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

Started by Zachary Gomez · · 👁 31 views · 585 replies

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Nicole Fisher5 Nicole Fisher5 Newcomer
5 messages
joined Mar 2012
#341 ·
They told me the white blood cell count could just pass and that it's actually pretty normal... The real issue is why my transitional epithelium levels are so high...
Is this something dangerous? Should I be losing sleep over this? Thanks!
Nicholas Myers Nicholas Myers Active Member
163 messages
joined Jan 2012
#342 ·
This search isn't specific enough to provide a real answer. You'll need to redo the urinalysis; once those results are in, we can determine if there's actually anything worth investigating further. To be clear, the most common culprit for this kind of thing is usually a urinary tract infection.
frozenmaker33 frozenmaker33 Newcomer
2 messages
joined Mar 2012
#343 ·
Hello, fellow forum members,
I find myself somewhat stuck regarding my red blood cell counts. This whole issue has been dragging on, and with every new lab report, things seem to be slipping just a tiny bit further...
One doctor is pushing for a consultation with a hematologist, yet my primary care physician insists there's no need to bother with a specialist.
The blood work looks like this:
RBC 3.64
Hemoglobin 130
Hematocrit 0.368
MCV 101.1
MCH 35.6
MCHC 352
RDW 18.1
HDW 44.5
WBC 10.5
Anisocytosis ++
Macrocytes +++
Hyperchromic erythrocytes +++
Hypochromic erythrocyte fraction 1.6
Polychromasia +++
ferritin 177

Everything else falls within the standard reference ranges.
Physically, I don't feel any specific symptoms, though I have been dealing with profound fatigue for months now, and occasionally there’s a brief moment of dizziness...
I am curious as to what these results might indicate, and whether seeking out a hematologist is actually necessary.
I would appreciate any insights you might have.
vividsailor7 vividsailor7 Active Member
217 messages
joined Sep 2011
#344 ·
frozenmaker33 said:Hey everyone,
I’m feeling pretty stuck regarding my red blood cell counts. This issue has been dragging on forever, and honestly, every new lab report looks just a tiny bit worse than the last.
One doctor is pushing me to see a hematologist, but my primary care physician thinks I'm overreacting and says it isn't necessary.
Here are the numbers from my latest blood work:
RBC 3.64
Hemoglobin 130
Hematocrit 0.368
MCV 101.1
MCH 35.6
MCHC 352
RDW 18.1
HDW 44.5
WBC 10.5
Anisocytosis ++
Macrocytes +++
Hyperchromic erythrocytes +++
Hypochromic erythrocyte ratio 1.6
Polychromasia +++
ferritin 177

Everything else falls within the normal range.
I don't really have any major symptoms, except that I've been feeling absolutely exhausted for months now and occasionally deal with some brief dizzy spells.
I'm trying to figure out what these results actually point to and whether seeing a specialist is actually worth it.
Thanks in advance for any insight you can offer.

1. Have you done any follow-up tests yet—things like Iron, UIBC, fecal occult blood, B12, Folic Acid, etc.?
2. Which doctor (what kind of specialist) is the one insisting on a hematologist?
3. Is there any history of digestive issues or anything similar running in your family?
4. You definitely need more investigation—see a hematologist first, then let those specific results dictate the next steps.
frozenmaker33 frozenmaker33 Newcomer
2 messages
joined Mar 2012
#345 ·
vividsailor7 said:1. Have you had any other tests done? Things like iron levels, UIBC, stool samples, B12, folic acid, etc.?
2. Which kind of specialist—what’s their field—is suggesting a hematologist?
3. Any digestive issues or similar history in your family?
4. This definitely needs more follow-up... see a hematologist first, then decide on the next steps based on what they find.

First of all, thanks for getting back to me.

1. None of those things have been tested yet...
2. My endocrinologist thinks I need to see a hematologist (I’m managing Type 2 diabetes)
3. No digestive problems personally, nor does anyone else in my family...
4. Could you tell me what a result like this might actually point to?...
vividsailor7 vividsailor7 Active Member
217 messages
joined Sep 2011
#346 ·
frozenmaker33 said:First off, thanks for getting back to me.

