imaging done and that looked totally normal too. Thanks so much!

leukocyte 8.9 (3.4-9.71)
RBC 4.31 (3.86-5.08)
Hemoglobin 129 (119-157)
Hematocrit 0.380 (0.356-0.470)
MCV 88.1 (83.0-97.2)
MCH 89.8 (27.4-33.9)
MCHC 339 (320-345)
Platelets 241 (158-424)

Neutrophils 34.6 (44-72) L
Lymphocytes 48.9 (20-46) H
Monocytes 6.5 (2-12)
Eosinophils 7.1 (0-7) H
Basophils 0.7 (0-1)
Luc 2.3 (0.0-4.0)
Neutrophils 3.08 (2.06-6.49)
Lymphocytes 4.34 (1.19-3.35) H
Monocytes 0.57 (0.12-0.84)
Eosinophils 0.63 (0.00-0.43) H
Basophils 0.06 (0.00-0.06)