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

Started by vividsailor7 · · 👁 103 views · 3.9K replies

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Sean Jackson4 Sean Jackson4 Newcomer
1 message
joined May 2014
#1141 ·
Here’s what came back:

leukocytes: 9.5 (3.4-9.7)
erythrocytes: 4.46 (3.86-5.08)
hemoglobin: 13.1 (11.9-15.7)
hematocrit: 0.41 (0.36-0.47)
MCV: 91.3 (83.0-97.2)
MCHC: 32.3 (32.0-34.5)
platelets: 289 (158-424)
RDW: 12.6 (9.0-15.0)
MPV: 10.4* (6.8-10.4)

Serum glucose: 4.46 (3.9-6.2)
Urea: 3.8 (2.5-7.5)
Creatinine: 69 (58-100)
Cholesterol: 6.30* ( Triglycerides: 0.83 (0.4-1.9)
Iron: 21.80 (8.0-30.0)
AST: Aspartate aminotransferase: 21 (0-30)
ALT: Alanine aminotransferase: 15 (0-48)

ESR: 10

Looking for some thoughts on this. Thanks.
Angela Wright Angela Wright Regular
731 messages
joined Feb 2007
#1142 ·
Sean Jackson4 said:Here are the results:

WBC: 9.5 (3.4-9.7)
RBC: 4.46 (3.86-5.08)
Hemoglobin: 13.1 (11.9-15.7)
Hematocrit: 0.41 (0.36-0.47)
MCV: 91.3 (83.0-97.2)
MCHC: 32.3 (32.0-34.5)
Platelets: 289 (158-424)
RDW: 12.6 (9.0-15.0)
MPV: 10.4* (6.8-10.4)

Serum Glucose: 4.46 (3.9-6.2)
Urea: 3.8 (2.5-7.5)
Creatinine: 69 (58-100)
Cholesterol: 6.30* ( Triglycerides: 0.83 (0.4-1.9)
Iron: 21.80 (8.0-30.0)
AST: 21 (0-30)
ALT: 15 (0-48)

ESR: 10

I'd appreciate your thoughts on this. Thanks.

Everything looks fine here. You just need to watch that cholesterol, but it’s nothing to panic about. Just look up a diet plan online, stick to it consistently, and you'll see those numbers normalize in time.
Angela Wright Angela Wright Regular
731 messages
joined Feb 2007
#1143 ·
Lisa Perez37 said:I don't want to start a whole new thread since this is about diagnostics, so I'll just ask here. Is it standard practice in surgery departments across the US to use gauze pads with RTG threads? My sister's doctors suspect they left a sponge behind after her C-section. One OB-GYN claims they can see it on the UZV, another wants an MR, and a third one insists it won't show up on either UZV or MR—only on an RTG—basically making us all feel like we're losing our minds. 😢Thanks in advance!

I hope you guys got this sorted out by now. If not, from what I know, it should definitely show up on an RTG.
Angela Wright Angela Wright Regular
731 messages
joined Feb 2007
#1144 ·
Andrew Cruz43 said:I'm looking for some insight here. A few nights ago, I dealt with these sharp, stabbing pains around my right kidney area and the right side of my abdomen—sort of in a horseshoe shape—along with some nausea. It cleared up by about 11:00 AM the next morning, though I can't rule out that my back was hurting at the same time.
Today, I went to get my liver enzyme levels checked—specifically ALT, AST, Bilirubin, and GGT—because, aside from what I just described, I've been feeling intermittent discomfort and occasional dull aches on my right side.
Here are the results:

AST - 40
ALT - 95
GGT - 96
Bilirubin - 20.8

I noticed that while AST is just slightly above the upper limit, the other two are nearly doubled, even though Bilirubin is within the normal range. I haven't seen a doctor or gone for an ultrasound yet, which I know I need to do pretty soon.
Regarding my habits, I’ve been a regular drinker; over the last 3 or 4 years, I’ve averaged about four large beers OR 0.3L of hard liquor daily, usually taking maybe half a week or a full week off per month.
I hadn't touched alcohol for about 10 days before these tests, maybe just one or two beers, and I ate roughly seven and a half hours before the blood draw (if that matters).

My Helicobacter test came back positive, which definitely explains the stomach discomfort and nausea.

I'd appreciate it if someone could explain what might be driving these elevated numbers. Is this strictly due to the alcohol consumption, and what should my next steps be?

