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

velvetmoose9 said:The deviations from the standard reference ranges aren't particularly concerning here.
Given that there was a recent viral infection, it would be sensible to re-run these tests in about 6 to 8 weeks.
Make sure to stay hydrated—stick to plenty of water and unsweetened tea.

Thanks so much!

electricangler32 said:Hi, I had this blood work done because of nasal congestion I've had for four days. Could someone help me interpret these results? I'm particularly concerned about the last one since it shows a slight deviation. I am 27 years old.

Prothrombin time
result 1.09 1
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

Hello,

A shortened APTV can sometimes be part of what's known as an acute phase response—essentially the blood reacting to inflammation or injury. In those cases, it's usually temporary; once the underlying cause of the inflammation clears, the APTV values typically normalize. Another possibility is simply a technical issue during the draw, such as difficulty obtaining the sample. Pregnancy can also lead to a shortened APTV.

In my view, this looks like a negligible deviation. However, I can't say how an anesthesiologist would judge it, as that isn't my area of expertise.

Good luck.

Best regards. 🙂

restlesstrucker15 said:Hey everyone, the kidney inflammation subforum died, so I'm moving here to ask about blood and urine results.
Back pain for a few weeks—thought it was just a bad lower back from this summer, muscle strain, swimming, etc.
Then five days ago, I start peeing blood. Literally. The pain is unbearable. Had to rush to my doctor, then an urgent care urologist, then back to the ER for another day.
The thing is, I don't have a fever (thankfully), the pain persists, the urine is less bloody now, and these are the values:

Urine: leukocytes 69
Erythrocytes 4463 !!!

Ultrasound and X-ray show no stones. The urologist says they don't know where the bleeding is coming from; I'm currently on double doses of antibiotics.
Is it possible to bleed this much without a fever or any stinging sensation?

Long story short—pardon the expression—I completely botched it. At the lab, they told me I forgot to bring the urine sample and only had blood there, and once I clarified it *was* the urine, total panic ensued.

Hello,

What is the current status?

Has a urine culture been performed in the meantime to justify taking "double" antibiotic doses?

An abdominal ultrasound or a standard abdominal X-ray (if that's what you mean by X-ray) might not necessarily detect stones within the urinary system.

In ambiguous cases, when imaging fails to find a visible cause for urotractal bleeding, one might perform urine cytology and, if necessary, a cystoscopy.

Brenda Ortiz10 said:Just to follow up, appetite is fine. Digestive issues consist of frequent diarrhea—not daily, but common, mostly at night. Waking up around 2-3 AM with cramps and pain. After the diarrhea, stomach issues kick in: burping, nausea, and abdominal pain doesn't stop after bowel movements. Stool tests for Hb, bacteria, and parasites came back normal.
Thanks for the reply.

A consultation with a gastroenterologist and further testing in that area would certainly be advisable.

Betty Booth45 said:Hi, I just got bloodwork back during my pregnancy.
First set of results:
WBC 15.4 (ref up to 9.7)
Neutrophils 73% (ref up to 73%)
CRP wasn't tested

Second set of results (taken 5 days apart)
WBC 16.5 (ref up to 9.7)
Neutrophils 82% (ref up to 73%)
CRP 4.4 (ref < 5)
Note: toxic granulation found in some neutrophils

Urine culture, nasal swabs, and throat swabs all came back clear. Back in December, I had a cold or something similar. Fever hit 100.4, lowered once, and I had a cough for 2-3 weeks that’s mostly gone now. My nose is still running more than usual, though not as bad as before.
My primary care doctor wants me on antibiotics, but my OB/GYN insists it’s viral and will pass.

What else can I do?

Hello,

How far along are you?

A slight rise in white blood cell counts is standard during pregnancy—largely due to estrogen levels. In cases of preeclampsia, we usually see an increase in neutrophil percentages alongside a mild eosinophil rise. That said, infection markers in pregnancy are tricky; you have to look at existing symptoms and the CRP. If there's suspicion of an infection, a thorough patient history and a CRP test are necessary, which is what happened here.

The CRP appears to be within the normal range.

On the other hand, the neutrophil count has risen, and they noted the presence of toxic granules.

In a non-pregnant patient, those findings would immediately point toward a bacterial infection.

