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

vividsailor7 said:Low GGT doesn't mean anything on its own. It all depends on how much it has dropped or risen.

I am aware, but that little asterisk on every lab report is irritating.
Lower is certainly better than higher.😬

Differential Blood Count
Unsegmented neutrophils - 5.0 (0-2)

The doctor underlined this part and noted I should wait until my period finishes before providing the urine sample... I suppose that's how it works.
Urinalysis
Erythrocytes/hemoglobin - 1 ..0/neg

Urine Sediment
Erythrocytes - 5-7 ..0/neg(x400)

If you'd like, I can provide the full blood count so you have a clearer picture...

Megan Jones27 said:Differential Blood Count
Unsegmented neutrophils - 5.0 (0-2)

The doctor underlined this part and noted that I should wait until my period was finished before doing the urine test... I guess that's how it works.
Urinalysis (FKP)
Erythrocytes/hemoglobin - 1 ..0/neg

Urine Sample (PS)
Erythrocytes - 5-7 ..0/neg(x400)

If you want, I can list the full blood count so you get a better idea of what's going on.

Look, if you actually want help, you need to give me the entire KKS. I can't tell you anything based on just this snippets.

Here you go, this is from June 9, 2011.

Hematology

K - Erythrocytes - 4.03 (3.86 - 5.08)
K - Hemoglobin - 122 (119 - 157)
K - Hematocrit - 0.362 (0.356 - 0.470)
K - MCV - 90.0 (83.0 - 97.2)
K - MCH - 30.2 (27.4 - 33.9)
K - MCHC - 336 (320 - 345)
K - RDW - 11.4 (9.0 - 15.0)

K - Leukocytes - 7.2 (3.4 - 9.7)

Differential Blood Count

K - Eosinophil granulocytes - 1.0 (0 - 7)
K - Basophil granulocytes (not listed)
K - Unsegmented neutrophils - 5.0 (0 -2) elevated
K - Neutrophil granulocytes - 59.0 (44 -72)
K - Lymphocytes (rel.) - 24.0 (20 -46)
K - Monocytes (rel.) - 11.0 (2 -12 )
K - Mixed cells (not listed)

K - Platelets - 164 (158 - 424)
K - MPV - 7.6 (6.8 - 10.4)

Do you also need the urinalysis?

Megan Jones27 said:Here you go, this is from June 9, 2011.

Hematology

K - Erythrocytes - 4.03 (3.86 - 5.08)
K - Hemoglobin - 122 (119 - 157)
K - Hematocrit - 0.362 (0.356 - 0.470)
K - MCV - 90.0 (83.0 - 97.2)
K - MCH - 30.2 (27.4 - 33.9)
K - MCHC - 336 (320 - 345)
K - RDW - 11.4 (9.0 - 15.0)

K - Leukocytes - 7.2 (3.4 - 9.7)

Differential Blood Count

K - Eosinophil granulocytes - 1.0 (0 - 7)
K - Basophil granulocytes (not listed)
K - Unsegmented neutrophils - 5.0 (0 -2) elevated
K - Neutrophil granulocytes - 59.0 (44 -72)
K - Lymphocytes (rel.) - 24.0 (20 -46)
K - Monocytes (rel.) - 11.0 (2 -12 )
K - Mixed cells (not listed)

K - Platelets - 164 (158 - 424)
K - MPV - 7.6 (6.8 - 10.4)

Do you also need the urine analysis?

Those unsegmented neutrophils are only slightly elevated. Usually, they point toward inflammation or something similar. All in all, it looks like a clean report. Do you also need the urine analysis? No.

Thank you. That is exactly what the doctor said, though frankly I don't care; given how much my symptoms were bothering me, she just prescribed Azimed, which I took for three days.

Megan Jones27 said:Thanks.

You're welcome.

Hey everyone!

So, I just got my blood and urine results back today, and honestly, I’m spiraling a little bit. I’ll be the first to admit I’m a massive hypochondriac—I’m basically the kind of person who reads one symptom online and immediately starts drafting my will because I'm convinced it's something catastrophic. 🙂

The good news is my CBC came back looking totally fine, everything is right within the normal range, but the urine analysis is what’s really messing with my head.

URINE SEDIMENT

Cloudy
Leukocytes: 20 (normal is 0-2)
Bacteria: Many

Everything else was negative.

From what I’ve read, it looks like there might be some kind of inflammation going on. I’ve got an appointment with my doctor tomorrow to get the real scoop, but in the meantime, I was wondering if anyone here has dealt with something similar or knows what this might point to. I don't have any major issues when I go to the bathroom, though I am feeling a bit of a dull ache down low, specifically on the left side near my bladder. I'm a 32-year-old guy. Thanks for any help you can give... 😕

bluebadger12 said:Hey everyone!