You definitely have a liver issue stemming from the alcohol. You need to cut out the booze entirely, stop eating heavy, greasy foods, and ditch the soda too. Pick up some Silymarin and give your liver some actual time to recover.
Helicobacter isn't related to these specific numbers, but you absolutely have to treat that with antibiotics.
Donna Bennett29 Donna Bennett29 Newcomer
2 messages
joined Jun 2014
#1145 ·
Hello everyone,
I experienced a miscarriage during my third month of pregnancy, and I decided to go ahead and get tested for
Thrombophilia immediately afterward. I had genetic testing done for Factor V, Factor II, MTHFR, Factor XIII, PAI-1, and EPRC; here are the results I received:

Technique: PCR, Reverse Hybridization
Results:

Factor V Leiden - WT (Normal)
Factor V H1299(R2) - WT (Normal)
Factor II Prothrombin - WT (Normal)
MTHFR C677T - HZ (Heterozygous)
MTHFR A1298G - HZ (Heterozygous)
Factor XIII V34L - WT (Normal)
PAI-1 - HZ (Heterozygous)
EPRC (Endothelial Protein C Receptor) - A1/A2/H1/H2 (Heterozygous type 2)

For some context, this was my first pregnancy. I'm 25 years old, about 5'6" (169cm), and weigh 121 lbs (55kg).
Anthony Davis72 Anthony Davis72 Member
13 messages
joined Jul 2014
#1146 ·
I just got my blood work back and my AGLM levels are elevated at 1.4—could someone explain what exactly this AGLM refers to?

Thanks
stormypilot312 stormypilot312 Member
12 messages
joined Feb 2014
#1147 ·
Greetings to everyone
I am 16 years old and I just received my blood work results
My PCT and LYMPH levels are elevated

What does this actually mean? I don't quite understand...
Jonathan Edwards9 Jonathan Edwards9 Member
15 messages
joined Feb 2018
#1148 ·
Hey, does this OGTT look normal to you guys??

Glucose fasting 4.9 mmol/L, then 3.4 mmol/L after two hours (my actual results)

Impaired Fasting Glucose: fasting 6.1-7.0... 2h L

Impaired Glucose Tolerance: fasting L

Diabetes Mellitus: fasting =7.0... 2h =11.1 mmol/L

I also got my hepatitis markers checked (I was vaccinated back in late 2011)

I went to a private clinic in downtown Chicago to get the markers done and everything came back negative—so much so that I actually pushed my primary care doctor at the local clinic to re-run the tests because I was convinced my body had rejected the vaccine or something. So, is this okay now????

HBsAg, Anti-HBc total (IgG+IgM), Anti-HBc IgM, HBeAg, Anti-HBe, Anti-HAV, Anti-HAV IgM, Anti-HCV all negative
except for anti-HBs positive >1000 IU/L
Thomas Thompson12 Thomas Thompson12 Newcomer
9 messages
joined Jan 2018
#1149 ·
So, I went in for blood work today—paid the lab upfront. I made sure to emphasize that I wanted a peripheral blood smear... but looking at the results, it feels like they just did a standard CBC, differential, and platelet count from the smear (there's a note about platelets at the bottom)

It’s frustrating—no matter where I call to ask specifically for a peripheral smear, they just keep talking about the CBC...

Even though everything is technically within the normal range, my white blood cell count has been steadily climbing over the last three months—I've had blood drawn five times now—and it's getting pretty close to the upper limit (9.5)
In the CBC, my lymphocytes are mostly slightly low, while the neutrophils are a bit high... which was also the case today.

My ESR is actually below the typical female reference range—the lower limit is 4, but mine came back at 2.

Otherwise, the CBC is entirely within the normal limits.

I've been dealing with this cough for about a month and a half now, though it isn't constant—just these sudden bouts throughout the day. My chest X-ray showed my lungs and heart are in great shape. No fever at all, either—the highest I hit was 36.9 a few days ago. I am feeling some pain under my armpits, in my neck, and behind my knees—but the ultrasound didn't show any enlarged lymph nodes. Apparently, there are a couple in my neck around 6mm, but the doctor says everything looks fine...

I'm honestly quite worried that something isn't right, which is why I specifically requested a "peripheral blood smear," yet here we are with nothing! Does it make a difference that I went to a local community clinic? I wonder if that kind of testing is only done at a major hospital... or what the catch is...
neonhawk78 neonhawk78 Member
36 messages
joined May 2014
#1150 ·
Hey everyone, I’m currently running through some routine pre-op testing to clear me for an upcoming surgery, but I have to admit, I'm feeling pretty uneasy about my urinalysis and prothrombin time results. Everything else in my bloodwork looks perfectly fine, but these specific findings have me worried. Here is what the report shows:
Regarding my latest blood work, I noticed that my Prothrombin Time—specifically the INR—came back at 1.06. Looking at the standard reference range provided by the lab, which typically sits between 2.0 and 3.5, this value is clearly flagged as low. I suppose it’s worth keeping an eye on, though I'm still processing what that might imply for my overall clotting profile.

