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

Hi everyone. I’m really hoping someone here can help me make sense of this, because my doctors haven't given me any real answers for two months now. I’m a woman in my early twenties. I originally went to my primary care physician because of some wheezing in my lungs, so she ordered blood work. Here is what the results showed: leukocytes 6.2 ref.interval:3.4-9.7
erythrocytes: 4.35, ref. interval:3.86-5.07
hemoglobin 133, 119-157
hematocrit 0.407 0.365-0.47
MCV:93.4 83-97.2
MCH:30.6 27.4-33.9
RDW-CV:11.8 L 14.6-16.5
Platelets:293 158-424
MPV:7.0 6.8-10.4
CBC
neutrophil granulocytes:39.1 L 44-72
lymphocytes:42.3 20-46
monocytes:9.1 2-12
eosinophil granulocytes:8.4 H 0-7
basophil granulocytes: 1.1 H 0-1
Following those labs, my doctor referred me to a pulmonologist. There, I had several tests done: inhalation allergy testing came back negative, the FeNo test was also negative, but my IgE was 813 H (ref. interval: div>

Maria Fisher46 said:Look,

we aren't talking about lab results here; we're looking at ICD diagnosis codes assigned by some doctor.

For instance, H1N1.4 indicates unilateral hearing loss, E78 points to a lipid metabolism disorder—what most people just call "high cholesterol"—R74 means the labs showed elevated liver enzymes, and M54 signifies someone is dealing with lower back pain.

Best, 🙂

Thanks so much for getting back to me. Could you tell me a bit more about what those R74 and M54 diagnoses actually mean? Thanks.🙂 Regards.

Greetings. Might someone be willing to assist me in interpreting these lab results? The blood was drawn on day 4.

AMH 15.9 (0-75.7)
Free testosterone 6.6 (0.2-14.2)
LH 2.27 (2.12-10.89)
FSH 5.64 (3.89-8.78)
Testosterone 1.3 (0.4-2.6)
Estradiol 195 (99-448)
Prolactin 116 (71-566)
DHEA-S 5.9 (0.6-7.2)
TSH 1.93 (0.55-4.78)
Anti TPO
Notes and comments: Day 4

(I am 35 years old; these tests were ordered due to concerns regarding infertility.)

goldencyclist372 said:I've had kidney infections three times now, and I've been fighting E. coli for quite a while. I take antibiotics for a bit, they clear it up, then it just comes right back. It’s a constant cycle. I'm not on any medication at the moment.
A few months ago, I had a kidney ultrasound and everything looked fine. I've done a urine culture and am currently waiting on those results.
Is it possible that this fresh blood suggests the presence of sand or kidney stones?
I've been dealing with a constant, dull ache in my kidneys for a couple of days.

Ma'am,

Given the presence of dysmorphic erythrocytes in your urine (cells that aren't shaped normally, which usually points toward a renal origin), my suggestion is this: once you have cleared the infection, you should definitely repeat the urine sediment test. If those abnormal cells show up again, you'll need a urine cytology performed three times and a consultation with a nephrologist.

It is certainly possible that the blood is caused by stones or "sand" in the kidneys—especially if there's a severe bladder infection—but the dysmorphic erythrocytes are the key detail to watch.

Best regards. 🙂

hollowraven54 said:Respectfully, I would appreciate some insight. My doctors haven't given me much to go on for two months now. I'm a woman in my early twenties. I went to my primary care physician because of wheezing in my chest, so she ordered blood work. These were the results: WBC 6.2 (ref: 3.4-9.7)
RBC: 4.35 (ref: 3.86-5.07)
Hemoglobin 133 (ref: 119-157)
Hematocrit 0.407 (ref: 0.365-0.47)
MCV: 93.4 (ref: 83-97.2)
MCH: 30.6 (ref: 27.4-33.9)
RDW-CV: 11.8 L (ref: 14.6-16.5)
Platelets: 293 (ref: 158-424)
MPV: 7.0 (ref: 6.8-10.4)
CBC
Neutrophils: 39.1 L (ref: 44-72)
Lymphocytes: 42.3 (ref: 20-46)
Monocytes: 9.1 (ref: 2-12)
Eosinophils: 8.4 H (ref: 0-7)
Basophils: 1.1 H (ref: 0-1)
After that, my doctor referred me to a pulmonologist where I underwent: inhaled allergy testing—negative; FeNo test—negative; IgE was 813 H (ref: div>

Ma'am,

Are the coughing and wheezing episodes still happening?

If they are, based on what you've described, you haven't been adequately evaluated for asthma. You haven't mentioned spirometry results, a bronchodilator response test (Albuterol challenge), or perhaps bronchoprovocation tests. In terms of diagnosing asthma, those carry far more weight than a FeNO test or a nasal swab for eosinophils.

For intermittent asthma (where symptoms are relatively mild and occur less than once a week), using Salbutamol (Albuterol) during flare-ups or for prevention is sufficient. However, one cannot make a definitive call on that without spirometry, a bronchodilator test, and a full assessment of pulmonary function.

