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

Started by Sam Hall15 · · 👁 72 views · 1.8K replies

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Peter Rogers Peter Rogers Active Member
60 messages
joined Dec 2011
#641 ·
Guys, seriously, can someone please dig up that post from the last page? I’m not even gonna bother quoting it because it’s freaking massive and I don't want to waste half the thread just trying to paste it. pleeease!
I mean, look, nobody has to write a whole dissertation on every single point, but if you know anything at all, just chime in. Even if it's just one thing or a couple of quick bullets, it would be a huge help, really.
James Cox6 James Cox6 Active Member
150 messages
joined Mar 2009
#642 ·
Can someone please clarify this for me...

My 7-month-old just had blood work done:

Lymphocytes came back high at 74 (normal range is 18-60)
Granulocytes are low at 17 (normal range is 23-66)

What could this mean?
quietbison7 quietbison7 Newcomer
3 messages
joined Nov 2011
#643 ·
Emily Ortiz27 said:Guys, seriously, can someone repost that massive wall of text from the last page? I’m not gonna quote it myself because it’s freaking huge and I don’t want to waste half the screen. pleeease!
Nobody has to write an essay here, just chime in if you know something. Even just one or two points would help. please

Look, I’m no pediatrician, but looking at these lab results, the diagnostic algorithm is pointing in a few different directions.
The big thing is figuring out what's actually causing the anemia. Based on the labs, they haven't nailed it yet because they're still moving toward hemoglobin electrophoresis to see if there's some genetic defect in the structure. You can also see signs that they're checking for absorption issues or malabsorption. An acute infection is off the table. Iron metabolism is definitely messed up, and they're trying to figure out why—whether it's happening in the gut or if it's a metabolic issue (genetic). Might even need biopsies at this point. Also, you didn't give the full history, like what the stool looks like or if the kid is vomiting and stuff... based on the erythrocyte appearance and the MCV, it looks like microcytic anemia. Right now, they're basically just hunting for a diagnosis... that's all I can say generally without making any definitive calls.
quietbison7 quietbison7 Newcomer
3 messages
joined Nov 2011
#644 ·
Susan Diaz91 said:Can someone please explain this...

My 7-month-old just had bloodwork done:

Lymphocytes are high at 74 (normal range is 18-60)
Granulocytes are low at 17 (normal range is 23-66)

What does this actually mean????

Look, based strictly on what you just posted, it looks like there's some kind of inflammation going on with the baby. Those lymphocyte numbers aren't even that crazy high. Basically, the immune system is just a bit run down right now. You definitely need more lab work—especially looking into actual immunological markers—to get the full picture. Don't just stop here.
Peter Rogers Peter Rogers Active Member
60 messages
joined Dec 2011
#645 ·
quietbison7 said:Look, I’m obviously no pediatrician, but looking at these lab results, the diagnostic algorithm is definitely heading in a few different directions here.
The big thing right now is pinning down the actual cause of the anemia. Based on what's been done, they haven't cracked it yet because they're moving toward hemoglobin electrophoresis to see if there's some kind of genetic defect in the hemoglobin structure. You can also see hints that they're investigating absorption issues or potential malabsorption. An acute infection is out of the question. Iron metabolism is clearly messed up, and they're trying to figure out if the root cause is localized in the gastrointestinal tract or if it's something metabolic—you know, genetic. They might even need to go for biopsies. Also, you didn't really lay out all the clinical history, like the consistency of the stool, whether the kid is vomiting, stuff like that... But based on the erythrocyte appearance and the MCV levels, it looks like we're dealing with microcytic anemia. For now, they're still just in that phase of hunting for the right diagnosis... that's all I can say in general terms without jumping to any definitive conclusions just yet.

Seriously, thank you so much.
It's true, they're pulling it from several different angles. We're currently waiting on the anti-GGt results with the gastroenterologist, and once those are in, they'll decide if a small bowel biopsy is necessary.
On the hematology side, during the follow-up, they found that the hemoglobin actually bumped up to 105 after a month of intensive therapy, which happened alongside some pretty significant dietary changes too.
The little guy hasn't been vomiting, and he's having regular bowel movements—nothing hard, nothing loose.
We've already ruled out parasites, which was one of the first things they checked, along with any hidden urinary tract infections or anything similar.
Again, thanks a million.
quietbison7 quietbison7 Newcomer
3 messages
joined Nov 2011
#646 ·
Emily Ortiz27 said:No problem at all.
>>It's true, we're tackling this from a few different angles. We're waiting on the anti-gamma GT results from the GI specialist before they decide if a small bowel biopsy is necessary.
Meanwhile, over at the hematologist's office, the follow-up showed the hemoglobin actually bumped up to 105 after a month on the new treatment—and that’s even with some major diet changes thrown in.
The kid hasn't been vomiting, and bowel movements are pretty steady daily, nothing too hard or too loose.
We already ruled out parasites right off the bat, along with those hidden urinary tract infections or whatever else might be lurking.
Seriously, thanks again.