Urinalysis results:
Appearance: clear
Color: yellow.
pH level: 6.0
Specific gravity: 1.025.
Protein levels: negative.
Regarding the erythrocyte and hemoglobin levels: they’re coming back positive.
Glucose levels: normal.
Ketones: negative.
Bilirubin levels came back negative.
Urobilinogen levels came back normal.
Nitrites: negative.
Leukocyte esterase: positive.

Microscopic examination of the sediment within the visible field:
White blood cell count: 4-5.
Red blood cells: 4-5
Squamous epithelium: just a thought.
Bacteria: something to consider.
Service: mass


I am incredibly worried right now. Honestly, looking at these results, I’m starting to think I won’t even be able to move forward with my surgery at all. It feels like instead of focusing on the procedure itself, I'm just going to be stuck spiraling into a whole new set of health complications. I feel completely overwhelmed... maybe I'm overthinking it, but I'm truly at my wit's end here. 😢
Nicholas Myers Nicholas Myers Active Member
163 messages
joined Jan 2012
#1151 ·
Chloe Lewis83 said:Please... another blood test result... any thoughts?

(S)tTG-IgA Tissue Transglutaminase Antibodies... 0.5 (0-10)
(S)AGA-IgG Gliadin Antibodies... 12.1 H (0-12)

By the way... I also have unbearable skin itching at all hours, which leaves small sores behind... My doctor suspects this might be a symptom of celiac disease too.😢

Thanks!

Ma'am,

Even though these results look normal (assuming IgA was checked before this serology), if there is suspicion of celiac disease, a small bowel biopsy is necessary. This is performed during an endoscopy (specifically, an esophagogastroduodenoscopy). A negative serology result alone—as seen here—cannot rule out celiac disease, as there are cases where bloodwork appears fine but the diagnosis is confirmed via biopsy.
ruggedpanther32 said:Please, can anyone help... this is my second time collecting 24-hour urine, and both protein and the protein-to-creatinine ratio are elevated. Protein is 0.85 while the range is 0.0-0.15, and the creatinine ratio upper limit is 177 but mine is 208... two months ago, protein was 0.78 and the ratio was 180... everything else is within the provided ranges. My nephrologist told me to contact him only when protein exceeds 3... but I'm worried regardless... especially since lately I feel a burning sensation in my kidney area, particularly when sitting for long periods... what do these elevations indicate? I'm still waiting on immunological testing results... hoping they come back negative.

Ma'am,

There is proteinuria (increased protein in the urine) that could be considered moderate. However, in my opinion, waiting until protein hits 3g in a 24-hour collection before consulting a nephrologist is a threshold set far too high.

What workup have you completed so far? What is your creatinine clearance, estimated glomerular filtration rate (eGFR), urine sediment, electrolytes, and the results from your renal ultrasound? You also mentioned immunological tests...

Based solely on what you've shared, it is difficult to offer much advice.
Nicholas Myers Nicholas Myers Active Member
163 messages
joined Jan 2012
#1152 ·
Anthony Davis72 said:I had some immunology blood work done and the AGLM is elevated (1.4)—what does that actually mean?

Thanks

What was the reason for this test? And what are the reference ranges (usually listed as a ratio)?
stormypilot312 said:hey everyone
I'm 16 and just got my blood work back.
PCT and LYMPH are high.

I don't really get what that means.

You need to be specific: why did you have the blood drawn, and what are the actual numbers for all the results? Without those details, we can't help you.
Maria Nguyen93 said:Excuse me, but is this a normal OGTT result??

Fasting glucose 4.9 mmol/L; two hours later 3.4 mmol/L (my results)

Impaired fasting glucose 6.1-7.0........after 2h <7.8 mmol/L

Impaired glucose tolerance fasting <7.0 .........after 2h 7.8-11.1 mmol/L

Diabetes fasting =7.0 ..........after 2h =11.1 mmol/L

I also tested for hepatitis markers (I was vaccinated in late 2011).

I went to a private clinic for the markers and everything came back negative. I insisted my primary care doctor repeat the tests because I thought my body might have rejected the vaccine or that it hadn't worked for some reason. Is this okay now?

HBsAg, total anti-HBc (IgG+IgM), Anti-HBc IgM, HBeAg, Anti-HBe, Anti-HAV, Anti-HAV IgM, Anti-HCV all negative
except for anti-HBs positive >1000 IU/L

The hepatitis results look fine. It shows you were vaccinated and the vaccine is protecting you against Hepatitis B.