The catch is that this can also occur during a normal pregnancy.

Given how the numbers don't quite align—the discrepancy between the WBC, neutrophils, and CRP—I would prioritize the clinical picture. Essentially, look at your actual condition: how long did the fever last, does it keep coming back, and do you feel like you are generally improving or getting worse?

Also, did your primary care physician mention which specific antibiotic she was considering, or where she thinks the infection is actually located?

shadowbadger14 said:I’m hitting 50 this year, so my doctor started me on some preventative screenings. First stop was the lab, where I went yesterday. Since I don't really understand these numbers and won't see my physician until Monday, I'd appreciate someone explaining the results. Specifically, there are three items circled in red that are significantly above the normal range.

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

I didn't include the urinalysis because everything there is perfectly within the recommended limits.

Other details:
- 50 years old
- overweight; I enjoy good food and drinks
- high blood pressure (was 145/95 this morning
- taking 4 mg of Co-perineva once daily

Hello,

Your results show elevated liver enzyme levels. These are considered mildly elevated (for context, medical literature often classifies values up to 250 IU as mild, 250 to 1000 IU as moderate, and anything over 1000 IU as severe), so while it isn't an emergency or a cause for panic, you should definitely follow up with your primary care physician. They will likely suggest lifestyle adjustments first and then order a follow-up liver panel in about 4 to 6 weeks.

Results like these indicate some level of liver cell damage. However, based solely on these numbers, we can't pinpoint the exact cause.

Essentially, any liver condition involving moderate inflammation or cellular damage can lead to a slight rise in aminotransferases, as seen here.

It is possible that lifestyle factors—such as alcohol consumption, poor diet, and obesity—are responsible, though there are many potential causes for elevated liver enzymes.

If excessive alcohol intake or dietary habits are indeed the culprits, the numbers should improve once those habits are corrected.

Therefore, it would be wise to follow a "liver-friendly" diet (briefly: abstaining from alcohol, avoiding fatty, highly processed, fried, or sugary foods, and cutting back on soda), work on weight management, increase physical activity, and retest in 4 to 6 weeks.

If the levels remain altered after that, more extensive testing will be necessary to determine the underlying cause.

Karen Hall68 said: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

if someone could explain these results, I would be grateful
thanks!!

Hello,

I am unsure why these specific tests were ordered, but their interpretation suggests past infections with two viruses, EBV and CMV. This is quite common; nearly 90% of the American population carries antibodies for these by the time they reach adulthood.

If you’re dealing with any symptoms, they shouldn't be linked to either of these two viruses.

Maria Fisher46 said:Dear sir,

what is the current status?

In the meantime, has a urine culture been performed that would justify taking a "double" dose of antibiotics?

An abdominal ultrasound or even a standard abdominal X-ray (if that is the type of imaging you are referring to) may not necessarily reveal the presence of stones within the urinary system.

In ambiguous cases where radiological methods fail to identify the cause of visible bleeding from the urotract, one might consider performing urine cytology and, if necessary, a cystoscopy.

It would certainly be prudent to schedule a consultation with a gastroenterologist for further evaluation.

Dear sir,

thank you for your response and your inquiries.
The condition has improved; specifically, there is no longer blood in the urine, at least not visible to the naked eye.
A urine culture has not been conducted yet because, as a precautionary measure, my urologist prescribed an antibiotic. After five days without improvement, my primary care physician has extended the antibiotic course for another ten days.
The pain has subsided somewhat, though it persists, and I am currently taking Zaracet pp.
I plan to provide a urine sample for cytology this coming Monday. I assume a urine culture requires a sample taken without the influence of antibiotics. Furthermore, a renal CT scan is scheduled for the beginning of the month. We shall see whether the CT indicates inflammation or merely stones—or, heaven forbid, more severe changes.

Skickas FR

Thomas Foster8 said:Regards:
Got my results back today. These are the values...
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 labs. My appointment isn't for another fourteen days, and honestly, waiting two weeks feels like an eternity right now. Can anyone tell me if I should be worried?... Thanks.

I'm 37. The dermatologist ordered this due to a skin infection. Everything highlighted above was copied directly from the report. Reference ranges are in mmol/L...
thanks.