1. You haven't actually addressed any of the points I brought up.
2. My specialist endocrinologist thinks I need a full workup from a hematologist (since I’m managing Type 2 diabetes).
3. I don't have any digestive issues, and neither does anyone else in my family.
4. Can someone please just tell me what these results are pointing toward?

My bad—I completely forgot to mention what those labs actually indicate.
They point toward macrocytic anemia, which usually stems from a deficiency in Vitamin B12 and/or B9 (folic acid).
Honestly, I'm with the endocrinologist on this one. There isn't much for a general practitioner to do here.
Bottom line: you need to see a hematologist.
Nicole Fisher5 Nicole Fisher5 Newcomer
5 messages
joined Mar 2012
#347 ·
Nicole Fisher5 said:Can someone help me make sense of these urinalysis results?

APPEARANCE-cloudy
COLOR-yellow
LEUKOCYTES- 1/+
NITRITES-0
PH-5
KETONES-0
PROTEINS-0
GLUCOSE-normal
BILIRUBIN-0

SEDIMENT

LEUKOCYTES-9-12
TRANSITIONAL EPITHELIUM-3-6
MUCUS-moderate
GLUCOSE-4.8

What exactly is transitional epithelium and why is it elevated? Isn't the normal range supposed to be 0-1?


Dr. George, would you mind taking a look at this for me please...?
vividsailor7 vividsailor7 Active Member
217 messages
joined Sep 2011
#348 ·
Nicole Fisher5 said:Dr. George, could you please make sense of this for me?!

It’s most likely nothing, but it could be a UTI, which I find unlikely. Maybe just redo the urinalysis.
Nancy Rogers58 Nancy Rogers58 Newcomer
5 messages
joined Mar 2012
#349 ·
Hey everyone, I was wondering if anyone could help me make sense of some lab results? A few things are landing outside the normal ranges:
Gran% 69.5% (50.0-70.0)
AST (GOT) 39 U/L (Max 37)
ALT (GTP) 47 U/L (Max 40)
Creatinine 46 µmol/L (53-115)
RF - latex positive
ASO - latex positive
CRP 0.98, and ESR 7/21.
Thanks.
Nancy Rogers58 Nancy Rogers58 Newcomer
5 messages
joined Mar 2012
#350 ·
Nancy Rogers58 said:Hey everyone, I was wondering if someone could maybe help me make sense of some lab results? A few things aren't sitting within the normal range:
Gran% 69.5% (50.0-70.0)
AST (GOT) 39 U/L (Ref up to 37)
ALT (GTP) 47 U/L (Ref up to 40)
Creatinine 46 micromol/L (53-115)
RF - latex positive
ASO- latex positive
CRP 0.98, and ESR 7/21.
Thanks.

I just went back and read the first post, so my bad: I’m 33 years old, and I decided to get these tests done because I've been dealing with muscle pain for about ten days; I also lost 12 pounds over an eight-month stretch without even trying a specific diet—just by eating better and doing miles of power walking😲 which is probably why I wanted to check everything out. I stopped taking birth control about a year ago. My thyroid levels (since my mom has hypothyroidism) were totally fine eleven months ago. Thanks.
vividsailor7 vividsailor7 Active Member
217 messages
joined Sep 2011
#351 ·
Nancy Rogers58 said:Hi everyone, could someone please help me make sense of these lab results? Some values are outside the normal ranges:
Gran% 69.5% (50.0-70.0)
AST (GOT) 39 U/L (Ref up to 37)
ALT (GTP) 47 U/L (Ref up to 40)
Creatinine 46 µmol/L (Ref 53-115)
RF-latex positive
ASO-latex positive
CRP 0.98, and ESR 7/21.
Thanks.

Nancy Rogers58 said:I just went back and read the first post, my apologies! I'm 33 years old. I had these tests done because of muscle pain that lasted for 10 days. I also lost 26 pounds over an 8-month period—not through dieting, just by changing what I eat and doing miles of power walking😲 which is why I decided to get bloodwork done. I stopped taking birth control about a year ago. My thyroid levels (family history of hypothyroidism) were normal 11 months ago. Thanks.

