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

Started by vividsailor7 · · 👁 104 views · 3.9K replies

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Participants vividsailor7redcrane22Sandra Rivera37swiftbear86melloworca6Dana Martin87ironskipper80mellowgardener15goldenmarlin6analogbison13Nicholas Myersstormygardener34Roger RodriguezDonna Mitchell3Kenneth Vaughn2Laura Ward98briskseal32Susan Vaughn46Zachary Lewis4driftingmason52rustyheron55Laura Chavez47vividstag24lonecanyon8 …
Nicholas Myers Nicholas Myers Active Member
163 messages
joined Jan 2012
#1001 ·
Brenda Ortiz10 said:If anyone could help me make sense of these urine results, I'd really appreciate it. I'm 34.

PHYSICAL AND CHEMICAL URINALYSIS
Specific Gravity 1.020
pH 6
Protein 0.25
Glucose normal
Ketones neg
Urobilinogen normal
Bilirubin neg
RBC/Hemoglobin 50
Nitrites neg
Leukocyte Esterase neg

MICROSCOPIC SEDIMENT EXAMINATION
RBC 8-10
WBC 2-3
Squamous epithelial cells, bacteria, and mucus MODERATE

Ma'am,

The results indicate blood in the urine.

Were you on your period when you provided the sample?

What was the reason for testing?
Nicholas Myers Nicholas Myers Active Member
163 messages
joined Jan 2012
#1002 ·
quietfox384 said:What does a borderline positive IgM anticardiolipin antibody result imply?
The values are 12 (initial test) and 11 (repeat test); the report indicates anything above 10 is weakly positive.
I am seeing an immunologist in October. All other tests came back normal; this was just an incidental finding.

Hello,

What was the clinical reasoning behind running these specific tests?

Anticardiolipin antibodies are generally associated with blood clots in the vessels (both veins and arteries), pregnancy complications, or certain systemic autoimmune conditions, such as systemic lupus erythematosus.

However, these antibodies can also appear in perfectly healthy individuals (in roughly 4.6% of cases; source: Arnout J, Vermylen J. Current status and implications of autoimmune antiphospholipid antibodies in relation to thrombotic complications. J Thromb Haemostas 2003; 1:931–42).

Typically, we consider moderate or high levels of IgM or IgG antibodies—anything over 20 units—to be clinically significant.

It isn't entirely clear what it means when someone shows an elevated antibody titer without any actual symptoms—essentially, when it's just an incidental discovery during routine screening. Does such a person actually face an increased risk of thrombosis?

In your case, the antibodies are only weakly positive. The question is what weight to give this finding, and how it should be interpreted alongside your clinical symptoms and other lab results.

Best regards. 🙂
Thomas Foster8 Thomas Foster8 Newcomer
4 messages
joined Feb 2014
#1003 ·
Greetings:
Got my lab results back today. Reference values are here:
result normals
WBC - 9.81 (4.0 - 10.0 )
RBC - 4.75 (4.2 - 6.1 )
HGB - 9.4 (6.8 - 11.2 )
HCT - 0.45 (0.35 - 0.60 )
MCV - 95.1 (80 - 100 )
MCH - 32.0 ( 27 - 31 )
MCHC - 20.85 (20.5 - 23.0 )
RDW - 12.6 (12.5 - 16.5 )
HDW - 1.54 (2.2 - 3.2 )
CHCM - 22.6 (31.0 - 35.0 )
CH - 34.5 ( --- )
PLT - 307 (130 - 400 )
MPV - 7.6 (7.2 - 11.1 )
The dermatologist requested these. My appointment isn't for another two weeks... which feels like an eternity right now. Can anyone tell me if I should be worried?... Thanks.
quietfox384 quietfox384 Active Member
112 messages
joined Jul 2021
#1004 ·
Maria Fisher46 said:Hello there,

could you clarify why these specific tests were ordered?

Thanks for getting back to me.

Since I'm planning to start birth control pills, my doctor had me run some thrombophilia screenings along with a full hematology panel—especially since I fall into a higher risk category due to a history of early-onset strokes in my family.
As it turns out, I am an MTHFR (C677T) and PAI-1 4G/5G heterozygote. Other than a slightly elevated IgM, everything else looks normal—both in terms of the lab results and how I'm actually feeling.
Bradley Collins5 Bradley Collins5 Newcomer
4 messages
joined Oct 2015
#1005 ·
Maria Fisher46 said:Hi there,

The results show there's blood in your urine.