As for the OGTT: why did you take it? Are you experiencing symptoms? Pregnancy?
Nicholas Myers Nicholas Myers Active Member
163 messages
joined Jan 2012
#1153 ·
Jessica Baker69 said:I’m genuinely worried that something isn't right, which is why I specifically requested a peripheral blood smear, but they wouldn't even do it. Does it matter that I went to a local community clinic instead of a major hospital? I'm wondering if those specific tests are strictly reserved for hospital labs, or if there's some other reason behind this.

To whom it may concern,

The local community health clinics don't handle peripheral blood smears; you have to head over to a hospital lab for that. There are also some private labs out there that offer the service if you prefer.

You can't just pick "only platelets from a blood smear." When you're looking at a smear under the microscope after staining, you aren't cherry-picking; you're analyzing the whole field—erythrocytes, leukocytes, and platelets alike.

Regarding that cough: an unremarkable X-ray of the heart and lungs isn't the end of the story. If the cough persists, you need to look deeper—think pulmonary function tests like spirometry, or perhaps other diagnostics if necessary.

I don't think it's wise to let people choose their own searches.
neonhawk78 Asks:
Hi. I'm running through some routine pre-op testing to get cleared for surgery, but my urine results and prothrombin time have me a bit concerned. Everything else in my bloodwork looks fine, but here is what the report shows:
Prothrombin Time - INR 1.06 L (Reference Interval - 2.0 - 3.5)

Urinalysis results:
Appearance: clear.
Color: yellow.
pH level sits at 6.0.
Specific gravity: 1.025
Protein levels: negative.
Erythrocytes/hemoglobin: positive.
Glucose: normal.
Ketones: negative.
Bilirubin: negative.
Urobilinogen levels: normal.
Nitrites: negative.
Leukocyte esterase: positive.

Microscopic examination of the sediment under visible field:
White blood cell count: 4-5.
Red blood cell count: 4-5.
Squamous epithelium: one thing.
Bacteria: just something.
Service: mass


I’m deeply concerned. Looking at these results, I’m starting to think my surgery might be off the table entirely. It feels like I'll just be stuck chasing one health issue after another instead of actually getting better. Honestly, I'm feeling pretty desperate. 😢

Your prothrombin time and INR results are perfectly fine. To clarify, those values between 2 and 3.5 only apply to patients on blood thinners; for everyone else—yourself included—an INR around 1.0 is completely normal and exactly what we expect to see.

The urine analysis isn't actually that bad. Are you experiencing any symptoms typical of a UTI? Also, did you provide a midstream sample, and were you careful to ensure the urine didn't get contaminated by vaginal discharge?
Charles Sanders83 Charles Sanders83 Newcomer
2 messages
joined May 2014
#1154 ·
Hey there

I'm 35 and honestly can't remember if I ever actually had chickenpox as a kid.
Five days ago, I was hanging out near a kid who definitely had it—didn't touch them or anything, just nearby—so I went to get some bloodwork done just to be safe. Here’s what came back:

Analysis result units reference range
Varicella Zoster (VZV) IgM 0.77 cut off 0-0.80
Varicella Zoster (VZV) IgG 331.2 U/ml 0-80

So, am I immune? Did I already deal with this in the past, or am I still in the clear? And more importantly, am I contagious right now?

Thanks for any insight!
neonhawk78 neonhawk78 Member
36 messages
joined May 2014
#1155 ·
Maria Fisher46 said:Dear lady,

The local community clinic labs don't handle peripheral blood smears; those have to be done at a hospital lab. There are also private labs out there that offer that specific service.

You can't just order "only platelets from a blood smear." When a technician performs a blood smear under a microscope after staining, they analyze everything: erythrocytes, leukocytes, and platelets. It’s an all-in-one process.

Regarding that cough: a standard chest X-ray isn't enough to give you a full picture of what's happening with your heart and lungs. If the coughing persists, you really need further testing—like pulmonary function tests (spirometry), or maybe other diagnostics if necessary.

In my opinion, it’s probably not a good idea to try and hand-pick your own medical tests.

Your prothrombin time/INR results look perfectly fine. Those values between 2 and 3.5 are specifically for patients on blood thinners; everyone else should be around 1.0, which is exactly where yours sits. It’s completely normal and expected.

As for the urine analysis, it isn't actually that bad. Are you experiencing any symptoms of a urinary tract infection? Also, did you manage to provide a midstream sample, and were you careful to ensure the urine didn't get contaminated by vaginal discharge?


