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

Maria Fisher46 said:Hey,

do you have any other info from those results?

Honestly, this is way too vague to make sense of anything.

Usually, the pathologist or cytologist will actually state a diagnosis in the conclusion.

matches the referral for the patient...

wanderinghawk22 said:it matches the instructions for the patient...

Hello,

Have your doctors actually sat you down and discussed their suspected diagnosis yet?

We’re talking about a very sensitive matter here (the diagnosis).

Since you mentioned those recent hematology follow-ups, I'm wondering if they've officially briefed you on your status.

I’m looking for some advice regarding my child's lab results. They came back with CMV IgM negative IgG
IgG negative, EBV IgM negative IgG positive, HSV 1 IgM negative IgG positive. What does this actually mean, and should I be worried? Thanks in advance for any insight.
🙂

Male, early 20s. I’m healthy and don't take any medications, though there's some family history: three cases of hypertension and one case of leukemia among my grandparents. I decided to get checked out because for the last month, I've been feeling this weird sensation—like something is swollen just under my left rib cage, maybe near the bottom of the spleen. It's on the front side, and it comes and goes unpredictably... sometimes for a few minutes, sometimes for an hour, sometimes daily, sometimes not at all. My temperature hit about 98.2–99.0°F in the afternoons for a few days after it started, but it's normal now. I also had some nausea on an empty stomach for a bit, but that cleared up. Some people told me I'm just being a hypochondriac, but I went ahead with extra testing anyway. I had an abdominal ultrasound, and here's the gist: mucous membranes look normally perfused, and no enlarged thyroid or lymph nodes were felt. All organs are positioned normally with these sizes: liver at 13.5 cm, gallbladder head 2.3 cm, body 1.8 cm, spleen 8.9 cm, and kidneys at 10.5x4.5 cm and 12x5.5 cm. The conclusion was a positive normal finding. I also did blood work, urine tests, enzymes, metabolites, and substrates: RBC 5.69 (4.34-5.72), hemoglobin 170 (138-175), hematocrit 0.497 (0.415-0.530), MCV 87.4 (83-97.2), MCH 29.9 (27.4-33.9), MCHC 342 (320-345), RDW-CV 13.1 (9-15), WBC 9.3 (3.4-9.7), platelets 275 (158-424), MPV 12.1 (6.8-10.4), ESR 2 (2-13). Glucose 4.9 (4.2-6). AST 17 (11-38), ALT 21 (12-48), GGT 37 (11-55), (S)AMY 50 (23-91), (U)AMY 276 (neg), ketones 1 (0/neg), Er/Hb neg (0/neg), proteins neg (0/neg), urobilinogen norm (norm), nitrites neg (0/neg), leukocyte esterase neg (0/neg), microscopic sediment exam shows leukocytes 3-5 (0-2), mucus present (0/neg). I'm looking for a second opinion—are these results okay? Should I be doing more follow-ups or checkups, especially since a few blood values are right on the edge, the MPV is high, and there were some findings in my urine (leukocytes)? Most of all, I want to know if that MPV level is actually a concern or if I really am overthinking things...

rustycobra17 said:Male, early 20s, perfectly healthy, no medications. Family history includes grandparents with issues: 3 cases of hypertension, 1 leukemia. I went in for testing because for the last month, I've had this sensation of swelling under my left rib cage—somewhere near the lower spleen area. It’s on the front side, comes and goes inconsistently; sometimes for a few minutes, sometimes an hour, sometimes every day, sometimes not at all. My temperature was hovering around 98.2-99.0°F in the afternoons for a few days, but it's gone now. I also had some nausea on an empty stomach for a few days, which has cleared up. The doctors basically called me a hypochondriac, but they did run additional tests. An abdominal ultrasound showed: mucous membranes look normally perfused, thyroid and lymph nodes aren't palpable or enlarged. All organs are positioned normally with these sizes: liver 13.5 cm, gallbladder head 2.3 cm, body 1.8 cm, spleen 8.9 cm, kidneys 10.5x4.5 and 12x5.5 cm, resulting in a positive normal finding. Blood, urine, enzymes, metabolites, and substrates were tested: RBC 5.69 (4.34-5.72), hemoglobin 170 (138-175), hematocrit 0.497 (0.415-0.530), MCV 87.4 (83-97.2), MCH 29.9 (27.4-33.9), MCHC 342 (320-345), RDW-CV 13.1 (9-15), WBC 9.3 (3.4-9.7), platelets 275 (158-424), MPV 12.1 (6.8-10.4), ESR 2 (2-13). Glucose 4.9 (4.2-6). AST 17 (11-38), ALT 21 (12-48), GGT 37 (11-55), (S)AMY 50 (23-91), (U)AMY 276 (neg), ketones 1 (0/neg), Ery/Hb neg (0/neg), proteins neg (0/neg), urobilinogen norm (norm), nitrites neg (0/neg), leukocyte esterase neg (0/neg), microscopic sediment exam shows leukocytes 3-5 (0-2), mucus present (0/neg). I'm looking for a second opinion. Are these results normal? Should I undergo more tests or follow-ups? I'm mostly worried about a few blood values being close to the limits, the elevated MPV, and the urine findings (leukocytes)? Most importantly, is my MPV level something to worry about, or am I really just overreacting?

