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

Sean Jones12 said:Someone mentioned muscle weakness earlier. I’ve been fighting a fever for a few days now, along with a runny nose and a scratchy throat, but my lungs feel fine. Last night, they had me on an IV drip just to get my temperature down, but tonight it's spiking again. They even talked about giving me a shot straight into the muscle. Since I've been a heavy smoker for years, they suggested I provide a sputum sample for testing, but I couldn't even do it because I don't have a cough to speak of. Oh, I forgot to mention—my ESR levels came back at 20.

Was I not being clear enough?

Thanks, I really hope everything turns out okay.

We already got burned once by using antibiotics when we didn't actually need them, so I'm wondering... would a doctor really prescribe an antibiotic based on blood work like this:

WBC 12.9 (5-13)
Gran% 75.1 (30-72)
Mid% 4.3
Lym% 20.6 (15-55)
Gran# 9.7 (1.4-8)
Mid# 0.6
Lym# 2.7 (1.4-5)

RBC 4.62 (4-5)
Hgb 132 (109-138)
Hct 0.383 (0.320-0.404)
MCV 82.9 (73.8-89.4)
MCH 28.6 (24.3-29.2)
MCHC 345 (300-350)
RDW 12.5 (11.9-16.2)
Plt 288 (150-450)
MPV 7.6 (6.9-11.3)

CRP 11 (0-8)

Kid's 7 years old. Doing fine overall, no coughing, no drooling, throat looks red, lymph nodes seem okay. Temp hit 101.3 yesterday afternoon after taking some Tylenol, but nothing since then...
The pediatrician just went ahead and prescribed Augmentin right away. Can someone please explain how you tell the difference between a viral infection and a bacterial one in situations like this? And wouldn't it have been better to just send her for a throat swab and redo the blood work in two or three days before jumping straight to antibiotics?

Just got my lab results back. If anyone here actually knows what they're looking at, please help me make sense of this.

edit: Just a heads-up, I had my entire thyroid removed about a month ago... if you guys need any other specific numbers, let me know and I'll type them out.

thanks 🙂

FT4 1.72 pmol/L
FT3 0.94 pmol/L
TSH 75.47 mU/L
(No reference ranges provided)
TC Scan: Basic activity in the neck area, no focal uptake detected

Pathology report: Thyroid findings indicate hashimotov thyroiditis.
The sample from the left paratracheal node shows reactive changes, no tumor found. Dissected material from the right side of region II yielded about fifteen level 1 nodes up to 2 cm in diameter; all were reactive with no sign of tumor. In the right region IV, three small reactive lymph nodes were found, also no tumor. From the right paratracheal dissection, ten lymph nodes were recovered, one containing tumor tissue. In the right region III, eight level 1 nodes were found, one of which contained tumor tissue.

Megan Ross36 said:Since we already got burned once by giving unnecessary antibiotics, I'm wondering if a doctor would prescribe them based on blood work like this:

WBC 12.9 (5-13)
Gran% 75.1 (30-72)
Mid% 4.3
Lym% 20.6 (15-55)
Gran# 9.7 (1.4-8)
Mid# 0.6
Lym# 2.7 (1.4-5)

RBC 4.62 (4-5)
Hemoglobin 132 (109-138)
Hct 0.383 (0.320-0.404)
MCV 82.9 (73.8-89.4)
MCH 28.6 (24.3-29.2)
MCHC 345 (300-350)
RDW 12.5 (11.9-16.2)
Platelets 288 (150-450)
MPV 7.6 (6.9-11.3)

CRP 11 (0-8)

The child is 7 years old. General condition is good—no coughing, no drooling, throat is red, lymph nodes look okay. Temperature hit 101.3°F yesterday afternoon after taking Tylenol, but hasn't gone back up since.
The pediatrician immediately prescribed Augmentin. Please explain how to distinguish between a viral infection and a bacterial one in cases like this. Would it have been better to send her for a throat swab and redo the blood work in two or three days before jumping straight to antibiotics?

Why did you even go to the pediatrician in the first place?
In my opinion—and full disclaimer, I am NOT a pediatrician and this is just an online forum—there’s no need for antibiotics here, let alone swabs at this stage. If anything was actually happening, you'd see it in a follow-up CBC, CRP, or maybe a urine test.