I just got my blood and urine results back today—and honestly, I’m a bit of a massive hypochondriac, so my brain immediately jumps to the worst-case scenario where I’m suffering from something catastrophic. 🙂

My CBC came back completely fine—everything is within the normal range—but the urine analysis is what’s bothering me.

URINE SEDIMENT

Cloudy
Leukocytes: 20 (normal is 0-2)
Bacteria: many

All other findings were negative.

From what I've read, it looks like some kind of inflammation. I’m seeing my doctor tomorrow, but if anyone here has any insight into what this might be, I’d appreciate it. I don't have any major issues when I go, though I am feeling a slight ache down low near the bladder on the left side. I'm a 32-year-old male. Thanks for the help... 😕

Yeah, it’s definitely an infection... nothing to lose sleep over, though! Don't worry too much. 😉

Hello,

As you've already gathered, the results likely point toward a urinary tract infection, specifically in the lower portion.
You should definitely reach out to your doctor regarding a proper course of treatment (antibiotics). They will probably provide a referral for a urine culture and sensitivity test to pinpoint the exact pathogen, allowing them to tailor or adjust your medication accordingly.

In my view, there isn't much reason for panic or undue anxiety here.

Best regards. 🙂

EDIT: It looks like a colleague beat me to the punch with their response. 🙂

Thanks for all the replies, you guys actually helped me chill out a little bit... Hopefully everything turns out okay...

Can someone please help me make sense of this biopsy report? I've been struggling with this really uncomfortable itching on my legs for three months now. My dermatologist suspected Lichen Planus, so she did a skin biopsy. I just got the results back today, and I’m hoping someone can explain what this actually means:
A 0.3cm skin sample was analyzed. Histologically, there is hyperkeratotic and orthokeratotic epidermis on the surface, while sparse lymphocytic infiltrates are found peripapillary in the papillary dermis. The histological finding is non-specific, and Lichen Planus cannot be confirmed. Dr. Harvey, I still owe you those reports regarding my friend's issues with brain function and aphasia, but I should have them later this week and will follow up with the exact diagnosis!

velvetowl16 said:Can someone please help me make sense of this biopsy report? I’ve been dealing with this incredibly annoying itch on my legs for three months now. My dermatologist suspected Lichen Planus, so she did a skin biopsy. I just picked up the results today and I really need some clarification on what this actually means:
A 0.3cm skin sample was analyzed. Histologically, the surface shows hyperkeratotic and orthokeratotic epidermis, while sparse lymphocytic infiltrates are found pericapillary within the papillary dermis. The histological finding is non-specific and cannot confirm a diagnosis of Lichen Planus. Dr. Harvey, I still owe you those reports regarding my friend's issues with brain function and aphasia, but I should have them later this week and will update you with the exact diagnosis!

Dermatitis.

so how do I actually heal from dermatitis?

Olivia Hayes89 said:Yeah, it’s just about inflammation... nothing scary, don't sweat it! 😉

It's me again :S. So I went to see my doctor today and she gave me a referral for a urine culture and antibiotic sensitivity test, which I'm heading in to do tomorrow morning. She was looking over my urinalysis and seemed kind of puzzled—she actually asked if I'd been throwing up? Honestly, I totally panicked and blurted out "no" immediately, even though it was nothing major, just felt a bit weird. Then, once I calmed down, I started looking at the results myself and noticed some things I hadn't caught before. The values and the reference ranges look a little funky to me, so I'm reaching out to the experts here because I'm definitely feeling a bit anxious.

Cloudy
Leukocytes: 20
Bacteria: plenty

These bits are also in the mix:

Ketones +++ neg to +++ neg
Urobilinogen + norm to +++ norm
Bilirubin ++ neg to +++ neg

I was mostly just staring at the numbers, so I didn't really pay attention to those annoying little plus signs, but seeing them there makes me think something might actually be up, right? Even if the numbers themselves seem to fall within range, those pluses feel like a red flag.
And don't even get me started on what I stumbled upon while Googling "bilirubin in urine"... it was a total rabbit hole. 🙂 My doctor mentioned that I could get the urine culture results back from the local clinic in just a few hours. Is that actually possible? I always assumed you had to wait several days for stuff like that. Thanks in advance for any help...

Dear bluebadger12,

Your doctor raised those specific questions because of the ketones found in your urine. One reason ketones show up is prolonged fasting or dehydration—often caused by things like vomiting or diarrhea. Of course, there are other possibilities that need to be ruled out.