Best regards. 🙂

Carl Ramos5 said:Thanks for getting back to me. Could you tell me a bit more about what R74 and M54 actually mean? Thanks.🙂 Best regards.

I covered R74 previously, so I'll just pull my previous response here:

Maria Fisher46 said:Hello,

Your results show elevated liver enzymes. These levels are only mildly increased—for context, medical guidelines often categorize anything under 250 IU as mild, 250 to 1000 IU as moderate, and anything over 1000 IU as severe. This isn't an emergency or a reason to panic, but it is a clear signal to follow up with your primary care physician. They will likely suggest some lifestyle adjustments followed by a repeat liver function test in about 4 to 6 weeks.

Essentially, this indicates some level of liver cell damage. However, these numbers alone don't pinpoint the specific cause.

Any condition causing moderate inflammation or cellular damage in the liver can lead to a slight rise in aminotransferases, similar to what you're seeing.

Factors like an unhealthy lifestyle—excessive alcohol consumption, poor diet, or obesity—could be responsible, though there are many potential culprits.

If the issue stems from alcohol or diet, one would expect the levels to normalize once those habits are corrected.

The best course of action is to adopt a liver-friendly diet (which means cutting out alcohol, avoiding fatty, sugary, fried, or processed foods), working on weight management, and staying active. Then, re-test in 4 to 6 weeks.

If the levels remain abnormal after that, further diagnostic testing will be necessary to find the root cause.

As for M54, there isn't much more I can add here. We have a dedicated thread regarding referred pain, so feel free to ask for specifics over at Spinal and Back Pain.

Best, 🙂

Maria Fisher46 said:I’ve already covered the R74 diagnosis in an earlier post, so I’ll just pull from my previous response here:

Regarding the M54 diagnosis, there isn't much more I can add without getting bogged down. We actually have a dedicated thread specifically for lower back issues, so if you want to dive into the specifics, go ahead and ask over at Spine and Back Pain.

Best, 🙂

Thanks so much for clearing that up. Best regards. 🙂

Hello,

I’m dealing with some bladder issues and have to head in next week for blood and urine panels. Is there any chance they'll pick up THC levels during a standard bladder screening... I assume drug testing isn't part of the protocol, especially since this is focused on my bladder rather than narcotics.

Nicholas Myers, thank you so much for such a quick and thorough response. Believe it or not, I feel like I've learned more from you than I did from my own doctor. I was prescribed two rounds of antibiotics, and once those are finished, I'll have to go back in for another urine test. Thank you once again!

ferallynx63 said:Hi there,

I'm dealing with some bladder issues and have to go in for urine and blood work next week. Is there any chance they'll pick up on THC levels during those tests? I don't think drug screening is part of this, especially since the focus is on the bladder, not narcotics.

It isn't included.

I’d really appreciate it if an expert here could weigh in on this:

Results from November 2013:

AST 23
ALT 47
ALP 191
GGT 102
bilirubin 15.0

Before these tests, I was having maybe 3 or 4 beers a month—nothing crazy—but I cut out alcohol entirely after seeing these numbers. My diet was also pretty heavy on processed meats and deli stuff.

Results from February 2014:

AST 28
ALT 63
ALP 158
GGT 101

I actually went through with a liver scintigraphy because there was some suspicion of a hemangioma, though it turned out not to be the case.

Now I've been given referrals for ANF, AMA, AGM, and LKM testing.
Other symptoms—over the last 5 or 6 years, I've dealt with vitiligo and hair loss. Lately, I've also noticed my hands have started shaking.

Anthony Davis72 said:I’d really appreciate it if someone who knows their stuff could weigh in on this:

Results from Nov 2013.

AST 23
ALT 47
ALP 191
GGT 102
bilirubin 15.0

Before these tests, I was having maybe 3 or 4 beers a month. Since then, I cut out alcohol entirely. I also ate quite a bit of
processed deli meats.

Results from Feb 2014

AST 28
ALT 63
ALP 158
GGT 101

I had a liver scan done because they thought there might be a hemangioma, but it turned out to be nothing.

Now I've been handed referrals for ANF, AMA, AGM, and LKM. Other symptoms—over the last 5 or 6 years, I've dealt with vitiligo and hair loss.Lately, my hands have started shaking too.

You should probably look into an ophthalmology exam (including a slit lamp test), checking ceruloplasmin, blood copper levels, and a 24-hour urine copper test, plus seeing an internist and a neurologist.
It's worth looking at hepatitis markers, too.
Of course, all of this is just me shooting in the dark based on pretty thin info.
Your primary care physician will definitely have a better handle on which specific tests you need and which specialists to send you to once they see the actual data.

velvetmoose9 said:An ophthalmologist exam—specifically one involving slit-lamp testing—ceruloplasmin levels, blood copper tests, 24-hour urinary copper, plus visits to an internist and a neurologist.
It might also be worth looking into hepatitis markers.
Of course, this is all just speculation based on very little information.
Your primary care physician will have a much better idea of which specific tests are necessary and which specialists you should see once they've reviewed your results.

