Lab results - looking for opinions [PLEASE READ 1ST POST]

Angela Wright said:It could be gallstones, or maybe just a mild inflammation.
If you're dealing with sulfurous burps and bad breath, I wouldn't bet against it.
An ultrasound will give us the real story.

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I'm really not sure... I'll see what happens this afternoon. At my last checkup, they mentioned my gallbladder was folded, if I recall correctly..
I overdid it a bit last night and now my nose is starting to clog up.. hm, could a slight fever be a cold? I'll keep an eye on it.. surely it isn't (again) COVID? 🤒

CRP is elevated. You might have an infection lurking somewhere—could be anything from a dental issue to something else entirely.
If you start noticing any of those symptoms I mentioned earlier, like running a fever for no apparent reason, or feeling chills and shaking during the night, make sure to ask for an ESR test as well.

The gallbladder? Unlikely. There’s no bilirubin showing up in the image, and since there’s no diastase in the urine or blood, we can't confidently claim the gallbladder is part of this equation. Beyond that, the guy only has an elevated CRP; his white blood cell count is steady, and there isn't any neutrophil shift. As far as I can tell, there isn't a single specific indicator pointing us in any particular direction right now.
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Can someone walk me through these lab results I got before my upcoming surgery under general anesthesia?
I'm especially a little worried about the PV Federal Reserve levels.
Thanks!

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So, what exactly is eating at you regarding the PV and the Federal Reserve? Are you even taking some kind of Vitamin K antagonist, or what?

brightgull95 said:So, what exactly is worrying you about the PV and the Federal Reserve numbers? Are you taking any kind of Vitamin K antagonist or something?

Honestly, seeing that PV and Federal Reserve reading just feels a bit unsettling. I'm not even on any medication—I've actually never had a reason to get my levels checked like this before.

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Seriously, what are you even worrying about here? Your INR should naturally be low—under 1.0, actually—if you aren't taking any Vitamin K antagonists.

brightgull95 said:But what’s there to worry about? Your INR should be low—under 1.0—unless you're taking Vitamin K antagonists.

Thanks! Seeing those red numbers was definitely making me sweat a little.
I feel way better now :anxioushypochondriacgrandma:

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Hi everyone, could someone briefly explain what might cause such a high percentage of dysmorphic erythrocytes in urine? Back in June, they were at 55%, but now they've jumped up to 86%.
My CT urogram came back normal, and the urine culture was clear too. I'm currently waiting on my blood work results (ANA/ENA and some other immunological markers).

I don't really have any symptoms, other than the fact that there's consistently a high number of erythrocytes in my regular urine tests.

I hadn't given it much thought until now, but seeing this jump is starting to make me feel a bit anxious.

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ironsurfer10 said:Hi, can someone briefly explain why I might have such a high percentage of dysmorphic erythrocytes in my urine? Back in June they were at 55%, and now they've jumped to 86%.
The CT urogram was normal, and the urine culture came back clear too. Currently waiting on blood work (ANA/ENA and other immunological markers).

I'm not experiencing any symptoms, other than the fact that there's a constant, high count of erythrocytes in my routine urine tests.

I hadn't given it much thought until now, but seeing these numbers is starting to worry me.

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Ma'am,

Dysmorphic erythrocytes are red blood cells with irregular, notched membranes. Their presence typically points toward the upper urinary tract—specifically, the kidneys.

Essentially, this testing aims to pinpoint where bleeding in the urinary system is originating. If the source is the upper tract, you deal with a nephrologist; if it's the lower tract, you see a urologist. That’s the simplified version.

To make an accurate classification, we look for the ratio of dysmorphic versus smooth erythrocytes. If dysmorphic cells exceed 70% or 80%, the bleeding is coming from the upper urinary tract. Conversely, if smooth cells make up more than 70-80%, the issue lies in the lower tract.

In your case, it likely indicates bleeding from the kidneys. Since your CT urogram was clear, it suggests a glomerular origin, specifically a glomerulopathy. This falls under nephrology, though a urologist might still be brought in for a cystoscopy depending on your clinical history and subsequent findings.