My period started today—could that be why there was mucus and erythrocytes in my urine, even though I took the test yesterday morning? As for the actual collection process, I was pretty clumsy about it. I had to use the restroom at the lab facility, and I felt really awkward, so I'm assuming I managed to get a midstream sample, but I honestly have no clue how much urine is lost in that initial flow. I was feeling pretty stressed since the lab wasn't comfortable at all, so I probably wasted about 10 ml on the first bit; I was actually worried I wouldn't have enough left for the test itself.

P.S. I've never dealt with a UTI before.
cosmiclynx12 cosmiclynx12 Member
19 messages
joined Feb 2015
#1156 ·
Can someone break down what a liver function test actually looks for?
Back in my early 20s, I was dealing with some urological issues, and along with the liver panel, they had me doing a urine culture and checking my CRP levels.
Now my leg joints have been aching and swollen for a few days... could that be from some kind of inflammation? Doctors at the hospital couldn't give me a straight answer, even though my blood work and chest X-rays came back normal.
Nicholas Myers Nicholas Myers Active Member
163 messages
joined Jan 2012
#1157 ·
Charles Sanders83 said:Good day.

I'm 35 years old and I am not entirely sure if I had chickenpox as a child.
Five days ago, I was in close proximity to an infected child (not physical contact, mind you), so I went for some preventative lab work. Here are the results:

Analysis result units reference range
Varicella Zoster (VZV) IgM 0.77 cut off 0-0.80
Varicella Zoster (VZV) IgG 331.2 U/ml 0-80

Do I have immunity—meaning, did I already have chickenpox, or perhaps I didn't? And naturally, am I contagious?

Thanks in advance for the feedback!

Hello,

Your IgG is positive, which indicates you have immunity and are protected. You were exposed to the virus at some point, though it’s difficult to pinpoint when.

The IgM is negative, though it sits near the "upper limit of normal." Given the context you provided, it’s a bit ambiguous, but I would interpret it as negative.

Keep in mind that under certain circumstances, the virus (which stays dormant in the body indefinitely) can reactivate, which is how shingles occurs.

Best regards. 🙂
neonhawk78 said:[/B]
My period started today; could that be the reason for mucus and erythrocytes in my urine, even though I did the test yesterday morning? Regarding the collection process itself, I was a bit clumsy. I had to use the restroom at the clinic, and since I felt quite uncomfortable there, I'm assuming I managed to catch the midstream. I honestly have no idea how much urine is lost during that initial stream. I was stressed because the lab environment wasn't very comfortable, so I likely lost about 10 ml on the first go; I was worried there wouldn't be enough left for the actual test.

P.S. I have never had a urinary tract infection.

It is likely vaginal discharge, yes. Even just before a period begins, a tiny amount of blood can appear, which is enough to trigger these results.

If you're able to, you might want to repeat the test once your period has finished (it will likely come back completely normal). If not, simply explain to the anesthesiologist that the sample was taken right before your cycle started.

Everything should be fine.

Good luck! 🙂
cosmiclynx12 said:Could someone explain what a liver function test actually entails?
Back in my early 20s, I dealt with some urological issues, and along with a liver panel, they ordered a urine culture and a CRP test.
On top of that, my leg joints have been aching and swollen for a few days now. Could this be a side effect of some kind of systemic inflammation? The doctors at the hospital couldn't give me a straight answer; my blood work and lung scans all came back normal.

In a strict sense, a liver panel includes what we call liver enzymes—AST, ALT, and GGT. In a broader sense, it also covers Bilirubin, ALP, and total serum proteins.
Nicholas Myers Nicholas Myers Active Member
163 messages
joined Jan 2012
#1158 ·
Bočko, your post has been moved to the INFO DESK thread.
rapidcyclist9 rapidcyclist9 Newcomer
2 messages
joined Jun 2014
#1159 ·
My five-year-old son just got his serology results back from a lumbar puncture, and I'm trying to figure out what these numbers actually mean;

EBV VCA IgG positive 121
EBNA IgG positive 67
CMV IgG positive 0.8
Rubella IgG positive 14
Measles IgG positive 617

Thanks 🙂.
Jonathan Edwards9 Jonathan Edwards9 Member
15 messages
joined Feb 2018
#1160 ·
Maria Fisher46 said:What’s the point of this test result? What are the reference ranges—is it usually given as a ratio or something?

You gotta be more specific here—why did you even get bloodwork done and what are the actual numbers? Like, give us the specific values. We can't help you without the data.

The hepatitis results look fine—clearly shows you're vaccinated and protected against Hepatitis B.

As for the OGTT: why the heck did you take it? Any symptoms? Are you pregnant?

I had the OGTT because I'm planning on doing IVF, so my fertility doctor requested it. Other than that, I don't have any issues.

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