Regarding the bilirubin in your urine, typically, a bilirubin test should come back negative. A positive result might point toward issues with the liver or bile ducts. That said, false positives can happen too, sometimes triggered by certain medications.

You should probably repeat the urinalysis to check the ketones, bilirubin, and urobilinogen again. If the bilirubin comes back positive a second time, it’s necessary to check serum bilirubin levels and run liver function tests. Personally, if I were re-testing the urine, I’d go ahead and order the serum bilirubin (both direct and indirect) and liver enzymes (starting with ALT, AST, GGT, and AP) right away. It would also be wise to check your blood sugar.

As for the urine culture, your doctor can usually get a phone update within 24 hours regarding any growth of pathogenic bacteria, and most results are finalized within two days.

Please follow up with your physician. I'm sure our colleague Harvey will also reach out with his own perspective and advice.

Best regards. 🙂

Maria Fisher46 said:Hey there, bluebadger12,

Your doctor is asking those questions because they spotted ketones in your urine. One reason you might see ketones pop up is if you’ve been fasting for a while or if you're dealing with dehydration from things like vomiting or diarrhea. Of course, there are other reasons too, so we really need to rule everything out.

Regarding that bilirubin finding—usually, a urine bilirubin test comes back negative. If it shows up positive, it could point toward something going on with your liver or gallbladder. That said, there are also times when you get a false positive, sometimes just from certain medications you might be taking.

You should probably go back and redo the urine test to check the ketones, bilirubin, and urobilinogen again. If the bilirubin still shows up positive, the next step would be checking your serum bilirubin levels and running some liver function tests along with other screenings. Honestly, if I were in your shoes, the moment I went back for that repeat urine test, I'd ask them to run the serum bilirubin (both direct and indirect) and the full liver panel right away. It’s also worth double-checking your blood sugar.

As for the urine culture, your doctor can usually get a call within 24 hours letting them know if any pathogenic bacteria are growing, and most of those results are wrapped up within two days.

Definitely touch base with your doctor about this, and I'm sure our colleague Harvey will jump in soon with his own take and advice.

Best, 🙂

Thanks again! My blood work looks totally fine—bilirubin is normal, blood sugar is normal, and my liver enzymes (AST, ALT, GGT) are all sitting right in the middle of the healthy range. CRP is normal, too. It's just that urine result that has me a bit worried, especially since I went ahead and did the whole works: full blood count, liver panel, CRP, triglycerides, and all that, and everything else is perfectly fine. AST 19 (11-38)
ALT 19 (12-48), GGT 31 (11-55), glucose 5.5 (4.4 - 6.4), total bilirubin 18 (3-20)

velvetowl16 said:And how do I cure this dermatitis?

Hello,

Just as the pathologist noted, your results aren't specific. In other words, you can't pin down the exact cause of your symptoms based solely on this report.

The findings show that the outer layer of the skin has thickened and there is some inflammation present.

What’s needed now is matching these pathology results with your actual clinical presentation. That falls on the dermatologist—they need to look at the physical changes, listen to your symptoms, and weigh them against this report to reach a diagnosis.

Once that diagnosis is set, the appropriate treatment plan will follow.

Best regards. 🙂

bluebadger12 said:Thanks again! Everything looks solid on my blood work—bilirubin is normal, blood sugar is fine, and my liver enzymes (AST, ALT, GGT) are all perfectly centered. CRP is normal too. It’s just that urine test that has me worried, because I went ahead and did a full panel including liver function, CRP, triglycerides, and everything else, and they all came back completely normal. AST 19 (11-38)
ALT 19 (12-48) GGT 31 (11-55) glucose 5.5 (4.4 - 6.4) total bilirubin 18 (3-20)

In that case, you should re-test the urine for ketones, bilirubin, and urobilinogen.

Ketones could show up if you were fasting, for instance. As for the bilirubin, it might be a false positive; a confirmatory test would be wise.

Maria Fisher46 said:In that case, I’d suggest getting a retest for ketones, Bilirubin, and Urobilinogen.

Regarding those ketones—it’s entirely possible they’re showing up because you haven't eaten much lately. As for the Bilirubin, it might just be a false positive; a confirmatory test would be the smart move here.

I'm not sure which lab handled this or what specific methodology they used—every facility operates a bit differently—but in the lab where I work, our machines occasionally throw out a positive Bilirubin result that isn't actually there. We always double-check those manually, along with proteins, Urobilinogen, glucose, and nitrites. It’s quite possible the machine simply gave a false positive in your instance.
Given that the blood work came back normal, I honestly doubt the urine results are pointing to anything major...
And from what I understand, waiting on a urine culture usually takes about 2 to 3 days...

bluebadger12, looking at your urine sediment, is it just leukocytes and bacteria?