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

thanks 🙂

So, I have a general question. When getting a urinalysis done, the urine sediment results mention epithelium. Are they referring to squamous epithelial cells or round epithelial cells? Thanks for the help!

Dear lady,

Your inquiry slipped past us by accident. It’s an interesting question, though.

By strict logic, if there is no mention of a specific type of epithelial cell, the term should apply to all varieties. However, in casual conversation, when people discuss epithelial cells in urine, they are usually referring to squamous epithelium.

Generally speaking, finding epithelial cells in a urine sample rarely carries much diagnostic weight.

Hey everyone!!
I need some help reading these results—honestly, I'm low-key panicking here, and my doctor won't give me any feedback over the phone.
I had the TORCH panel done after two retained miscarriages, and here’s what came back:
CMV IgG positive 3.6 IU/ml
HSV IgM positive
HSV1 IgG positive
RUBELLA IgG positive 31IU/ml
Everything else was negative, so I didn't bother typing it all out... please let me know what you think!

Kimberly Patel56 said:Hey!!
Can someone please look at these results? I'm low-key panicking and my doctor won't give me the rundown over the phone.
I got a TORCH panel done after two recurrent miscarriages, here’s what it shows:
CMV IgG positive 3.6 IU/ml
HSV IgM positive
HSV1 IgG positive
RUBELLA IgG positive 31IU/ml
Everything else was negative so I didn't bother typing them out, please let me know what you think!

TORCH basically covers infectious diseases—toxoplasmosis, rubella, cytomegalovirus, and herpes.

Just hang tight until a doctor weighs in, but from what I remember when I did my own TORCH test, my OB explained that a positive IgG (mine was positive for rubella) just means I had contact with the virus sometime in the past and developed antibodies—basically, it was from getting the rubella vaccine back in school. A positive IgM would mean there's an active infection right now.

So, I guess those positive IgG results for CMV, herpes, and rubella shouldn't be a huge deal, but I'm not totally sure about that positive IgM for herpes. Hang in there, one of our on-call doctors will probably get back to you soon.

Hey,

Here’s what we’ve got:

sodium 139 (ref 134-142)
chloride 105 (ref 98-108)
total calcium 2.81 H (ref 2.15-2.8)
inorganic phosphate 1.79 (ref 1.15-2.15)
glucose 5.1 (ref 3.9-7)
urea 1.9 (ref 1-7.5)
AST 59 (ref 26-75)
ALT 23 (ref 11-46)
ALP 267 (ref 25-500)
GGT 10 (ref 1-39)
Fe 7.1 (ref 4-25)
UIBC 59 (ref 28-68)
TIBC 66.1 H (ref 17-65)

Note - sample is lipemic

WBC 6.12 (ref 3.8-12)
RBC 4.39 (ref 3.5-5.5)
Hgb 112 (120-170)
Hct 0.336 (ref 0.350-0.4)
MCV 76.5 (ref 82-93)
MCH 25.5 (ref 27-31)
MCHC 333 (ref 320-260)
PLT 321 (100-400)
RDW-SD, RDW-CV, PDW, MPV, P-LCR, PCT all within range
NEUT 19% (REF 21-35)
lymph 68.6% (58-66)
MONO 8.3 (ref 4-8)
EO 3.8 (ref 2-4)
BASO 0.3 (0-1)
eosinophil granulocytes 0.04 (ref 0.02-0.04)
segmented granulocytes 0.19 (ref 0.21-0.385)
lymphocytes 0.69 (ref 0.58-0.66)
monocytes 0.08 (ref 0.04-0.08)

The neutrophils and lymphocytes are what's bothering me most—during her last two blood draws, the neutrophils were low and the lymphocytes were high. Just wondering why that might be happening.

What’s the general take on these results? We’re seeing a pediatrician soon anyway.