It is painfully obvious you didn't actually read the first post—especially my point about needing to provide the full set of results.
To make it easier for you: CRP, creatinine, and Gran are all within normal limits.
Nancy Rogers58 Nancy Rogers58 Newcomer
5 messages
joined Mar 2012
#352 ·
I need some help here because my primary care doctor basically just brushed me off. He told me that since I’m young and all my other results look fine, there’s nothing to worry about. So now I’m just sitting here taking magnesium twice a day—250 mg tablets, not the fizzy kind—to deal with these leg cramps and that annoying twitching above my eye, which I've been doing for about a month now. But seriously, does he really think it doesn't matter that my RF-latex and ASO-latex both came back positive? Is he actually right about this, or should I be pushing to get the quantitative values for both of those factors checked? I’d really appreciate if someone could weigh in. I'm 33, and I originally went in for blood work because I’ve been dealing with this muscle pain for ten days straight. On top of that, I’ve lost 12 pounds over the last eight months without even trying—I didn't go on a diet, I just changed what I eat and started walking miles at a fast pace every day, which is why I wanted to run the labs in the first place. I stopped taking birth control a year ago, and my thyroid levels were totally normal when I was checked for hypothyroidism about eleven months back. I'm just feeling a bit lost here.
The results are in:
So, I was looking at these lab results, and the WBC came back at 4.9, which falls right in that 4.0 to 10.0 range. Honestly, I guess it’s technically within the normal limits, but I don't know, it feels like it's hovering pretty close to the edge of being low, doesn't it? Maybe it's nothing to worry about, but I can't help but wonder if there's more to the story here.
So, I was looking at these lymph counts—specifically the 1 and 2 readings—and they're sitting right in that 0.8 to 4.0 range. Honestly, I guess it looks pretty standard on paper, but you know how these things go; everything seems fine until it isn't, I suppose. It’s probably nothing to lose sleep over, but I'm always a little wary when I'm staring at these numbers, even if they technically fall within the normal bracket.
The midpoint sits right at 0.3, though if you look at the full range between 0.1 and 0.9, I guess you could argue it fluctuates a bit.
Gran# 3,4 (2.0-7.0)
So, I was looking over my latest labs, and my lymphocyte count came back at 23.8%. Now, if you look at the standard reference range they provide, it’s supposed to be somewhere between 20.0% and 40.0%, which means, technically speaking, I’m sitting right there in the middle of the pack. I guess that's fine, though I can't help but wonder why everything feels a little off lately, even if the numbers aren't screaming for attention. It's probably nothing, maybe just some random fluctuation, but it's always a bit unsettling when you start staring at those percentages and trying to make sense of them.
The mid-range sits at about 6.7%, though I guess you could say it swings anywhere from 3.0% to 9.0% if you're looking at the broader spread.
Gran% 69.5% (50.0-70.0)
So, I just got my labs back and my HGB is sitting at 134, which is right in that 110 to 150 range they give you. I guess it’s technically fine, but honestly, I can't help but wonder if it's actually where it should be, or if maybe there's more to it than just being "within the limits." It feels like one of those numbers where you're technically okay, but you still find yourself second-guessing everything.
So, I was looking over my latest blood work, and my RBC came in at 4.39. Now, looking at the lab's reference range, which sits between 3.50 and 5.0, I guess I’m technically right in the middle of the pack. It’s probably nothing to worry about, honestly, but I can't help but wonder if being squarely in the center like that actually means anything or if it's just one of those numbers doctors glance at and then immediately forget about. I suppose everything looks fine on paper, though.
So, looking at my HCT, it’s sitting at 39.2%, which falls right within that standard range of 37.0 to 48.0%. I guess it’s perfectly normal, though I can't help but wonder if being on the lower end of the spectrum actually matters in the long run, maybe? It seems fine on paper, but you know how these things go.
So, my MCV came back at 89.3, which falls right in that 82.0 to 95.0 range, I guess. It seems like everything is technically within the normal limits, though I can't help but wonder if being right in the middle of the pack actually means anything at all. Maybe it's fine, maybe it isn't, but on paper, it looks okay.
My MCH is sitting at 30.5, which I guess falls within that standard range of 27.0 to 31.0, though I can't help but wonder if being right on the edge like this actually means anything at all.
So, I was looking over these labs, and the MCHC is sitting at 341, which falls right in that 320 to 361 range. I guess it’s technically within the normal limits, but I don't know, it feels like one of those numbers where you just kind of stare at it for a second wondering if everything is actually okay or if it's just hovering there. It seems fine on paper, I suppose, but you know how these things go.
So, I was looking at this RDW-CV value, which came in at 38.2, while the standard range is usually sitting somewhere between 35.0 and 56.0. Honestly, it seems like everything is pretty much right where it should be, I guess, since that number falls squarely within the normal limits. It doesn't look particularly alarming to me, though I suppose you can never be too sure without seeing the rest of the panel, but based on this alone, it looks totally fine.
