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

Grace Murphy27 said:Just endless questions and zero actual answers... 🙄

Look, everyone just needs to chill out for a second, okay? People around here usually don't even hop on until they've finished their entire workday and handled all their responsibilities, so they'll get to it when they actually have a spare moment.

Emily Ortiz27 said:We need to exercise a bit of patience here. Most people don't log on until they've finished their actual responsibilities for the day and finally have a moment to breathe.

Precisely. You might get a response to every tenth inquiry. If you're lucky.

Hey,

About a month back (Oct 12), I hit a fever of 101. This was just for one night—nothing major besides maybe a little cough.
On Oct 14, my COVID test came back negative.
By Oct 15, my blood work (CBC and CRP) showed: MPV 10.8 (6.8-10.4), WBC 11.9 (3.4-9.7), neutrophils 8.01 (2.06-6.49), and CRP 55.2 ( My primary care doctor put me on Augmentin for 7 days.
By Oct 21, the labs were mostly okay except for: MPV 10.6 (6.8-10.4), WBC 10.8 (3.4-9.7), lymphocytes 3.73 (1.19-3.35), and CRP 5.8 ( The whole time, it was just a nagging light cough with some phlegm.
Then from Oct 29 to Nov 1, I was stuck in close contact with someone who turned out to be COVID-positive—they were vaccinated, so despite having nasty symptoms, we didn't suspect anything until the PCR confirmed it—so naturally, I ended up in quarantine. My symptoms during isolation: low-grade fevers (around 98.6 to 99.5), non-stop sneezing, a brutal sore throat, runny nose, and that lingering cough getting worse.
Nov 9, PCR was negative.
Nov 12, fever hit 100, cough intensified (yellowish-green phlegm), nose still running slightly, and my gastritis flared up again—something I thought I’d dealt with years ago.
Yesterday, Nov 16, blood work (CBC and CRP) showed: MPV 10.7 (6.8-10.4), WBC 15.3 (3.4-9.7), neutrophils 74.9 (44-72), lymphocytes 18.9 (20-46), neutrophils 11.45 (2.06-6.49), basophils 0.07 (0.00-0.06), and CRP 25.7 ( My doctor prescribed Cefdinir.

I'm 42, healthy, no meds, normal weight, walk about 4 miles a day—5.0 miles—and I'm a moderate smoker (about 6 cigarettes a day lately), though the cough hasn't been an issue until now.

My question: based on this, could I be fighting some bacterial infection in my bronchial tubes that the Augmentin didn't touch (which is what my GP thinks)? I'm worried I'm turning into a chronic bronchitis case because of the smoking. Plus, the timing with the COVID situation in my circle is weird—I haven't been vaccinated.

Any specific tests you'd recommend?

Sorry for the long post.

Thanks in advance for any help!

Following up on my last post—here’s those three reports in order:
Oct 15: https://ibb.co/26n8Vv9
Oct 21: https://ibb.co/F4jyyxS
Nov 16: https://ibb.co/NLK49LN

And one more thing—just for context—here’s my bloodwork from back when I was actually "healthy" (from that routine checkup): https://ibb.co/HdWN7pT

Here are the results

Is it actually possible this was caused by the COVID vaccine? I had my first shot just seven days ago.

Hey El Chapo,

You’ve been a huge help so far, but if anyone else here thinks they have some insight or can weigh in on my situation, I'm all ears.

I just saw an immunologist who basically echoed everything you said. My labs aren't pointing toward lupus or RA, but based on my HLA typing, she mentioned there might be a predisposition for inflammatory bowel disease. You brought up celiac earlier, which got me thinking.

Honestly, I feel like I'm spiraling. I'm still out on medical leave because I am completely non-functional. It's constant fatigue, body aches everywhere, a low-grade fever that won't budge from 99°F, migraines, weakness, nausea... and I totally forgot to mention the diarrhea paired with these brutal gut cramps. Seriously, the dull ache is the closest thing I've ever felt to labor pains. It's awful.

I had more bloodwork done last week. My sedimentation rate is high (normal is 4 to 36, and I'm sitting at 44), and my CRP is 8.5 (normal is
Would love to hear what you guys think. Thanks in advance!