Olivia Scott86 said:Results are in. If anyone understands this, please explain.

Edit: They removed my entire thyroid about a month ago... if you need any other results, I can type them out.

Thanks 🙂

FT4 1.72 pmol/L
FT3 0.94 pmol/L
TSH 75.47 mU/L
(Reference ranges not provided)
CT Scan: Basic activity in the neck area, no focal accumulation

Pathology report: Thyroid findings: hashimotov.
Material from the left paratracheal node shows reactive changes, no tumor. Material dissected from region II on the right yields about 15 primary nodes up to 2 cm in diameter, all showing reactive changes without tumor. Region IV on the right yields three small reactive lymph nodes without tumor. In the right paratracheal specimen, 10 lymph nodes were found, one containing tumor tissue. In region III on the right, 8 primary nodes were found, one containing tumor tissue.

It tells you everything in two words: hashimotov.

vividsailor7 said:It’s all there in two words: Hashimoto's thyroiditis.

Dr. Harvey, I suspect this isn't just a simple case of Hashimoto's given this finding (in bold):

Olivia Scott86 said:Ten lymph nodes were recovered from the right paratracheal dissection, one containing malignant tissue. In the right Level III region, eight primary nodes were found, with one showing malignancy.

What specific type of tumor are we looking at here—perhaps papillary carcinoma, redbutterfly—and what does the follow-up treatment protocol look like?

Edit: I see you've moved over to the "Thyroid" subforum. It would be best to move this conversation there.

vividsailor7 said:Why even bother seeing a pediatrician?
Look, I’m not a doctor—just some guy on a forum—but seriously, you don't need an appointment or swabs right now. If there were actual symptoms, then maybe check CRP or urine levels...

We went because eight days ago she hit a 101.3 fever one afternoon, and then these little sores popped up all over her mouth (probably just her immune system tanking after that virus). I needed some kind of cream to fix them since they haven't cleared up even after eight days...🤷

Good evening.
I’m not entirely certain if this belongs in this specific thread—though, given these blood work results, I feel compelled to post them here:

My mother is scheduled to begin chemotherapy next week, and today she had her routine labs done for:urea and creatinine.
However, the numbers caught me completely off guard. Her urea is elevated at 95 mmol/l, while her creatinine sits at 110 umol/l. I find myself searching for guidance—is there anything immediate we should be doing, or is it best to simply wait until Tuesday to consult with her oncologist?
To provide some context—which I know is important—she underwent surgery two years ago to remove a stomach cancer, but unfortunately, malignant cells were recently detected in her ascites (abdominal fluid), which is why this upcoming
chemotherapy session was ordered. Since urea levels are so closely tied to kidney function, I can't help but wonder—could there be something happening with her kidneys right now?

Thank you all.
Deeply concerned,

Megan Ross36 said:We headed in there because it was the exact same story just eight days ago. My kid ran a fever of 101.3 one afternoon, and right after that, these little sores started popping up all around her mouth—I’m assuming it was just her immune system taking a hit after that virus. I was desperate for some kind of cream to clear them up, especially since they hadn't budged even after eight days of waiting it out.🤷

Things are finally starting to make sense. Honestly, at this point, I think all we can do is keep a close eye on how this unfolds and run our own checks to make sure nothing gets missed.
WBC, CRP, and the ESR—not to mention just how much I feel like absolute garbage overall.

dustycrane14 said:Good evening!
I’m not entirely sure if this is the right thread for this, but given that I'm staring at my latest blood work results, I figured I’d drop them here:

My mom has her chemo scheduled for next week, and she just finished getting her routine blood work done today—specifically checking her urea and creatinine levels.
I have to say, the results caught me completely off guard. My urea is sitting at a staggering 95 mmol/L, even though my creatinine is only at 110 umol/L. I’m spiraling a bit here—does anyone have any insight? What should my next move be? Is this an immediate red flag that requires action right now, or can I actually afford to hold my breath until I see her doctor this coming Tuesday?
Look, I need to lay this out clearly because the situation is heavy. About two years ago, she underwent surgery to have a stomach cancer tumor removed. Things seemed to be moving in the right direction, but we’ve hit a massive roadblock. Recently, malignant cells were detected in her ascites—that's the fluid buildup in the abdomen—which means the cancer has resurfaced. Because of this development, she’s already been scheduled for...
Chemotherapy. Since urea is directly tied to kidney function, is there actually anything happening to them? Is the kidney taking a hit?