I guess I'm looking at this PLT count sitting somewhere between 100 and 300, and honestly, it feels like we're just dancing around the issue here. Maybe it’s nothing to lose sleep over, but I can't help but feel like there's more to the story when the numbers are hovering in that specific range. It’s one of those situations where you want to be optimistic, but you also know how much these fluctuations can actually mean in the grand scheme of things.
So, looking at the numbers here, we’re sitting at an MPV of 7.7, though I guess you could argue that anything within that 7.0 to 11.0 range is technically acceptable, if you're into that kind of thing. It feels a little on the lower side to me, honestly, but maybe that's just how the data is shaking out this time around.
So, I was looking at these labs, and the PDW is sitting at 15.4, which falls right in that 15.0 to 17.0 range. I guess it’s technically within the normal limits, but honestly, it feels like one of those numbers where you just kind of stare at it and wonder if it actually means anything at all. Maybe it's nothing, maybe it's something, but it's right on the edge of that bracket, I suppose.
The PCT is sitting at 0.200%, though looking at the range between 0.108 and 0.282, I guess you could say it’s pretty much right in the middle of the pack.
I guess if you're looking at an ESR of 7 out of 21, it seems like things are mostly holding steady, though I suppose there's always that bit of uncertainty when you're staring at lab results without the full context. It’s probably nothing to lose sleep over, but maybe we should just keep a close eye on it?
So, my glucose came back at 4.6, which sits right in that standard range of 3.9 to 6.1. I guess it’s pretty much right in the middle of the road, though I can't help but wonder if being that "normal" actually means anything at all or if it's just one snapshot in time that doesn't tell the whole story. Maybe it's fine, maybe it isn't, but on paper, everything looks perfectly standard.
So, I just got my labs back and my total cholesterol is sitting at 3.2—which, according to the standard range they gave me, falls right between 3.1 and 5.7. I guess that means everything is technically looking fine on paper, though I'm always a little skeptical when things seem this straightforward, maybe because I tend to overthink these kinds of numbers. It’s within the normal limits, I suppose, but I'll be keeping an eye on it regardless.
So, my triglycerides came back at 0.81, which falls right in that healthy range of 0.30 to 2.30. I guess that’s actually pretty good news, though I suppose I should probably stay on top of things if I want to keep those numbers from creeping up.
So, I was looking at these Urea 4,6 levels—which apparently range from 2.5 to 8.3—and I guess you could say things look a little interesting, if you want to be blunt about it. It’s one of those things where you can't just stare at a single number and assume everything is perfect or falling apart, though I suppose some people might try. Maybe it's just me, but I feel like there's always more to the story than what's written on a standard lab report.
So, I saw someone mention a creatinine level of 46 when the normal range is supposed to be between 53 and 115, and honestly, I guess it’s one of those things that looks a little off on paper, but maybe isn't as scary as it sounds at first glance. It’s low, sure, which might make you wonder what's going on, but I suppose it could just be a matter of having less muscle mass or maybe even just being really hydrated, though I’m definitely not a doctor or anything. It’s probably worth mentioning to a physician just to be safe, because while it sits just outside that standard window, I guess there's usually a reason for it, whether it's just how your body is built or something else entirely.
So, I saw someone mentioning their total bilirubin is sitting at 7.1, assuming the upper limit is around 20, and honestly, I guess it’s one of those things where you just have to look at the bigger picture. It seems like a pretty normal reading to me, maybe even a bit on the low side depending on what else is going on, but I'm no doctor, obviously. If everything else in the bloodwork looks fine, then a 7.1 probably isn't anything to lose sleep over, but I suppose it really depends on whether there are other flags being raised by the physician.
So, my AST levels came back at 39, though I think they actually did 37 earlier, if I remember correctly. I guess that's probably fine, but I don't know, maybe there's something to it?
I guess you could say the ALT (GTP) is sitting at around 47, though if I had to be honest, it feels more like it’s hovering closer to 40.
So, I just got my lab results back, and my iron levels are sitting at 17.3—which, according to the standard range here in the States, is somewhere between 6.6 and 26.0. I guess that means I’m technically fine, though I can't help but feel like I should be feeling a bit more energetic than I actually do, maybe? It's probably nothing, but I'll keep an eye on it, I suppose.
My CRP is sitting at 0.98, which is well under that 5.0 threshold they usually give you. I guess that’s probably a good sign, maybe? It seems like things aren't exactly on fire inflammation-wise right now, though I suppose there's always more to look into.
So, I guess we can finally say it—the RF-latex results came back positive.
So, I guess I just saw that the ASO-latex came back positive, and honestly, I’m sitting here trying to wrap my head around what that actually means for us. It feels like one of those moments where you just stare at the results and wonder if you should be worried or if it's just one of those things that doesn't matter as much as it seems, though maybe I'm being too dismissive. I don't know, it's hard to say for sure without more context, but it definitely feels like something we need to keep an eye on.