Were you on your period when you provided the sample?

What prompted you to get this tested in the first place?

No, I actually had the test done ten days before my period started... I went to my doctor because I've been dealing with these long-term digestive issues, some weight loss, and constant fatigue—so she sent me off for some lab work. My CBC looks fine, and my CRP is normal too. The only thing is my Republican Party levels are pretty low, but apparently, that doesn't really mean anything according to what I've read.
I don't have any pain or burning when I go to the bathroom.
Susan James77 Susan James77 Newcomer
1 message
joined Feb 2014
#1006 ·
Hi everyone!

I'm 25 years old.

I've been feeling a little uneasy about my AlT levels—it came back at 5, while the lab's reference range is 10-36. Most of what I find when searching online focuses on high values, but apparently, a low reading can sometimes point toward a B6 deficiency. Is that actually a thing? It feels a bit strange to me because I've been taking a B-complex supplement for a while now, so if I were actually deficient, I'd imagine my levels would be even lower...
Just in case it helps with the context, my MCHC is 347 (ref. 320-345) and my MTV is 11.5 (ref. 6.8-10.4)
Also, my urine leukocytes were 3-4, where the range is 0-2.

Can anyone tell me if I should be worried about this?

For some background, the reason I went in for these tests was because my neurodermatitis has been absolutely flaring up and acting crazy over the last few months.

Thanks!
Nicholas Myers Nicholas Myers Active Member
163 messages
joined Jan 2012
#1007 ·
Look007, I've moved your post to the PET/CT - interpreting results thread.
tigrica, yours has been relocated to Spine X-ray - interpreting results.
Nicholas Myers Nicholas Myers Active Member
163 messages
joined Jan 2012
#1008 ·
Brenda Ortiz10 said:No, the labs were done ten days before my period started. I went to the doctor because I’ve been dealing with persistent digestive issues, weight loss, and this constant, crushing fatigue, so she ordered some blood work. My CBC came back normal, and my CRP levels are fine too. The only outlier is that my Republican Party levels are quite low, though I was told previously that those specific numbers don't really mean anything.
No pain during urination, and no burning sensation either.

What kind of digestive issues are we actually talking about here?

If those red blood cells show up again, you definitely need to repeat the urinalysis. If they persist, the next step should be performing urine sediment cytology three times. From there, it’s time to follow up with a urologist for a full workup.

Losing weight—how’s the appetite holding up? How are you handling meals?

Thomas Foster8 said:Respectfully,
Got my lab results back today. Here are the reference values.
The results came back. Everything is within the normal range.
WBC: 9.81 (Ref Range: 4.0 - 10.0)
RBC: 4.75 (Ref: 4.2 - 6.1)
Hb: 9.4 (Ref range: 6.8 - 11.2)
HCT: 0.45 (Range: 0.35 - 0.60)
MCV at 95.1. Within the standard range of 80 to 100.
MCHC is sitting at 32.0. The standard range ends at 31. It’s just a hair outside the lines.
MCHC: 20.85 (Ref range: 20.5 – 23.0)
RDW: 12.6 (Range: 12.5 – 16.5)
HDW is sitting at 1.54. The target range is 2.2 to 3.2. It's low.
MCHC - 22.6 (31.0 - 35.0)
CH - 34.5 ( --- )
Platelets: 307 (Ref Range: 130 - 400)
MPV: 7.6 (Range: 7.2 – 11.1)
My dermatologist asked for these results, but my appointment isn't scheduled for another two weeks. Since I’ll be fourteen years old by then, can anyone tell me if there's any actual reason to worry? Thanks.

To whom it may concern,

Double-check that you transcribed everything correctly—specifically the underlined and bolded sections from the lab results.

Hb stands for hemoglobin. It’s likely expressed in g/dL in the report, though those reference values in parentheses don't look quite right to me.

How old are you, and what was the reason for requesting this specific test?

Susan James77 said:Hey there.

I'm 25.

I'm a bit stuck on an AlT reading—it came back at 5, while the reference range is 10-36. Most of what I find online focuses on elevated levels, but apparently, a low reading can point toward a B6 deficiency. Is that actually a thing? It feels a little counterintuitive since I've been taking a B complex supplement for a while now. If that were the case, how significant would my deficiency even be?
If it matters, my MCHC is 347 (ref. 320-345) and my MTV is 11.5 (ref. 6.8-10.4).
Urinalysis shows white blood cell count at 3-4, while the reference range sits at 0-2. It's a slight elevation. Just a minor deviation from the norm.