This is exactly how every single inquiry should look if you want actual help.
The results are normal. That MPV isn't even a big deal.

Melissa Ramirez94 said:Can someone please give me some advice? My kid just got these results back: CMV IgM negative IgG.
So, I've got EBV IgM negative, IgG positive, HSV 1 IgM negative, and IgG positive. What does that actually mean? Is this dangerous or what? Thanks in advance for any help!
🙂

Look, I'm no doctor, so definitely wait for a pro to actually read your results, but I went through similar TORCH testing myself. From what I remember, CMV stands for cytomegalovirus, HSV is herpes, and honestly, I have no clue what EBV is.

Positive. IgG So basically, it means the person ran into the virus at some point in their life and developed antibodies. It could also just be from getting vaccinated against that specific disease, I guess. IgM A positive result basically means you've got an active infection right now. I guess.

So, basically, the kid doesn't have CMV or EBV, but they clearly have antibodies from being vaccinated. Same deal with Herpes—it's not an active infection, just the antibodies showing up. I guess that's it.

Honestly, if you ask me, there’s really nothing to worry about. 🙂

Still, you should probably get your doctor to confirm that finding.

cosmiclynx98 said:Thanks for getting back to me, here are the full results:
Medical Biochemistry:
potassium 4.2
glucose 4.7
urea 4.7
creatinine 73
urate 246
bilirubin 16.7
iron 14
TIBC 58
UIBC 44
HDL cholesterol 2.3
LDL cholesterol 3.7
Cholesterol 6.5
triglycerides 1.0
AST 22
ALT 16
GGT 15
Laboratory Hematology:
ESR 56
WBC 12.4
NEU 32.0
LYM 61.0
MONO 5.0
EOS 2.0
RBC 4.49
Hb 136
Hct 0.418
MCV 93.3
MCH 30.3
MCHC 324
RDW 12.1

Platelets 309
RTP 17
We're going to run a CRP and a CBC next, what do these look like to you guys?

So, checking back in after a bit of a wait—just got the CRP back and it’s 8.1.
I'd love some insight on what the next move should be.
Thanks

Hey there! Does anyone happen to know what the abbreviation "ly" stands for?
My little one had some blood work done because they've been running a fever between 100-102°F for three days straight, then it disappears for a week, and then—boom—the fever is back again. Looking at the results from three days ago, the platelets were around 53, then 51, and yesterday they were sitting at 55. White blood cell counts were 3.2, then 4.2/4.5, and hemoglobin was 113/109/111.
And the ly is 57/65.
Thanks!

vividsailor7 said:What was the reason for those recent tests? Did she get her CRP checked? Also, please type out the full results here.

Hey there, checking back in after quite a while. We just got the latest labs back, and the CRP came in at 8.1.
I'd love to hear what Dr. Hrvoje thinks about this and what our next steps should be.

Best,

Hey everyone,

So, psoriasis recently decided to show up on my hands, which was a fun little surprise.
My doctor sent me off to get some blood work done to see what's going on under the hood.
And here are the results.

Hematology Results
ESR 1 (2-13)
WBC 7.4 (3.4-9.7)
RBC 5.59 (4.34-5.72)
Hemoglobin 170 (138-175)
Hematocrit 0.5 (0.415-0.53)
MCV 89.7 (83-97.2)
MCH 30.5 (27.4-33.9)
MCHC 340 (320-345)
RDW 13 (9-15)
Platelets 234 (158-424)

Biochemistry Results
Glucose 5.3 (4.2-6)
Creatinine 130 (79-125)
Urate 585 (182-403)
Cholesterol 6.4 ( Triglycerides 1.2 ( HDL 1.3 (>1.0)
LDL 4.6 ( AST 18 (11-38)
ALT 57 (12-48)
GGT 66 (11-55)
Potassium 4.4 (3.9-5.1)

Urinalysis
Appearance clear (clear)
Color yellow (pale yellow)
pH 6 (5-9)
Specific Gravity 1.02 (1.002-1.030)
Protein negative (0/neg)
RBC/Hemoglobin negative (0/neg)
Glucose normal (norm)
Ketones negative (0/neg)
Bilirubin negative (0/neg)
Urobilinogen normal (norm)
Nitrites negative (0/neg)
Leukocyte Esterase negative (0/neg)
WBC trace (0-2)
Epithelial cells trace (0-1)
Bacteria some (0/neg)
Mucus some (0/neg)

I'd appreciate any thoughts or insights you might have on this.

Kate Williams68 said:Hey everyone, can someone help me out? What does the abbreviation "ly" actually stand for?
My little one had bloodwork done because they've been running a fever between 100-102°F for three days, then it disappears for a week, and then comes right back. Three days ago, their platelets were at 53, then 51, and yesterday they were around 55. White cell counts were 3.2, then 4.2 to 4.5, and hemoglobin was 113, 109, and 111.
And the ly is 57/65.
Thanks!