I mean, look, I guess we really need to talk about the whole situation with urine, because honestly, it’s kind of a mess if you think about it. It’s one of those things that people just sort of gloss over, but maybe there’s more to it than just being gross, you know? I feel like everyone has an opinion, but nobody actually wants to dig into the real details of what’s going on.
I guess I'm just going to say it—the color is definitely blue.
It looks like B.
I guess we’re really diving straight into pH 5 now, aren't we? It feels like we're just throwing numbers at the wall to see what sticks, but if we're actually talking about this level, I suppose there's some weight to it, even if it seems a bit arbitrary at times. Maybe it's significant, maybe it isn't, but I honestly feel like we need to be more direct about why this specific measurement matters instead of just floating around the topic without any real teeth.
So, I was looking over my latest lab results, and I noticed my urobilinogen came back at 1:2, which is technically outside that standard 0-1 range they usually give you. Honestly, I guess it’s probably nothing to lose sleep over, but it’s one of those things that makes you wonder if everything is functioning exactly how it should be. Maybe it's just a fluke or something I ate, but seeing numbers sit right outside the "normal" bracket always feels a little unsettling, even if it might not actually mean anything significant.
I guess seeing an RBC count of 1-2 on your labs might seem a little weird if you aren't used to looking at them, but honestly, it’s probably nothing to lose sleep over. I mean, maybe it's just within the normal range depending on what exactly they were testing for, but I'd say don't go panicking just yet. It's likely fine, though I'm no doctor, obviously.
I mean, I guess you could say that finding those flat-top stations is pretty much a rarity around here, though maybe I'm just being overly dramatic about it. It honestly feels like they’re becoming harder to come by every single day, almost like they've just vanished from the map entirely.
I guess you could say there's some mold creeping in.
I mean, I guess we should probably talk about how rare certain bacteria actually are, because honestly, most people don't realize how much of a freak occurrence it is when you stumble upon them. It’s not like they're just hanging out everywhere waiting to be found; sometimes you really have to dig deep or look in some incredibly specific, niche spots to even catch a glimpse of them. Maybe it's just my way of looking at things, but it feels like we overstate how common everything is in nature, whereas in reality, some of these microbes are basically the unicorns of the biological world.
Nancy Rogers58 Nancy Rogers58 Newcomer
5 messages
joined Mar 2012
#353 ·
So, I finally pushed for those quantitative tests for ASLO and RF, and here’s what ended up coming back on the lab report:
ASLO 293 IU/ml (normal range is 0-200)
Rheumatoid factor 7 IU/ml (normal range is 0-14)
What does the typical treatment plan look like when the ASLO levels are running high like this?
If there's anyone out there with enough goodwill—and maybe even better expertise than me—🙂 who could give me some answers!
Thanks.
vividsailor7 vividsailor7 Active Member
217 messages
joined Sep 2011
#354 ·
Nancy Rogers58 said:I insisted on getting quantitative testing for my ASLO and RF levels, and here are the results:
ASLO 293 IU/ml (normal range 0-200)
Rheumatoid factor 7 IU/ml (normal range 0-14)
What’s the standard treatment protocol when ASLO is elevated?
If anyone out there has the patience—and better expertise than I do—🙂 please give me some answers!
Thanks.