Does it actually signify anything if the IgG levels for a specific virus come back significantly elevated—say, 5, 6, or even 7 times higher than the standard positive reference range? :O

First off, thank you so much for the response!
I am 22 weeks pregnant.
My last fever was around New Year's—it lasted just one day and didn't go above 100.4°F—but since then, I’ve been struggling with a cough and constant nasal congestion. That blowing my nose part hasn't let up. Aside from that, I feel fine and haven't had any other symptoms. That's why the idea of "inflammation" caught me off guard. There might be some minor focal point of infection in my nose, but I'm really hesitant about taking antibiotics—especially since my nasal swab came back sterile.
The doctor prescribed klavocin, which I haven't taken—primarily because, following my OBGYN's instructions, I had my CRP checked twice with 10 days between tests, and the results were normal.

Maria Fisher46 said:Ma'am,

how far along are you?

It is quite common for white blood cell counts to rise slightly during pregnancy due to the influence of estrogen; additionally, in certain cases, we see an increase in neutrophils and a slight rise in eosinophils. However, one cannot overlook how infection markers manifest during pregnancy—specifically regarding actual symptoms and CRP levels. If there is suspicion of an active infection, a thorough patient history must be taken and CRP levels determined, which, in this instance, has already been done.

It is clear that the CRP is within the normal range.

On the other hand, the blood work shows an increase in neutrophils and mentions the presence of toxic granules.

Outside of pregnancy, such a finding would lead us to prioritize investigating a bacterial infection.

However, the complication here is that this can also be observed in a normal pregnancy.

Given that the results are what they are, it feels unusual for me to say this—given the discrepancy between the leukocyte count, neutrophils, and CRP—but I would rely primarily on the clinical picture, or rather, your physical state: how long did that fever last, does it keep returning, and do you feel your general condition is improving or worsening?

Furthermore, did your primary care physician mention which specific antibiotic she would prescribe and where she believes the potential site of infection is located?

restlesstrucker15 said:I'm heading in this Monday to drop off a urine sample for cytology and a culture. I assume they need me off antibiotics for the culture to be accurate. I also have a kidney CT scheduled for the beginning of the month. Does a CT actually pick up inflammation, or is it just looking for stones and—God forbid—anything more serious?

Sure, a CT scan can be useful, but it isn't a magic bullet. It might not pinpoint the exact source of the bleeding, but you shouldn't skip it. It's a necessary step regardless.

Honestly, if things played out exactly how you described, all those tests should have been handled immediately through the ER the same day the bleeding started.

Post the results.

Good luck! 🙂

Thomas Foster8 said:I'm 37. My dermatologist ordered some blood work to check out a skin infection, and I've listed the specific results you highlighted below. Just a heads-up: the reference ranges are in mmol/L.
Thanks!

In that case, everything seems to be within the normal range. 🙂

crimsonpuma10 said:Does it actually mean anything if the IgG levels for a specific virus are elevated—say, 5, 6, or even 7 times above the positive reference range? :O

It depends on which virus we're talking about, but generally speaking? Not really.

Betty Booth45 said:First off, thanks for the response. Much appreciated.
Twenty-two weeks pregnant.
My last fever was around New Year’s—it lasted about a day and didn't break 100.4. Since then, though, I've been dealing with this nagging cough and constant nasal congestion. The blowing my nose part just won't quit. Other than that, I feel fine; no other symptoms to speak of. That’s why the lab results suggesting inflammation caught me off guard. There might be some localized issue in the sinus, but I’m really not keen on starting antibiotics, especially since the nasal swab came back clear.
The doctor prescribed klavocin, but I haven't started it. I decided to hold off because I followed my gynecologist's advice to monitor my CRP levels first. I had two separate tests ten days apart, and the results came back normal.

Dear
,
A nasal swab alone won't catch whatever might be lurking deep in the sinuses; you can't just take a clean swab result as a guarantee.

If you’re feeling otherwise fine, skipping the antibiotics seems like a sensible move to me.

Keep a close eye on those blood counts!

Best regards. 🙂

Thank you for sharing your thoughts 🙂 I personally feel they should have ordered an urgent urine culture and potentially even a CT scan, especially since X-rays and ultrasounds were already performed, but the on-call urologist likely decided it wasn't necessary at the time... It might actually be for the best, so I will update everyone once the results come in.