Thank you!
I am seriously concerned.

Is this urea lab result actually written correctly? Does it actually say 9?.5 mmol/L. Look, I’ll be blunt: the data provided here is incredibly thin. Even if I had more to work with, there isn't enough substance here to draw any meaningful conclusions. Without being able to review the full medical history or get a comprehensive look at the entire health profile, anyone trying to make a definitive call is just guessing. It's impossible to say anything significant without the full picture.
We need to get a handle on kidney function—specifically checking that creatinine clearance—but let’s be clear: there is nothing major going on here. We're looking at Stage I renal insufficiency, which isn't exactly a cause for panic just yet.

Dear Nicholas Myers,
I am forwarding my recent lab results regarding the vein inflammation I've been experiencing.

Value Ref. Range
WBC 5.4 ( 3.4-9.7)
Lymphocytes 2.6 ( 1.2-3.4)
Monocytes 0.3 ( 0.1-1.3)
Neutrophils 2.5- (2.1-6.5)
Lymphocytes (%) 47 (20-46)
Monocytes (%) 6 ( 2-19)
Neutrophils (%) 47 ( 44-72)
ESR 4.27 (3.86-5.08)
Hb 131 (119-157)
Hct 0.385 ( 0.356-0.470)
MCV 90 (83-97)
MCH 31 (27-34)
MCHC 341 ( 320-345)
RDW 11.9 (9.0-15.0)
Platelets 301 (158-424)
MPV 8.2 ( 6.8-10.4)

Prothrombin Time 1.00
C-Reactive Protein 0.5

Urinalysis (Qualitative)

Specific Gravity 1.025 ( 1.002-1.030)
pH 6.0 ( 5.0-9.0)
Leukocyte Esterase 100 ( 10 ++
Nitrites 0 ( 0 neg
Protein 0.2 ( 0.2 neg
Glucose 2.2 ( 0.8 norm
Ketones 0.5 ( 0.5 neg
Urobilinogen 7 ( 17.0 norm
bilirubin 9 9 ( 0.0-0.0 neg
Erythrocytes/Hgb 250 ( 10 ++++
Leukocytes 15-20 ( 0-2
Erythrocytes 8-12 ( 0-2
Squamous Epithelial Cells 2-3 ( 0-1
Bacteria 2 ( 0-0 present

Best regards,

I need some advice... A few months back, I caught some nasty virus and spent a week stuck in bed with a fever ranging from 100 to 102. Honestly, I didn't mind being home—just movies and relaxing, which is a luxury I never get—but my husband insisted I go to the doctor. They ran blood work for both of us, and the next day he gets a call saying the doctor wants me to come back in three months for more tests? His results were totally fine.
Now I’m spiraling wondering what’s actually wrong with me. My grandmother passed away from leukemia, so Lang recommended regular check-ups. I’ve been feeling pretty pathetic lately, sometimes barely able to get out of bed, though I usually just blame that on other stuff... and no, I really don't want to deal with more needles! Plus, I totally forgot to mention my family medical history to my doctor.
Just to add to the chaos—it’s been three months now and I haven't even donated a single pint of blood, yet I feel like I need a gallon just to function.

vividsailor7 said:A few things have become clearer now. In my view, the only course of action is to monitor everything closely—specifically keeping an eye on
L, DKS, CRP, and, of course, general physical condition.

Is the urea result clearly documented? Specifically, does it actually say 9? 5mmol/L. The data provided here is quite sparse—though, frankly, even with more detail, one couldn't make any definitive judgments without having the luxury of reviewing the patient's entire medical history.
It is necessary to check kidney function—creatinine clearance, for instance—but for the moment, nothing appears critical. We're looking at Stage I renal insufficiency.