Hey everyone! Just got my blood work back today. My liver enzymes are up—AST at 37, ALT at 44, and GGT at 60. Also had some trace elements in there with UIBC at 62.1, plus some sediment in the urine sample showing 3-6 leukocytes. Everything else looks totally normal, though! My doctor told me I have to stay away from alcohol and soda for two months (but with Christmas and New Year's 😢 right around the corner, that's going to be tough
). I'm wondering how serious these results actually are... since I'm only 27, I'm honestly a bit freaked out that something might really be wrong. Also, does anyone know how long it typically takes for the liver to bounce back after stuff like this?

So, what exactly are these liver panel results pointing toward?

Hbs Ag - (negative)
anti HBs - (negative)
anti HBc + (positive)
HBe Ag - (negative)
anti HBe + (positive)

anti HCV - (negative)

The liver enzymes (ALT/AST) look fine, and everything else—triglycerides, cholesterol, and bilirubin—seems to be in the normal range too.

wearycobra48 said:here's what these liver test results seem to point to:

Hbs Ag - (negative)
anti HBs - (negative)
anti HBc + (positive)
HBe Ag - (negative)
anti HBe + (positive)

anti HCV - (negative)

liver tests look fine (ALT/AST), plus triglycerides, cholesterol, and bilirubin are all good

Those are basically Hepatitis markers. I'm definitely not a doctor, so I shouldn't be interpreting this, but here’s what I dug up online:

Interpreting HBV (Hepatitis B) Markers
HBsAg: shows if HBV is in the body; usually shows up about 6 weeks after infection and typically clears within three months. If it hangs around longer than 6 months, it suggests chronic infection.
Anti HBs: antibodies against HBsAg that show up later, roughly 3 months post-infection when HBsAg usually goes negative; they stay as a sign of recovery and immunity (either from catching the illness or getting vaccinated).
Anti-HBc: an indicator of acute infection. High IgM anti-HBc levels suggest acute viral hepatitis. Low IgG anti-HBc titers combined with anti-HBs mean there was an infection in the past. High IgG anti-HBc titers without anti-HBs—usually while HBsAg is still present—suggest a persistent viral infection.
HBeAg: indicates how much the virus is replicating (the replicative phase) and how infectious it is; if this lasts more than 10 weeks, there's a high chance it becomes chronic.
Anti-HBe: shows relatively low infectivity; seeing these antibodies usually means the person will likely recover. However, some anti-HBe positive patients still deal with severe chronic hepatitis if HBV-DNA is found in their serum despite being HBeAg negative. This happens because of mutations in the HBV structure ("precore mutants").
HBV-DNA: a super sensitive marker for viral replication.

-----------
Definitely check in with your doctor so a pro can actually tell you what's going on.

ironseal13 said:Hey there!

Here are the findings:

Sodium 139 (ref 134-142)
Chloride levels at 105 (ref 98-108).
Total calcium is 2.81 H (ref range 2.15-2.8).
Inorganic phosphate 1.79 (ref 1.15-2.15)
Glucose 5.1 (ref 3.9-7)
Urea is at 1.9 (ref range 1-7.5).
AST 59 (ref 26-75)
ALT 23 (ref 11-46)
ALP 267 (ref 25-500)
GGT 10 (ref 1-39)
Iron levels at 7.1 (normal range is 4–25).
UIBC 59 (ref 28-68)
TIBC 66.1 H (ref 17-65)

Note: Sample is lipemic.

WBC leukocytes 6.12 (ref 3.8-12)
RBC erythrocyte 4.39 (ref 3.5-5.5)
Hgb 112 (range 120-170)
Hct 0.336 (ref 0.350-0.4)
MCV 76.5 (ref 82-93)
MCH 25.5 (ref 27-31)
MCHC 333 (ref 320-260)
PLT platelets 321 (100-400)
RDW-SD, RDW-CV, PDW, MPV, P-LCR, and PCT are all within the normal reference range.
NEUT 19% (REF 21-35)
Lymphocytes at 68.6% (ref range 58-66).
MONO 8.3 (ref 4-8)
EO 3.8 (Red 2-4)
BASO 0.3 (0-1)
eosinophilic granulocytes 0.04 (ref 0.02-0.04)
Segmented granulocytes at 0.19 (ref range 0.21-0.385).
Lymphocytes at 0.69 (ref range 0.58–0.66).
Monocytes at 0.08 (ref range 0.04–0.08). Just sitting right on the edge.