An elevated ASLO level typically points toward a recent Group A Strep infection.
Treatment usually involves antibiotics like penicillin, amoxicillin, or Penicillin V.
Honestly, though, the number isn't even that high; it just suggests there was an infection present at some point.
It wouldn't hurt to have your thyroid checked too, just to be safe.
Sean Jones12 Sean Jones12 Newcomer
3 messages
joined Apr 2012
#355 ·
I’ve been seeing everyone on the forums talking about rising creatinine levels and what might be causing it, but I haven't been able to find much info on what a lower number actually means. My level came back at 48 µmol/L, and I was wondering what that might indicate for a man. Sorry if this isn't quite the right place to ask.
nimblestag112 nimblestag112 Newcomer
1 message
joined Apr 2012
#356 ·
Hello everyone,
I am currently 35 weeks pregnant and just received my urinalysis results:
appearance: cloudy
color: yellow
protein: positive (+)
glucose: negative
ketones: negative
bilirubin: negative
urobilinogen: negative

Microscopic sediment examination:
epithelial cells: many
leukocytes: 10-12
erythrocytes: 5-6
bacteria: many
mucus: many
salts: phosphates

Could anyone offer some insight? I find myself feeling quite anxious about this, and my scheduled appointment with the doctor isn't until next week... Thank you.
Nancy Rogers58 Nancy Rogers58 Newcomer
5 messages
joined Mar 2012
#357 ·
vividsailor7 said:ASLO levels tend to spike when you're dealing with a Strep A infection.
Treatment usually involves antibiotics like penicillin, amoxicillin, or Penicillin V.
But since the value isn't actually that high, it might just suggest there was some kind of Strep presence in the past.
It wouldn't be a bad idea to get the thyroid checked out, too.

I've been put on 1.6 million units of intramuscular penicillin for five days, followed by twenty-one days of Extecillin; I'll probably check my thyroid in a few weeks once I go back for more ASLO testing. Thanks for the input.
Best,
vividsailor7 vividsailor7 Active Member
217 messages
joined Sep 2011
#358 ·
Sean Jones12 said:I see everyone on these forums talking about rising creatinine levels and what causes it, but I can't find a single decent explanation for what a specific number actually means. My level came back at 48 umol/L—what does that point to for an adult male? Sorry if this isn't the right subforum for this kind of thing.

It’s nothing. Your results are perfectly fine.
Sean Jones12 Sean Jones12 Newcomer
3 messages
joined Apr 2012
#359 ·
Someone mentioned muscle weakness earlier. I've been struggling with a fever for a few days now, along with sneezing and a sore throat, though my lungs seem fine. They gave me an IV last night to try and break the fever, but it spiked again tonight—they actually had to inject some Navelgatol deep into the muscle. Since I've been a smoker for years, they suggested I provide a sputum sample for testing, but I couldn't manage it because I don't have a cough at all. I forgot to mention that my sedimentation rate is 20.
vividsailor7 vividsailor7 Active Member
217 messages
joined Sep 2011
#360 ·
nimblestag112 said:Hi everyone,
So, I'm pregnant (35 weeks along) and just got my urinalysis results back:
appearance: cloudy
color: yellow
protein: positive (+)
glucose: negative
ketones: negative
bilirubin: negative
urobilinogen: negative

Microscopic sediment exam:
epithelial cells: many
leukocytes: 10-12
erythrocytes: 5-6
bacteria: many
mucus: many
salts: phosphates

Can anyone tell me what this means? I am incredibly worried, and my follow-up appointment isn't until next week... Thanks.

Looks like a possible UTI. Get a urine culture done ASAP. Keep an eye on your blood pressure regularly. You need to repeat this test.

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