If you haven't already—though I assume you have given how long this has been going on—you'll need a 24-hour protein test (protein-to-creatinine ratio), urea, creatinine, eGFR, standard lab panels, and the immunological screening already suggested to you: ANA, ENA, C3, C4, CH50, etc. Once those results are in, consult a nephrologist. They will decide whether a kidney biopsy is necessary or if continued monitoring is sufficient.

Hey everyone, looking for some insight on my daughter's blood work. Hemoglobin is at 8.5g, CRP is 1.7, she’s been running a fever between 100-102 for a couple of days, and she's had this nasty cough for about 2 or 3 days now. Her MPV and monocytes are also coming back high...

Thanks so much!

https://ibb.co/jkkchyW

wearyviper15 said:Hi, I’d appreciate some insight on my daughter's blood work. Hemoglobin is 8.5g, CRP is 1.7, she had a fever around 38-39°C a couple of days ago, and she's been coughing heavily for 2 or 3 days. Her MPV and monocytes are elevated...

Thanks so much

https://ibb.co/jkkchyW

Hello,

Based on these results, there isn't currently evidence suggesting a bacterial infection that would necessitate antibiotics. Of course, any final decision rests entirely on the physical clinical examination. These deviations aren't significant.

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Our usual check-up, an 8-year-old with lymphadenopathy...

The CBC results are within the normal range, except for 1% atypical lymphocytes, and the markers look fine—immunoglobulins haven't changed (IgA is below detectable levels, others are normal, IgE is elevated)
The cytology shows slightly low lymphocyte counts, but no atypical cells. Does the descriptive part at the bottom of the report look okay to you guys? What does this actually point to?

I still can't wrap my head around how a kid can have enlarged, reactive lymph nodes for 4 or 5 years straight without us ever finding a single actual cause for all that reactivity. How common is that, really?
Every single time we dig through medical literature or search the internet regarding these nodes, it says any node larger than 1 cm needs investigation, but here we have old ones and new ones popping up constantly, and they never just shrink back down to a normal size...
On top of that, besides the areas where the old nodes were already visible, there are now new "lumps" appearing around the head area (behind the ear, under the hairline).
I get that you can't exactly biopsy every single one of these nodes, and none of them look suspicious, but the sheer number of them is just overwhelming.

Is it overkill to be doing these ultrasounds once a year? Some of the doctors clearly act like we're being a total "nuisance" by coming in "constantly" if the kid isn't showing obvious physical symptoms—but we brought him in for an ultrasound 14 months after the last scan specifically because these new lumps appeared, and we asked them to check the old, known areas too.

I’d appreciate some perspective here. I went in for blood work because I’ve been dealing with these persistent bouts of dizziness that just won't quit—it's been about ten days now. Most of my results came back looking relatively normal, except for a few outliers:
Fe- 36, 2 (range 8-30)
UIBC- 23,5 (range 26-59)
RDW - 13,0 (range 14,6-16,5)
Eosinophil count - 8,3 (range 0-7)
My doctor insists everything is perfectly fine.
Should I be concerned about this elevated iron level?
I honestly can't figure out where the excess is coming from; I practically avoid red meat entirely. I don't drink, and I don't smoke.
Could there be any connection between these levels and the vertigo?
Thanks

Hey there,
I was wondering if anyone could help me make sense of these lipid panel results.



It’s for a 35-year-old female, non-smoker, maintains a healthy weight, and her diet is pretty decent for the most part.
Everything else—like her CBC, liver enzymes, and glucose levels—all came back looking great.

Hey there,
could someone help me make sense of these lipid panel results?

• Total Cholesterol 263 mg/dL (target under 200)
• HDL-C 77 mg/dL (should be over 50)
• LDL-C 170 mg/dL (target under 100)
• Triglycerides 35 mg/dL (target under 150)

I'm a 35-year-old female, non-smoker, maintaining a healthy weight, and my diet is pretty decent most of the time.
Everything else—my CBC, liver enzymes, and blood sugar—came back looking great.