The neutrophils and lymphocytes are what's really eating at me right now. During her last two blood draws, her neutrophil count was low while her lymphocyte count was running high, and I'm honestly just trying to wrap my head around why that might be happening.

What does this generally mean for the results? We’re heading to the pediatrician with him pretty much any minute now.

Based on these results, he’s dealing with microcytic anemia caused by an iron deficiency in his diet. Even though his iron levels technically fall within the normal range, I’d personally consider extending his iron therapy for another month. That said, I’m not a pediatrician, so you should definitely let his pediatrician make the final call. Everything else looks perfectly normal.

Ashley Rivera15 said:To whom it may concern, I received my blood work results today. My liver enzymes are elevated—AST is at 37, ALT is 44, and GGT is 60. I also have trace elements showing up with a UIBC of 62.1, and my urine sediment shows 3-6 leukocytes. Everything mentioned here is elevated, though everything else fell within the normal range. My doctor gave me strict orders: no alcohol and no carbonated drinks for two months. This is just great, considering Christmas and New Year's are right around the corner! 😢 )
I’m trying to wrap my head around how serious these results actually are... I'm only 27, and honestly, the thought that something might genuinely be wrong is terrifying. And yeah—how long does it actually take for the liver to bounce back after dealing with stuff like this?

Write. Everything. I've finished reviewing the lab results, specifically focusing on the iron levels and the bilirubin.
2. What was the reason for running all those tests?

still waiting on a response, maybe from vividsailor7?
thanks!!!

Kimberly Patel56 said:Hey there!!
I’m asking for some help reading these lab results because I am low-key panicking, and my doctor refuses to go over anything with me over the phone.
I had testing done via TORCH after two retained miscarriages, and here are the results:
CMV IgG positive 3.6 IU/ml
HSV IgM positive
HSV1 IgG positive
RUBELLA IgG positive 31IU/ml
Everything else came back negative, so I didn't bother typing it all out. Please, any comments?

Sorry, missed this earlier.
You have Herpes Simplex 1—that's the non-sexual kind, usually just around the mouth.
As for being positive for Cytomegalovirus, don't sweat it; about 70% of people are positive for that. Besides, an IgG result means the infection isn't acute; it just shows you were exposed at some point in the past.
Basically, it means you're immune to Rubella.

vividsailor7 said:Based on this, there's microcytic anemia due to low dietary iron intake—even though his iron levels technically fall within the normal range. I’d probably suggest another month of iron therapy, but then again, I'm not a pediatrician, so your doctor should have the final word. Everything else looks fine.

What about those neutrophils and leukocytes? Could that be tied to the anemia, or what?

ironseal13 said:And what about these neutrophils and leukocytes? Could they be linked to that anemia, or...?

It’s not related; those levels are perfectly normal.

wearycobra48 said:what these liver function tests suggest:

HbsAg - (negative)
anti-HBs - (negative)
anti-HBc + (positive)
HBeAg - (negative)
anti-HBe + (positive)

anti-HCV - (negative)

liver enzymes are fine (ALT/AST), as are triglycerides, cholesterol, and bilirubin

Hello,

Colleague copperraven53 gave you a brief summary of what these markers mean, so I’ll provide a broader perspective on the results as a whole.

First off, this specific constellation of markers doesn't allow for a definitive interpretation.

Essentially, these results could mean the individual successfully cleared a Hepatitis B infection but hasn't developed the protective antibodies (anti-HBs) yet. Alternatively, it might indicate an infection from much earlier that simply didn't trigger the usual immune response.