Hey everyone,
My abdominal CT picked up a tiny, 0.5 cm avascular lesion with some calcifications on my kidney—no post-contrast inhibition noted. Does this actually need more follow-up, or is it just a nothing burger? The scan was ordered because of some microhematuria. Thanks. Best,

What on earth does that have to do with the lab results?

Where exactly is this lesion located? Are we talking about the renal medulla or the cortex? And more importantly, is the radiologist who read the scan actually recommending anything, or are we just relying on some random person—or heaven forbid, an internet forum—to provide the "second opinion"?

Hey everyone, can someone please help me make sense of these lab results?

• Total Cholesterol 325 mg/dL (Target under 200)

• HDL-C 100 mg/dL (Should be over 40)

• LDL-C 197 mg/dL (Target under 130 for low risk, under 100 for moderate, under 75 for high, and under 55 for very high risk)

• Triglycerides 62 mg/dL (Target under 150)

Female, 60 years old, non-smoker, healthy weight. Currently on Lipitor 20 mg.
The real kicker? I've been seeing basically these same numbers for a few years now. What kind of follow-up tests should I actually be looking into? And what's even going to work here? Because honestly, messing with my diet hasn't done squat. Thanks!

The results speak for themselves. There’s absolutely no need for extra testing. Honestly, what on earth is your primary care physician even doing with this? It feels like a total lack of direction on their part. If anything, they should just be looking at bumping up your Lipitor dosage.

brightgull95 said:The results speak for themselves. Why even bother with more tests? What is your primary care doctor even doing? It’s basically negligence at this point. Honestly, they should just bump up your Lipitor dose and call it a day.

So this is the answer I get? Like, she isn't actually doing anything? She just wrote the prescription and moved on, as if it's no big deal.

Jessica White95 said:Is this really the response I get? Like, she’s basically doing zero work—she just writes a prescription for the medication and calls it a day. As if that’s somehow sufficient.

Exactly. It’s high time she actually starts doing her job instead of just checking boxes.

42-year-old female here. I dealt with Covid about 10 days ago.
Just got my bloodwork back today, so if anyone could weigh in on my GGT and Vitamin D levels, that would be great.

I'm dropping the photos below. Thanks in advance!

Emily Ortiz27 said:(image)
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Our routine checkup. An 8-year-old with lymphadenopathy...

The CBC results are within reference ranges, except for 1% atypical lymphocytes. Markers are normal, immunoglobulins are unchanged (IgA is below detectable limits, others are normal, IgE is elevated)
Cytology shows slightly low lymphocytes, but no atypical cells. Is the descriptive part at the bottom of the report okay? What does it indicate?

I still can't wrap my head around how a child can have enlarged, reactive lymph nodes for 4 or 5 years without an underlying cause for such reactivity. How common is this?
Every bit of medical literature or internet research we've done suggests any node larger than 1 cm warrants investigation, yet here we have old and new ones that just won't shrink back to normal size...
On top of that, besides the areas where the old nodes are visible, there are new "lumps" appearing on the head (behind the ear, under the hairline).
I realize they can't biopsy every single one—none look suspicious—but there are so many of them.

Is it overkill to do these ultrasounds once a year? Some doctors clearly find it a nuisance when we show up "constantly" if the child isn't showing obvious symptoms. We brought them in for an ultrasound 14 months after the last scan because new lumps appeared, and we specifically asked to check the old, known areas as well.

Ma'am,

Up to 90% of children aged 4 to 8 have palpable lymph nodes in their necks. From what I can see, none exceed 2 cm and there are no signs of malignancy. The child has an immune disorder, so they aren't entirely healthy. The root cause of this immune issue hasn't been fully clarified (ALPS has been ruled out, though, as I've mentioned before, there is a group of so-called ALPS-like disorders—conditions that mimic ALPS but lack its characteristic findings. Only genetic testing might pinpoint the exact cause there). The cytology doesn't show anything unusual; hypochromia simply means the erythrocytes are somewhat paler, which could suggest lower hemoglobin content, but a blood count would confirm whether that's actually the case. All in all, the results are satisfactory. They aren't perfectly normal, but given the circumstances (considering the immune disorder), they are acceptable. You should discuss the need for genetic diagnostics for immune dysregulation disorders with a hematologist or immunologist. I believe I've touched on this in another thread you posted in. I don't see any other way to potentially uncover the underlying cause, though even genetic analysis can sometimes be uninformative (in fact, finding a specific genetic disorder is less common than you'd think).

