#1181 ·
Megan Ross36 said:Hi 👋
We are talking about a 3-year-old child.
Because of swollen lymph nodes and a high fever, a CBC and ALP were ordered, along with a test for infectious mononucleosis.
Mononucleosis was ruled out, but the lymph nodes remain visibly enlarged, and the ALP is 25% above the upper limit of the reference range.
After a course of broad-spectrum antibiotics, they were sent for follow-up testing of ALP, AST, ALT, GGT, CRP, and a CBC.
What is the goal of this kind of diagnostic workup?
Dear Enzo Ferrari,
The tests requested aren't specific; doctors order these kinds of panels every day for patients with various suspected illnesses or as part of routine checkups. Because of that, it isn't possible to pinpoint a specific target based solely on the information provided.
There are infectious disease specialists on this forum, including one user, Khan, so you might want to try reaching out to him via private message. Once you provide him with a more detailed history—what happened with your child, which specific tests were run, and what the results actually showed—he should be able to explain the different possibilities being considered.
Best regards, and I hope your child feels better soon. 🙂
Megan Ross36 said:These are my results. I pretty much understand the cholesterol part... but could someone tell me about the CRP, Sedimentation rate, and pH levels?
I have fatty liver, though my values from a year ago have dropped by half now, which is great.
Lab report copy/paste:
...
Dear silvertiger95,
CRP (C-reactive protein) and Sedimentation rate are non-specific markers of inflammation. "Non-specific" means that based on elevated levels alone, we can't determine what kind of inflammatory process is occurring or where it is located in the body.
The values in your report are only very mildly elevated. It might just be a trace of a minor infection you had when the blood was drawn (like a mild respiratory virus, for instance).
In any case, since these elevations are quite slight, I don't think you need to worry. It should be enough to simply coordinate with your doctor to repeat the tests after a short period—maybe two weeks—to see if the levels have returned to the normal range.
Urinary pH measures acidity; it typically sits around 6, with a standard range between 4.5 and 8.0. Essentially, urine is normally slightly acidic to slightly alkaline.
Your cholesterol and triglyceride levels still aren't where they need to be. Given the fatty liver you mentioned, these should ideally be lower, so you’ll need to consult with your physician to adjust your management plan.
Your liver enzymes are slightly elevated, but the fact that they are trending downward is definitely a good sign.
In short, the results show that your cholesterol and triglyceride levels are still off—you'll need to focus on driving those down further. Your liver enzymes are only slightly elevated, though the fact that they're trending downward is a positive sign. There are also some lingering indicators of mild inflammation.
Consult with your primary care physician.
Greetings. 🙂
Megan Ross36 said:...Can Clavulin really tank your white blood cell count that much when you're dealing with a virus and using fever reducers? Can someone else help me interpret this blood work?
How many days should pass before we recheck the little one's blood work? I was thinking maybe 3 or 4 days. Is that too soon?
She hasn't had a fever since yesterday. Just a very congested nose now.
Dear Anthony White8,
Leukopenia can show up alongside severe viral infections, and it’s also been noted as a rarer side effect of Clavulin. Essentially, a heavy virus could trigger this drop in white blood cells all on its own, and the Clavulin might have just added fuel to the fire.
Your daughter’s blood work—specifically that drop in white blood cell counts alongside the spike in lymphocytes—could suggest she's fighting off a more significant viral infection.
In any case, if the low white blood cell count is linked to a viral infection, you should expect those levels to stabilize within a few days of recovery. It is absolutely critical to monitor the results.
It’s certainly not too early to get a blood count checked. Not at all. Make sure you double-check everything. It's essential.
Best wishes to you and your daughter. 🙂