Lymphocytes

Kate Williams68 said:Hey, does anyone actually know what the "ly" abbreviation stands for? Any insight would be appreciated.
My kid had bloodwork done because they’ve been running a fever between 100 and 102 degrees for three days straight. Then, just when you think you're out of the woods, the fever disappears for a week only to come roaring back again. It's exhausting. The labs show platelets were at 53 three days ago, then 51, and yesterday they hit 55. White blood cell counts have been hovering between 3.2 and 4.5, and hemoglobin is sitting around 113, 109, and 111. This is incredibly frustrating.
I love it—57/65.
Thanks!

Look, regarding those LY lymphocytes—you absolutely need to get that CBC and differential retested. Seriously. And don't even think about skipping a follow-up appointment with a hematologist. You need a specialist to look at this.

cosmiclynx98 said:It’s been a while since I last checked in here. Just wanted to give everyone an update—we just got the latest lab results back, and the CRP came in at 8.1.
Dr. Hrvoje, I am begging for your expert take on this—what should my next move be?
Hey!

Everything looks fine. Honestly, unless you’re actually feeling like crap, there’s nothing to worry about.

redeagle75 said:Hey everyone!

I’ve recently started dealing with psoriasis on my hands.
My doctor just sent me off to get some blood work done.
And here’s the lab report.
.................................
I’d love to get your take on this. What do you all think?

You didn't even mention your age! And did you get an elevated TSH? Or maybe high blood pressure? Give us some actual details here.
The urine test came back clean. Everything looks perfectly normal.
Looking at the biochemistry results, we've got a few red flags. Creatinine is slightly elevated, which points to some issues with kidney function, and the urate levels are definitely in the pathological range. On top of that, the lipid panel is a mess. It’s not looking good.
I need to see a nephrologist—and I need them to review my current labs and order a full re-test immediately.
CBC, metabolic panel, BUN, urea, creatinine, full lipid profile, CRP, and liver function tests.
I’ve just received the results from my 24-hour urine test—specifically looking at creatinine, urate, protein levels, and creatinine clearance. It’s one of those tedious processes, but necessary to get the full picture.
Here is the diet plan for managing hyperuricemia.
Group 1—the "eat whenever you want" crowd. We’re talking cheese, eggs, sugar, milk, fruit, and certain types of vegetables.
Group 2: Foods You Absolutely Must Cut Out Permanently—bluefish, alcohol, greasy junk food, and organ meats.
Once the results have been fully reviewed and processed, a doctor might decide to prescribe a course of treatment.

vividsailor7 said:You didn't mention your age, or if you've noticed any spikes in your TSH or blood pressure.

I'm 28.

TSH? Blood pressure?

redeagle75 said:I'm 28 years old.

TT? RR?

TT—body weight
RR—blood pressure.

swiftbear86, vividsailor7 thanks
The diagnosis finally came in— thrombocytopenia. I've got bloodwork scheduled for this coming Monday, so we'll see what the actual numbers look like once that's done.

vividsailor7 said:Body weight
Blood pressure.

242 lbs
BP 120/80

I am seeking some assistance in interpreting these lab results... My child is 14.5 months old. We had blood drawn primarily to check for anemia. She hasn't dealt with any viruses or illnesses recently; the last time was about 4 or 5 months ago, just a mild little cold lasting a few days with some sniffing...

Here are the results:


What concerns me is that her red blood cell count is elevated while her white blood cell count is low... what exactly does that signify?

Do you think she should be on an iron supplement?

Kate Williams68 said:swiftbear86, vividsailor7 thanks
The diagnosis finally came in— thrombocytopenia. I’m heading in for blood work this Monday, so we’ll see what the full panel actually looks like.

Thrombocytopenia just means a low platelet count. It's pretty straightforward. But the real job here is digging into *why* those numbers are dropping. That's the mystery to solve.

redeagle75 said:110 kg (about 242 lbs)
Blood pressure is 120/80

First priority? Lose some weight. Seriously. Beyond that, you absolutely need to check thyroid function and get an abdominal ultrasound to take a close look at the liver and kidneys.
That covers the essentials for now.

Since I’ve been bugging you all quite a bit with my test results, I wanted to share an update: my new rheumatologist listed my diagnosis as either SLE or MCTD (which feels like a step forward compared to UCTD, don't you think?), and they prescribed Resochin (or Quensil, if I decide to pay out of pocket myself).
I’m also looking into those tests I mentioned over in the lupus thread.
Thanks for all the replies!

Can someone please help me make sense of these lab results? I'm trying to get pregnant, so I went ahead and did a TORCH panel. All my IgM values came back negative. Some of the IgG levels are a bit high, though, and my OB-GYN thinks I need to retest for CMV. I don't really get why—I thought the main thing was that the IgM was negative. Why wouldn't we need to retest for the others too? HELP me out!🤷

Results:

CMV IgG 1:21000
HSV IgG 1: 11000
Toxopl. IgG less than 1
Rubella 32

All IgM negative

btw, the reference range for CMV and HSV is 1: 230, for Rubella it's less than 10, and for Toxo it's less than 6.