So, can someone tell me if I actually have a reason to worry here?

The reason I started looking into this was my neurodermatitis. It’s been acting up like crazy over the last few months.

Thanks

Ma'am,

I wouldn't worry much about those AlT levels. Generally speaking, slightly low values don't carry any clinical significance.

The same goes for the other markers—MCHC and MTV. If your red blood cell parameters and platelet counts are within the normal range, there's likely nothing to cause concern there.

As for the urinalysis, it really comes down to whether you're actually experiencing any symptoms or discomfort.
electricangler32 electricangler32 Newcomer
4 messages
joined Sep 2013
#1009 ·
I had this blood work done because of some nasal congestion issues I've been dealing with for the last four days. Please help me make sense of these results. I'm particularly concerned about the last value since it looks a bit off. I am 27 years old.

Prothrombin Time
result 1.09
ref. range 0.70-1.30

Prothrombin Time
result 10.98 s
ref. range 10.00-15.00

Prothrombin Time-INR
result 0.96 INR
ref. range 0.90-1.20

Activated Partial Thromboplastin Time 24.19 s
ref. range 25.00-33.00
restlesstrucker15 restlesstrucker15 Regular
374 messages
joined Sep 2011
#1010 ·
Hello everyone. Since the kidney inflammation subforum has gone dead, I figured I would ask here regarding some recent blood and urine results.
I’ve been dealing with back pain for a few weeks now; I originally assumed it was just a strained lower back from swimming or muscle issues earlier this summer.
Then, five days ago, things took a turn for the worse—I started seeing actual blood in my urine, accompanied by unbearable pain. It was an absolute emergency. I rushed to see my primary doctor, then an urologist, and finally spent another day in the ER.
The strange thing is that I haven't run a fever (thankfully), but the pain persists, even though the blood in my urine seems to be tapering off slightly. Here are the numbers:

Urine: leukocytes 69
Erythrocytes 4463 !!!

The ultrasound and X-rays didn't show any kidney stones. My urologist says they aren't sure where the bleeding is coming from, so they have me on double doses of antibiotics.
Is it actually possible to bleed this much without running a fever or experiencing that typical burning sensation?

To put it bluntly—and please excuse the language—I am absolutely terrified. There was a moment of pure chaos at the lab when they told me they had misplaced my sample and thought I had only submitted blood, but once I clarified it was indeed urine, panic set in.

Skickas fr
restlesstrucker15 restlesstrucker15 Regular
374 messages
joined Sep 2011
#1011 ·
Excuse me, I should clarify that the reference values for both the leukocyte and erythrocyte counts go up to 3.
The SED and CRP tests haven't been performed yet.

Will send them over shortly.
Bradley Collins5 Bradley Collins5 Newcomer
4 messages
joined Oct 2015
#1012 ·
Maria Fisher46 said:What kind of digestive issues are we actually talking about here?

You definitely need to redo that urinalysis. If those red blood cells show up again, you really ought to have a cytology on the urine sediment done three times—and after that, you’ll likely need more testing and a follow-up with a urologist.

And regarding being thin—how has the appetite been? Is he eating okay?

Let me try to answer those. His appetite is actually quite good. As for the digestive stuff, it's frequent diarrhea—not necessarily every single day, but it happens often, mostly at night. I'll be woken up by cramps and pains right in the middle of the night, usually around 2 or 3 AM. Once the diarrhea starts, then the stomach issues kick in—vomiting, nausea—and the abdominal pain doesn't just go away after he uses the bathroom. The stool samples came back normal for Hb, bacteria, and parasites.
Thanks for getting back to me.
Jesse Evans85 Jesse Evans85 Active Member
81 messages
joined Oct 2010
#1013 ·
I recently went in for some routine blood work at age 32. I also just finished fighting off a case of chickenpox about two weeks ago.

Most of my results came back perfectly normal, falling right within the standard range, with just a few exceptions:
RBC 5.18. Ref. Range 4.86-5.08

Glucose 4.0. Ref. Range 4.4-6.4
Sodium 136. Ref. Range 137-146

But what’s really weighing on my mind is this one: urates at 345, where the ref. range is 134-337.