Thanks for the input. Regarding those hepatitis markers, I found a panel of 15 at a local clinic. Should I go ahead and test for everything, or is there a way to narrow that list down to just a few essentials?

Anthony Davis72 said:Thanks for the input. I checked with a local clinic and they have about 15 different markers listed for hepatitis. Should I be testing for everything, or can we narrow this down to just a few specific ones?

Given that your liver enzyme levels are off, you should be able to get those viral hepatitis markers covered by your insurance via a standard referral. There’s really no reason to pay out of pocket for this.

Maria Fisher46 said:Given how much your liver enzymes are acting up, you’re actually entitled to get tested for viral hepatitis through your insurance—just use the standard referral—so there really isn't any reason to pay out of pocket for those tests.

Got it, thanks.

I have a lengthy history here, so I will omit certain details to keep this concise. If more data is required, let me know:

I am 25 years old.

Around the summer of 2011, I developed diarrhea that persisted until the summer of 2012. I lost approximately 15 pounds during that time. I deal with various symptoms including excessive gas, stomach noises, and abdominal bloating/popping sensations (like a bubble inflating and bursting). Occasionally, if I eat a large meal late at night, I experience a strange, "rotten" sensation in my stomach, though sometimes eating late doesn't trigger it. My stomach sensitivity to acidic fruit varies. These symptoms fluctuate in intensity. My stool is currently normal, but all these other issues persist. I haven't experienced pain, except for one instance since this began.

This has been the situation from the summer of 2011 to the present. I will skip parts of the timeline because it is too long.

In the summer of 2011, I had tests performed which were negative for Salmonella and Shigella. Later that year, when the diarrhea hadn't cleared by December, I repeated those tests along with screenings for parasites and H. pylori via stool samples. Everything was negative.

In 2013, I finally saw a gastroenterologist. In October, he performed an abdominal ultrasound, which was normal. I then had blood work and an endoscopy.

The endoscopy revealed a minor ulceration at the cardia. Tissue was taken for pathology. The report stated the stomach itself was fine, and samples were also taken from the duodenum to screen for Celiac disease.

However, the pathology report makes no mention of Celiac disease. Here is the full report:

"Tissue samples were received which histologically correspond to gastric mucosa samples. Surface epithelium as well as glandular epithelium show signs of Type I intestinal metaplasia. The lamina propria shows hyperemia, abundant mononuclear infiltrate, and granulocyte infiltrates, which are also found intraepithelially within the glands. On parts of the sample surface, normal stratified squamous epithelium is observed.
With Giemsa staining, rare bacteria resembling H. pylori are found in this material."

My blood work was only recently completed this January, and the results are:

(S) tTg (IgA) 2 (unit: RU/ml) (reference interval < 20)
(S) IgG 12.23 (unit: g/L) (reference interval 7.00 - 16.00)
(S) IgA 0.04 (unit: g/L) (reference interval 0.70 - 4.00)
(S) IgM 0.53 (unit: g/L) (reference interval 0.40 - 2.30)

Two weeks ago, I tested for H. pylori in my stool again; the result was negative.

Last week, I underwent another endoscopy. The doctor stated he found no ulceration, so it likely healed. The report states: "gastric mucosa is slightly hyperemic; biopsy taken for histology and H. pylori," and they again sampled for Celiac disease. The provisional diagnosis is "gastropathy."

Can anyone tell me what this points toward and what medications I should be taking?

Hey there!

Could someone help me make sense of these results?

http://www.picamatic.com/view/10181692_20140303_102114/

I'm six months pregnant—this was just part of a massive battery of tests I had done recently.

Specifically, I'm trying to figure out what this "DZ 152" under the notes and comments section actually means.

Thanks so much! 🙂

I just got my labs back and everything looks like a total mess. My CRP is sitting at 116—which is insane considering the normal range tops out at 0.6—and my white blood cell count is up to 15.5 when it should be under 10. On top of all that, there's a pregnancy test included in the results, and it says "five" in the header, which makes absolutely zero sense to me. I'm just sitting here staring at this screen hoping my doctor can actually make some sense of this disaster. 😕

amberbison26 said:The lab results show my CRP is 116 (normal is up to 0.6) and my white blood cell count is 15.5 (range is 4-10). It also includes a pregnancy test where the header says five, which I don't quite understand. I’m just hoping the medication helps. 😕

I’m no doctor, but that CRP is quite high. That usually points to some kind of active inflammation. What did your physician say? They clearly sent you for testing for a reason.
Your white blood cell count is elevated as well; again, that suggests inflammation.

Provide some more specific details so we can see if there's an on-call physician available on the forum.

I’ve got a nasty flu right now, so I'm guessing that’s why things are acting up. I'm planning to check in with my doctor tomorrow to see what they think.
Specifically, I’m tripping out about this pregnancy stuff. It doesn't make sense to me—my period was totally regular this month and I'm using protection, so why am I even worried? Thanks a ton.😕