Maria Fisher46 said:To whom it may concern,

Dysmorphic erythrocytes are essentially red blood cells that show up with irregular, notched membranes under a microscope. When you see these specific types of cells, it’s usually a significant clinical indicator pointing toward an issue originating in the upper urinary tract—specifically within the kidneys.

The goal of these tests is basically to pin down exactly where any bleeding in the urinary tract is coming from. To put it simply—and I know this is a massive oversimplification—if the source is in the upper part of the ureter, you're looking at a nephrologist to handle things. But if the issue is further down, that falls under the expertise of a urologist.

To get an accurate classification, you really need to look at the ratio of dysmorphic versus smooth erythrocytes in the urine sample—specifically, one group needs to exceed the 70% to 80% threshold. If the analysis shows that dysmorphic erythrocytes make up more than 70-80% of the count, it indicates that the bleeding is originating from the upper urinary tract. On the other hand, if the smooth erythrocytes are the ones hitting that 70-80% mark, it points toward an issue in the lower urinary tract.

In your case, we’re likely looking at bleeding originating from the kidney. Since the results from your CT urogram came back clear, it’s highly probable that the issue is glomerular in nature—meaning it's stemming from the filtering units within the kidney itself. Glomerulopathy refers to a group of diseases that specifically target the glomeruli—those tiny, intricate filtering units within our kidneys. When these little clusters of capillaries get damaged, they lose their ability to effectively filter waste products from the blood while keeping essential proteins and cells inside the body. It’s a complex subject because "glomerulopathy" isn't just one single illness; it’s more like an umbrella term for various conditions that cause this specific type of renal damage. Depending on what exactly is causing the trouble—whether it's an autoimmune response, high blood pressure, or metabolic issues—the symptoms and progression can look very different. Commonly, when these filters fail, you might see things like hematuria (blood in the urine), proteinuria (excess protein in the urine), or significant swelling in the legs and face due to fluid retention. Because the kidneys play such a vital role in maintaining our internal balance, managing these conditions usually requires a very careful, coordinated approach between patients and specialists to protect long-term kidney function.Nephrology is primarily their field, though there are times when a urological evaluation—like a cystoscopy—is necessary. Whether or not that becomes part of the plan really depends on the rest of the test results and the patient's specific medical history.

If you haven't already—and given how long you’ve been dealing with this, I’m fairly certain you have—you really need to get a few specific tests sorted. You'll need a 24-hour protein test to check your protein-to-creatinine ratio, along with blood work for urea, creatinine, and your eGFR. It's also important to follow through with those routine labs and the immunological panel that was suggested to you, specifically the ANA, ENA, C3, C4, and CH50. Once you have all those results in hand, you should take them straight to a nephrologist. They'll be able to look at the full picture and decide whether you actually need a kidney biopsy or if we can just keep a close eye on things through regular monitoring.

Thank you so much for getting back to me! So far, I’ve completed a 24-hour urine test, and the results showed that I'm producing way too much volume—around 2500ml, whereas the standard reference range is usually between 600 and 1600ml. Aside from that, everything else from the labs that have come back looks perfectly normal, except for:
I just got my latest lab results back, and one value caught my eye. My bicarbonate levels came in at 25.4 mmol/L, while the standard reference range is listed between 18 and 23. It’s just slightly outside the norm on the higher side. I'm trying to make sense of it all, but I wanted to see if anyone here has dealt with similar readings or knows much about how this fits into the bigger picture.
My oxygen saturation hit 99, which is a bit higher than my usual range of 95 to 98.
Should I be worried about this for now?

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Gentlemen,
I need an interpretation of these lab results: polyclonal increase in immunoglobulin A. Elevated beta globulins.

mellowsailor34 said:Greetings,
I would be most grateful if someone could offer an interpretation of these lab results—specifically, a polyclonal increase in Immunoglobulin A along with elevated Beta globulins.

And what was the underlying reason for seeking these tests in the first place?

Keith Gonzalez said:And what was the motive for looking into this?

Autoimmune disease (confirmed).

It’s nothing but questions and zero answers. 🙄