Don't mention it. I just help decode this stuff whenever I can.🙂Best of luck to you guys.
Alex Chavez4 Alex Chavez4 Newcomer
5 messages
joined Feb 2010
#647 ·
Can someone please help me out here? How on earth does a perfectly healthy person end up with a sedimentation 3/5 of 60?
I mean, look, it’s clearly a sign that there’s some kind of inflammation lurking somewhere in the body, but the person feels completely fine... just totally normal... if anyone has any actual explanations or knows what might be going on, I'd really appreciate it.
Kevin Hernandez10 Kevin Hernandez10 Newcomer
1 message
joined Feb 2010
#648 ·
Hey everyone!!
So, I just got my blood work back today... earlier, I was out with my sports club in St. Louis and things went south pretty fast—eight of the girls ended up heading home early because they were dealing with major stomach pains, vomiting, and diarrhea..

My doctor told me I needed to get some labs done right away..
I’m looking at these results and wondering if this points toward anything serious? Should I be stressing out about this??

MCV- 75 (76.5-92.1)
MCH- 24 (24.3-31.5)
WBC- 3.4 (4.4-11.6)
Bilirubin total- 5.2 (6-26)

And CRP is 24 (<5.0)

Honestly, that CRP number is what’s really keeping me up at night...

Thanks so much in advance!
Joshua Sanchez14 Joshua Sanchez14 Newcomer
2 messages
joined Feb 2010
#649 ·
Hi everyone... I could really use some help here. I’ve been dealing with intense pain just under my ribs, and lately, I've also noticed some muscle aches in my arms along with loose stools. I went in for blood work, and most of the results looked fine, though my AST (118), ALT (105), and GGT (250) seem a bit high. I also had an abdominal ultrasound done, which apparently only showed a little bit of fatty liver, and my hepatitis markers came back negative. The doctor who performed the ultrasound suggested I should probably go in for a gastroscopy. I rarely drink alcohol, and I don't smoke either.
quietbison7 quietbison7 Newcomer
3 messages
joined Nov 2011
#650 ·
Kevin Hernandez10 said:Hey!!
got my blood work back today... was out with the club in Chicago and 8 girls came home with stomach pains, vomiting, diarrhea...

doc sent me to get blood drawn..
so I'm wondering if this points to anything bad, should I be worried??

MCV- 75 (76.5-92.1)
MCH- 24 (24.3-31.5)
WBC- 3.4 (4.4-11.6)
Bilirubin- 5.2 (6-26)

and CRP-24 (<5.0)

The CRP is what worries me most...

Thanks in advance

CRP is elevated but relatively minor, you need to monitor it. Everything looks like some kind of virus... based on the results you provided, nothing too crazy.. watch your temperature, stay hydrated, and check the CRP again, that's the basics.
quietbison7 quietbison7 Newcomer
3 messages
joined Nov 2011
#651 ·
Joshua Sanchez14 said:Hey everyone... I need some help here. I've got this intense pain right under my ribs, and now my arm muscles are aching too. Plus, my stools have been soft. I did some blood work and everything looks fine except for my AST (118), ALT (105), and GGT (250). Had an abdominal ultrasound done—just showed a little bit of fatty liver—and ran tests for hepatitis, but those came back negative. The technician suggested I go get a gastroscopy. I rarely drink and I don't smoke.

Look, your ALT, AST, and GGT levels are definitely up, which means there’s some kind of damage happening inside you. You really ought to check your triglycerides, LDL, and HDL levels too. Might as well get an EKG just to be safe. Once you finish that gastroscopy, drop the results here.
Joshua Sanchez14 Joshua Sanchez14 Newcomer
2 messages
joined Feb 2010
#652 ·
I had an EKG done right after my doctor's appointment, and everything looked fine... I’m heading back to the clinic on Monday to get a referral for a gastroenterologist, so once I finish the endoscopy, I’ll be sure to post the results here. Thanks, quietbison7.....
amberowl27 amberowl27 Newcomer
7 messages
joined May 2010
#653 ·
Greetings, everyone;

I have a specific question weighing on my mind. Is it actually possible to detect every single irregularity in the body through a standard blood panel? Are there certain diseases or underlying issues that simply won't show up on those results?
The thing is, my recent blood work came back perfect—every single marker is right where it should be. My urinalysis was also textbook, along with several other tests I had done during the draw.

To be perfectly blunt, I’ve been dealing with persistent, nagging pain in my epididymis and testicles for quite some time now, along with some discomfort in my head on the left side and in my abdomen. I tend to be a bit of a conservative guy, and frankly, I'm prone to worrying about everything. If I am indeed facing an issue with the areas I mentioned, should I realistically expect those symptoms to manifest in my blood work?

When I had blood drawn prior to a surgery last year, my monocyte count was low and my MCHC was elevated, but according to this latest round of testing, everything is back to normal.