Could someone help me make sense of these numbers? Specifically, what's the deal with the urates? Every time I try to Google it, I just end up spiraling with anxiety, and my follow-up appointment isn't until I get my other results (hormone levels) back.
Thanks in advance!
Edward Mendoza3 Edward Mendoza3 Newcomer
9 messages
joined Feb 2012
#1014 ·
Hi everyone, I just got my latest lab results back during my pregnancy.
First set of labs:
WBC 15.4 (ref up to 9.7)
Neutrophil granulocytes 73 (ref up to 73)
CRP wasn't tested yet

Second set of labs (taken 5 days later): (with a 5-day gap)
WBC 16.5 (ref up to 9.7)
Neutrophil granulocytes 82 (ref up to 73)
CRP 4.4 (ref < 5)
Note: toxic granulation found in some neutrophil granulocytes

My urine culture, nasal swabs, and throat swabs all came back clear. Back in early January, I had a cold—or something similar. My temperature hit 100.4, which I lowered once, and I had a cough that lingered for 2–3 weeks. It’s almost gone now, though my nose is still running more than usual, even if it isn't as bad as it was then.
My primary care physician wants me on antibiotics—but my OB/GYN insists this is viral and will just pass.

What else can I do here?
shadowbadger14 shadowbadger14 Newcomer
1 message
joined Feb 2014
#1015 ·
So, I’m hitting the big 5-0 this year, which means my doctor finally put me on that whole preventative checkup circuit. First stop was the lab, where I spent some time yesterday. Since I don't have a clue how to read any of this medical jargon and my actual appointment isn't until Monday, I’d really appreciate it if someone could make sense of these results for me. I'm mostly sweating the three items circled in red because they're way outside the normal range.

The image is at http://zaslike.com/files/e070yjtdtdk35kvex9vj.jpg

I didn't bother posting the urinalysis since everything on there is perfectly within the healthy limits.

A little more context:
- 50 years old
- Carrying some extra weight—let's just say I enjoy my food and drinks a bit too much
- High blood pressure (clocked it at 145/95 this morning)
- Taking 4 mg of Co-perineva once a day
Bradley Collins5 Bradley Collins5 Newcomer
4 messages
joined Oct 2015
#1016 ·
shadowbadger14, your liver enzyme levels are running high. I guess you'll have to wait until the doctor gets back to you with more specifics—hopefully they reach out soon.
Sandra White10 Sandra White10 Member
26 messages
joined Oct 2015
#1017 ·
So, I was dealing with a nasty bladder infection, and my doctor ended up sending me off for a urine culture analysis.
Well, the results finally landed on my desk today. It was incredibly brief—just a few scattered lines on the page.
It says:
bacteria - aerobic
microbiological finding - sterile

Does anyone actually know what this is supposed to mean?
velvetmoose9 velvetmoose9 Active Member
163 messages
joined Apr 2020
#1018 ·
Sandra White10 said:I was dealing with a bladder infection, so my doctor sent me off for a urine culture.
Got the results back today. It was just a few lines on the page.
It says:
bacteria - aerobic
microbiological findings - sterile

What does that actually mean?

Basically, it means they didn't find any bacteria growing in the sample they tested at the lab.
velvetmoose9 velvetmoose9 Active Member
163 messages
joined Apr 2020
#1019 ·
Sarah Rodriguez68 said:I just went in for some routine bloodwork—I'm 32. I actually just dealt with chickenpox about two weeks ago.

Everything came back totally normal according to the lab standards, except for a few things:
Erythrocytes 5.18. Ref. Range 4.86-5.08

Glucose 4.0. Ref. Range 4.4-6.4
Sodium 136 Ref. range 137-146

And the thing that's really got me spiraling: urates 345 ref. range 134-337.

Can anyone help me make sense of this? What’s the deal with these urates? I’ve been deep-diving on Google and honestly, I'm just stressing out, but I don't have my follow-up appointment with my doctor until I get these other hormone results back.
Thanks in advance!

Those little deviations from the standard ranges aren't really anything to lose sleep over.
Since you were just fighting off a viral infection, it makes total sense to just run these tests again in about 6 to 8 weeks.
Just try to drink more water, unsweetened tea, or whatever else keeps you hydrated.
Karen Hall68 Karen Hall68 Member
14 messages
joined Jan 2011
#1020 ·
EBV VCA IGM NEGATIVE
EBV VCA IGG POSITIVE 144
EBV EA IGG NEGATIVE
EBNA IGG POSITIVE 127
CMV IGM NEGATIVE
CMV IGG POSITIVE 1.8

I was wondering if someone could maybe help me make sense of these results? I'd really appreciate it.
thanks!!

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