Grace Murphy27 said:Looking for some perspective here. I went in for blood work because I've been dealing with constant dizziness for about 10 days now. Most of the results came back relatively normal, except for a few outliers:
Fe- 36, 2 (range 8-30)
UIBC- 23,5 (26-59)
RDW - 13,0 (14,6-16,5)
Eosinophil % - 8,3 (0-7)
My doctor says everything looks fine.
Should I be concerned about the high iron levels?
I have no idea where the excess is coming from—I barely even eat meat. No drinking, no smoking either.
Could this be linked to the dizziness?
Thanks

You really ought to get a ferritin level checked as well.

ironsurfer10 said:Thank you for getting back to me. I just finished a 24-hour urine test, and it shows polyuria—2500ml (the normal range is 600–1600ml). As for my other completed labs, everything looks fine except for a few things:
Bicarbonate, capillary blood 25.4 (ref. 18 to 23)
Oxygen saturation 99 (ref. 95-98).
Should I be concerned about these results for now?

One can't draw conclusions from isolated values like this; we really need to see the full acid-base status report. Also, that urine volume needs to be weighed against total fluid intake.

mellowsailor34 said:Hi,
I need help interpreting these results: polyclonal increase in Immunoglobulin A. Elevated Beta globulins.

You really need to provide the full immunoglobulin panel and the complete serum protein electrophoresis report, along with the clinical reason for the testing. Just saying "confirming an autoimmune disease" is far too broad. It’s rare for these two specific findings alone to confirm an autoimmune condition. Typically, when dealing with autoimmune issues—especially systemic connective tissue diseases—you see hypergammaglobulinemia and elevated IgG more frequently.

Betty Collins45 said:Here are my results:

Could this be due to the Covid vaccine? I had my first dose just 7 days ago.

I don't see anything alarming in these results. What specifically has you worried? If you’re looking at those values shifted to the left—the MCV and neutrophil count—I wouldn't lose sleep over them. I don't see a connection to the vaccination either.

bluepilot45 said:My question: based on this, could I be fighting some kind of bacteria in my bronchi that Augmentin wasn't effective against (as my primary care physician suspects)? I'm worried about becoming a chronic bronchitis sufferer due to smoking. Also, there's this odd coincidence involving Covid in my family—though I haven't been vaccinated.

Do you recommend any further testing?

Apologies for the long post.

Thanks in advance for the help. Best regards!

The answer to your question is yes. It's entirely possible you're dealing with a microorganism, potentially one of those "atypical" pathogens. I'd suggest more investigation—a chest X-ray would be a start. A consultation with an infectious disease specialist to screen specifically for atypical organisms might also be wise; in that case, switching to a macrolide antibiotic would likely make sense.

Kimberly Morris said:Dear Nicholas Myers,

I’m reaching out because you’ve been incredibly helpful, though if anyone else here has insight or can answer my questions, I’d certainly appreciate it.

I saw an immunologist who echoed your sentiments—my labs don't point toward lupus or RA. However, based on my HLA typing, the doctor mentioned a potential predisposition for inflammatory bowel disease. You previously brought up celiac disease.

The reality is, things are trending downward. I’m still out on medical leave, completely unable to function. It's constant fatigue, body aches, a fever that won't drop below 99°F, migraines, weakness, nausea... I also neglected to mention diarrhea accompanied by agonizing abdominal cramps—a dull, heavy pain that, honestly, is only comparable to labor pains.

I had blood work redone last week. My ESR is elevated (it should be 4 to 36; mine is 44), and my CRP is 8.5 (normal is
I would value your perspective. Thanks in advance.

The abdominal cramping and loose stools are new developments; I don't recall those in your previous updates. You absolutely need to get a stool analysis done—check for viruses, bacteria, parasites, and perhaps even C. difficile toxin. Following that, schedule three occult blood tests and a calprotectin test, then follow up with a gastroenterologist.