Thank you.
northernpanther12 northernpanther12 Member
16 messages
joined Jan 2010
#654 ·
amberowl27 said:Hey everyone;

There's one specific thing I'm wondering about. Can a blood test really catch every single irregularity in your body? Like, are there certain illnesses that just won't show up on a standard lab report?
The thing is, my blood work looks great—every single marker is right within the normal range. My urinalysis was also perfect, along with a few other tests I had done when they drew my blood.

To be honest, I've been dealing with this nagging pain in my groin area—specifically around the vas deferens—plus some headaches on the left side and some stomach issues. I tend to be a bit of a worrier (I guess you could say I'm pretty old-fashioned and cautious about health stuff), so I'm getting anxious. If I have an issue with those areas, should it actually be showing up in my blood results?

Last year, before I had a surgery, I had some blood work done where my monocyte count was low and my MCHC was high, but with this latest round of testing, everything is back to being totally fine.

Thanks.

You can uncover a lot with a full blood panel, but honestly, I doubt you actually got a truly comprehensive set of tests.😁
amberowl27 amberowl27 Newcomer
7 messages
joined May 2010
#655 ·
northernpanther12 said:Technically, you can uncover just about anything if you run a truly exhaustive blood panel, though I highly doubt yours was actually comprehensive enough to catch everything.😁

I went with the usual routine—standard white and red cell counts, urinalysis, sedimentation 3/5, plus checks on cholesterol, potassium, sodium, and my thyroid levels.

I know for a fact they didn't screen me for tumor markers.

And honestly, the results aren't exactly "complete" by any stretch of the imagination; they’re just the basics.
I have an ultrasound scheduled for next month to get a clearer picture.
northernpanther12 northernpanther12 Member
16 messages
joined Jan 2010
#656 ·
amberowl27 said:So, I’m heading in for the usual routine—you know, the standard blood work with the white and red cell counts, plus a urine test and that ESR/sedimentation 3/5 thing. They’re also going to check my cholesterol levels, electrolytes like potassium and sodium, and run some tests on my thyroid too. Just the typical "maintenance" stuff!

Look, I’ll be the first to admit it—I'm definitely not an expert on tumor markers or any of that medical jargon.

I feel like I’m coming up totally empty here... It’s like all I can find are people exactly like that.
I’ve still got another ultrasound scheduled for about a month from now.

Well, I guess some things just aren't meant to be laid bare... you know? There's a certain level of mystery that stays tucked away, and honestly, maybe it’s better that way—some secrets are just too big to let out all at once.🥳
fadedmarlin402 fadedmarlin402 Active Member
154 messages
joined Apr 2010
#657 ·
northernpanther12 said:You can uncover just about anything with a full blood panel, though I highly doubt you actually ran a truly comprehensive one.😁

No, no, no, no, and absolutely not. Sure, abnormal bloodwork usually points toward an underlying issue, but don't flip the logic on me: clean bloodwork isn't a guarantee that you're healthy!
amberowl27 amberowl27 Newcomer
7 messages
joined May 2010
#658 ·
fadedmarlin402 said:Absolutely not. No, no, and no. While an abnormal blood panel usually points toward some underlying issue, you can't just assume the opposite: having perfectly clean lab results doesn't mean you aren't sick!

Fine, then what am I supposed to do if I want to get a real handle on my overall health?
I simply don't have the energy to bounce from one specialist to another, repeating the same litany of symptoms over and over again. And I'm certainly not going to write it all off as "just stress," though honestly, given everything I've had to endure over the last few years, I wouldn't even be surprised if that were the case. It’s a miracle I’m still standing, let alone sane.
northernpanther12 northernpanther12 Member
16 messages
joined Jan 2010
#659 ·
It’s nothing really—you’ll see, one day you’re just going to hit a wall, lose your mind, and be like, "Alright, just tell me what the hell is wrong," and then you won't even bother obsessing over it anymore... It all depends on what kind of tests you're running, but honestly, with enough bloodwork, you can uncover pretty much anything—from a simple seasonal cold to something way more serious. Stress is a real killer, too.
fadedmarlin402 fadedmarlin402 Active Member
154 messages
joined Apr 2010
#660 ·
amberowl27 said:Alright, then what am I actually supposed to do if I want a real baseline for my physical health?
I can't just bounce from doctor to doctor, repeating my whole history every single time. And if I tell them everything is just stress, they’ll probably believe me—which wouldn't surprise me one bit. Honestly, considering what I've been through over the last few years, I'm lucky I'm still sane.

The specific tests you need depend entirely on what symptoms you're actually feeling. It’s entirely possible this is all psychological, but it's easy to just write it off as that, isn't it? Judging by some of your previous posts (like this one), I suspect you might be overthinking things. Of course, that doesn't mean I'm right. My opinion—or anyone else's opinion on this forum—doesn't carry any weight until you've gone through a proper clinical evaluation. Besides, we're starting to drift into off-topic territory here...

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