Yes, the urea value is written clearly; it's 95. That’s precisely why I was so concerned—it seems incredibly high.🙄

wanderinghawk22 said:I’m looking for some advice here. Any takers?A few months back, I got hit with this nasty virus that absolutely leveled me. I spent an entire week stuck in bed, running a fever anywhere from 99 to 102 degrees. Honestly? I wasn't even complaining at first. It was actually kind of nice to finally stay home, curl up, and binge-watch movies—you know, all that stuff I never have time for when life is actually happening. But my husband? He wouldn't hear of it. He practically kicked me out the door to go see the doctor. Once we got to the clinic, they decided to run blood work for both of us. Everything seemed fine with him, but then the next day, he gets a call from the doctor's office. Get this: they told me I have to go back in three months to get my blood drawn all over again! Meanwhile, his results were perfectly normal. Can you believe the runaround?
I’ve really started questioning what is actually going on with me. My grandmother passed away from leukemia, and Dr. Lang recommended that I stay on top of regular checkups because of it. Honestly? I feel absolutely miserable. There are days when I can barely even pull myself out of bed, but I just keep brushing it off and blaming it on everything else. And let me be clear: I am NOT interested in being poked with needles again anytime soon! To make matters worse, I haven't even sat down with my primary doctor to go over our family medical history. What am I even doing?
Just so we're clear—it’s been three full months now, and I haven't donated even a single drop of blood, yet I feel like I need liters of it just to function.

Advice on what, exactly? You can't just drop a vague question like that and expect a meaningful answer. Give me some context! What are we talking about here? A career move? A legal headache? A bad investment? I’m sitting here ready to weigh in, but I need substance. Don't just throw a hook into the water and wonder why you aren't catching anything. Lay it out. Details matter.
I honestly have no clue what the initial results were, let alone which specific tests they even bothered to run in the first place.
Nobody can force anyone to do anything. Period. But I still don't think Nada was off base when she argued that we need constant monitoring. Besides, I haven't even been told which specific type of leukemia we're dealing with here.
And I honestly don't get why everyone is getting so worked up about not wanting to have blood drawn. Look, if you don't want to do it, that's your call. Period. It's your choice.

dustycrane14 said:Is this urea value actually correct? It says 95, and honestly, that’s exactly why I’m freaking out—it seems way too high.🙄

This has to be a lab error. There is almost no way this result is accurate, especially since it doesn't correlate with the creatinine levels at all. It makes zero sense. You absolutely need to rerun the tests for urea, creatinine, potassium, and urate immediately.

wiredbadger18 said:Dear Nicholas Myers
I am sending you my lab results regarding some vein inflammation...

Hello,

Based on these results, there's a possibility of a urinary tract infection; several markers point in that direction. I'm not sure if you’ve been experiencing any discomfort while urinating or if a doctor has already prescribed an antibiotic course for it.

Additionally, the urine analysis shows elevations in both bilirubin 9 and, it appears, glucose as well. Please double-check the specific values listed against the standard reference ranges provided by the lab.

The typical reference range for glucose in urine is usually under 0.8 mmol/l, but yours is sitting at 2.2 mmol/l. That’s a notable uptick. It would be wise to repeat the urinalysis—which you should do regardless—and also get a fasting blood glucose test along with a panel for total bilirubin, AST, ALT, GGT, and ALP, especially if the bilirubin levels remain elevated in the follow-up.

To whom it may concern,
I had some trouble uploading my scanned lab results, so I am forced to transcribe them manually here.

URINALYSIS QUALITATIVE ANALYSIS

Specific Gravity: 1.025 (kg/L) (1.002-1.030)

pH Level: 5.0 (pH units) (5.0-9.0)

Leukocyte Esterase: 100 (Lkcx10e 6/L) (
Nitrites: 0 (umol/L) (0.0) negative

Protein: L) (0.2) negative

Glucose: L) (0.8) normal

Ketones: L) (0.5) negative

Urobilinogen: L) (
bilirubin 9 (umol/L) (0.0-0.0) negative

Erythrocytes / Hemoglobin: 250 (Ercx1oe6/L) (
White Blood Cells: 15-20 (count/field) (0-2)

Red Blood Cells: 8-12 (count/field) (0-2)

Small Epithelial Cells: 2-3 (count/field) (0-1)

Bacteria: 2 (0-3) (0.0) significant

I am not experiencing any typical urinary symptoms—nothing like burning or frequency—though I occasionally feel as if I haven't fully emptied my bladder. My physician hasn't prescribed any medication. It is worth noting that I had nearly identical results about a year ago; at that time, I wasn't given any treatment, nor was I advised to follow up with a repeat urine test.
control.