However, setting aside the "cleared infection" theory, these findings could also suggest the infection hasn't actually resolved—meaning the virus is still present and the person remains infectious. To avoid getting bogged down in technicalities, the HbsAg is the key indicator here. It’s possible the HbsAg is actually positive, but the test missed it because the levels are extremely low.

An HBV-DNA test (also via blood work) will be necessary to get a clearer picture of the situation.

Best regards. 🙂

Complete Blood Count
SE 10 (4-24)
Lkc 5.9 (3.4-9.7)
Erythrocytes 4.54 (3.86-5.08)
Hgb 135 (119-157)
Hct 0.398 (0.356-0.470)
MCV 87.6 (83.0-97.2)
MCH 29.7 (27.4-33.9)
MCHC 339 (320-355)
Platelets 382 (158-424)
RDW 12.7 (9.0-15.0)
MPV 8.9 (6.8-10.4)
Neutrophil bands 2.90 (2.06-6.49)
Neutrophils 48.8 (44-72)
Lymphocytes 2.60 (1.19-3.35)
Lymphocytes 44.1 (20-46)
MID 0.40 (0.12-1.27)
MID 7.1 (2-19)

Metabolites and Substrates
Glucose 5.2 (4.2-6.0)
Total bilirubin 40 (3-20)
Urea 4.3 (2.8-8.3)
Creatinine 76 (63-107)
Urate 256 (134-337)

Enzymes
AST 37 (8-30)
ALT 44 (10-36)
GGT 60 (9-35)
Electrolytes
Potassium 4.2 (3.9-5.1)

Trace Elements
Fe 9.9 (8-30)
TIBC 72.0 (49-75)
UIBC 62.1 (26-59)

Lipids
Cholesterol 4.9 (<5.0)
Triglycerides 0.6 (<1.7)

So, here’s my full lab work! I actually went in because of some headaches. Besides blood and urine tests, my doctor sent me to an eye specialist and for an EKG. Everything came back totally fine, except for those enzymes at the end.
My doctor asked if I drink alcohol or soda... and yeah, I do, though nothing crazy amounts. Lately, I’ve just been snacking on tons of hazelnuts while on a diet. Nothing major, really. I lost about 4 pounds—went from 128 down to 127 lbs (I'm about 5'3").

Oh, and the urine test
Appearance-cloudy Color-yellow weight 1.030 leukocyte 0 nitrite 0 PH 5.0 Erc

Weight 1.030
Leukocytes 0
Nitrites 0
pH 5.0
Erc/Hb 0
Proteins
Glucose normal
Ketones 0
Urobilinogen normal
Bilirubin 0
Leukocytes 3-6 (0-2)
Erythrocytes 1-2
Epithelial cells quite a bit
Bacteria quite a bit
Some triple phosphate salts

Ashley Rivera15 said:Laboratory Hematology
(...)
Total bilirubin 40 (3-20)
(...)
Enzymes
AST 37 (8-30)
ALT 44 (10-36)
GGT 60 (9-35)
Electrolytes
Potassium 4.2 (3.9-5.1)

Trace elements
Fe 9.9 (8-30)
TIBC 72.0 (49-75)
UIBC 62.1 (26-59)
(...)

The urinalysis looks clean. However, you need to redo the liver panel. If those levels stay abnormal, you’ll be sent for an abdominal ultrasound. In the meantime, stick to a liver-friendly diet.

Does the "new diet" mean cutting out soda and alcohol too?
And how long am I supposed to stick to this?

Ashley Rivera15 said:Does the liver diet mean I have to cut out soda and alcohol too?
And how long am I stuck doing this?

Just head over to an American child health forum and look under the Liver and Gallbladder section—everything you need is right there.
You should stick to it for about one or two months, then go back and get your labs checked again.

vividsailor7 said:Head over to WebMD for nutrition info and look up Liver and Gallbladder—everything you need is right there.
You should stick to it for 1-2 months, then go back and redo those tests.

Thanks so much!