Skickas FR

Thomas Foster8 said:I'm 37. My dermatologist ordered these tests due to a skin infection. Regarding the part you highlighted, I transcribed it exactly from the results. The normal reference ranges are listed in mmol/L.
thanks!!

Thanks for the reply. In the meantime, I had a follow-up appointment... the dermatologist told me everything looks within the normal range. More importantly, she insisted on strict dietary changes. No greasy foods, nothing acidic, no sugar, no spice, no alcohol... basically everything I actually enjoy is now off the table.

Thomas Foster8 said:Thanks for the response. I just got back from my follow-up, and the dermatologist said everything looks pretty standard. Her main takeaway was that I need to watch what I eat—basically, stay away from anything greasy, acidic, sugary, spicy, or alcoholic. Everything I actually enjoy is now off the menu.

Exactly. The labs look fine. You were given those dietary restrictions because food can trigger skin flare-ups, not because your numbers are off. It's about management, not a bad diagnosis.

Best, 🙂

Can anyone help me make sense of these lab results:
H90,4
E78(triglycerides=3.0 mmol/L)
R74 (ALT=51 U/L)
M54
Thanks in advance.🙂

Urinalysis results:
Spec. Gravity: 1.030 (Normal range: 1.010-1.025)
Glucose, ketones, proteins, urobilinogen, and bilirubin all seem to be within normal limits.
Nitrites: 1 (Normal: 0)
Blood: 1 (Normal: 0)
Sediment: 6-8 WBC. Normal range: 5-10. 5-7 dysmorphic WBC. There appears to be a significant amount of bacterial flora and mucus present.

I was wondering if anyone might be willing to share their thoughts on these findings. Thank you.

goldencyclist372 said:Urinalysis results:
Spec. Gravity: 1.030 (1.010-1.025)
Glucose, ketones, protein, urobilinogen, and bilirubin are all within normal limits.
Nitrites: 1(0)
Blood: 1 (0)
Sediment: 6-8 WBC. 5-10 epithelial cells. E. 5-7 dysmorphic cells. Lots of bacteria. Also some pus and mucus
.
I'd love to hear what you guys think. Thanks.

Well, there’s no clinical picture provided here—you know, things like actual symptoms, medical history, or what medications you're currently on...
But looking at these numbers, it really looks like a UTI.
There's also a chance the kidney might be involved.
The move would be to get a urine culture and sensitivity test done immediately, then start an antibiotic right after (based on whatever your primary care doctor thinks is best), and then maybe tweak the prescription once those sensitivity results actually come back.

velvetmoose9 said:The clinical presentation—including specific symptoms, medical history, and current medications—hasn't been provided.
The results seem to point toward a urinary tract infection.
It is also possible that the kidneys are affected.
One should probably have a urine culture and sensitivity test done, then start antibiotics immediately based on a primary care physician's assessment, potentially adjusting the treatment once the lab results come back.

I have dealt with kidney infections three times now, and I suppose I've been fighting E. coli for quite a while. I take antibiotics for a period of time, which seems to clear it up, but then it eventually returns, so it feels like a constant cycle. At this moment, I am not taking any medication.
A few months ago, I had a kidney ultrasound, and they told me everything looked fine. I have already completed a urine culture and am just waiting on those results.
I wonder if it might be possible that this recent blood in my urine suggests the presence of sand or kidney stones.
I have been experiencing a constant, dull ache in my kidneys for a few days now.

Maria Fisher46 said:The lab results look fine. You were given dietary advice because food affects skin conditions, not because anything was wrong with the tests themselves... just things to avoid.

Best, 🙂

I’ll definitely follow the advice. Currently on antibiotics and following a diet, so we'll see how it goes. I have follow-up labs scheduled once the treatment is finished.
Thanks so much!!! 🙂

Carl Ramos5 said:Can anyone help me make sense of these results:
H175,4
E78(triglycerides=3.0 mmol|L)
R74 (ALT=51 U|L)
M54
Thanks in advance.🙂

Hi there,

We aren't looking at lab values here; these are ICD diagnostic codes assigned by a physician.

To break it down: H175.4 indicates unilateral hearing loss, E78 refers to a lipid metabolism disorder (standard high cholesterol/fats), R74 points to elevated liver enzymes, and M54 signifies back pain.

Best regards. 🙂