I plan to contact my doctor tomorrow to request further testing.

Best regards.

Hello,

It’s a shame you couldn't scan the report. I’m a bit puzzled by the glucose and bilirubin levels; they seem elevated, yet the final result is marked as "normal" or "negative." This suggests those specific parameters might actually be within range. Usually, if there were an issue, you'd see plus signs—like what appeared next to the leukocyte esterase or hemoglobin—rather than a "negative" designation. That discrepancy is why I was looking for the original document. It’s possible there's a mismatch in sensitivity between different testing methods or reagent strips.

Regardless, the presence of leukocytes and erythrocytes in the urine is clear. Is there any chance the sample was contaminated? For instance, were you menstruating at the time, or perhaps experiencing some vaginal discharge?

If I were in your shoes, I would simply repeat the urinalysis. You should definitely consult your primary care physician about these results. Seeing leukocytes and erythrocytes in these quantities—setting aside the glucose and bilirubin, which may be fine—isn't a normal finding. We need to determine if this is a matter of a contaminated sample, an infection, or something else entirely.

Since you aren't experiencing symptoms, this isn't an emergency. However, please discuss these findings with your doctor to get their professional take. If you decide to redo the test, ensure the collection process is precise: use your first morning urine after at least four hours of fasting, perform thorough hygiene beforehand, and use the midstream catch. Also, make sure you aren't mid-cycle or dealing with any discharge during the collection.

Best regards. 🙂

Could someone please help me make sense of these lab results? I'm trying to figure out what this actually implies for my health

My anti-tTG-IgA came back at 228, but the reference range says anything over 20 is considered positive

I'm just sitting here waiting to hear what this all means...😕

Hannah Alvarez52 said:Can someone please explain what this lab result actually means and what kind of implications we're looking at?

My anti-tTG-IgA came back at 228, while the reference range says anything over 20 is positive.

Waiting on an answer here.😕

Whoever owns this lab report has elevated tissue transglutaminase antibodies.
Read the very first post.

Anyone have thoughts on these labs?

Everything looks totally fine with my hematology and biochemistry—all within the normal range—but the immunology stuff is acting up a bit:

ANA (ENA) IIF speckled titer dsDNA negative IU/ml 120positive
Histones negative U/ml -II-
SS-A 300 U/ml -II-
SS-B negative U/ml -II-
Sm negative U/ml -II-
U1-RNP negative U/ml -II-
DNA-topo1 negative U/ml -II-
Jo-1 negative U/ml -II-
CENP-B negative U/ml -II-
CH50 normal titer 50%hemolysis at:0.2 0.2-0.5(normal) 0.7(weakly low) 0.9 (low) >0.9(severely low)

As for how I'm actually feeling (been dealing with this for about three years now)—I get these burning sensations, like my muscles are just radiating heat—even though my actual body temp stays totally normal. Plus some slight swelling, mostly in the back of my neck and above my knees and elbows, and just constant fatigue. Haven't been taking any meds or anything else to mask it.

Thanks!

Eric Morales62 said:I'm looking for some insight on these lab results:

Hematology and biochemistry are all within the normal range; it's only the immunology panels that show deviations:

ANA (ENA) IIF speckled titer <1:20
dsDNA negative IU/ml <100negative 100-120weak pos >120positive
Histone negative U/ml -II-
SS-A 300 U/ml -II-
SS-B negative U/ml -II-
Sm negative U/ml -II-
U1-RNP negative U/ml -II-
DNA-topo1 negative U/ml -II-
Jo-1 negative U/ml -II-
CENP-B negative U/ml -II-
CH50 normal titer 50%hemolysis at:0.2 0.2-0.5(normal) 0.7(weakly low) 0.9 (low) >0.9(severely low)

Regarding symptoms (over the last three years): I feel this burning sensation, a heat in my muscles (even though my body temperature is normal), slight swelling—mostly in the back of my neck, above my knees, and above my elbows—and a general sense of fatigue. I haven't been taking any medications or other treatments.

Thanks!

SS-A levels are elevated in Sjögren's syndrome and S&P Global. Advanced immunology.