Blood test results

So, I’ve got a doctor's appointment coming up in just a few days, and I was wondering if anyone here could help me make sense of these results? My levels are a bit high on a few things:

HEMATOLOGY: Leukocytes 10.9 H (3.4-9.7)
unsegmented neutrophilic granulocytes 3.0 H (0-2)

BIOCHEMISTRY: Total Bilirubin 31 H (3-20)

Everything else seems to be sitting right within the normal range...

What kind of issues could this potentially point toward?... thanks so much!

What does the erythrocyte morphology look like? Are you seeing any reticulocytes on the peripheral smear? It’s possible we might be looking at hemolytic anemia, though if that's the case, it seems to be a very mild presentation given how minimally the bilirubin is elevated

Jacob Lewis said:Since I’ve got a doctor's appointment coming up in just a few days, I was hoping someone could weigh in on why these specific numbers are flagged high:

HEMATOLOGY: WBC 10.9 H (3.4-9.7)
unsegmented neutrophilic granulocytes 3.0 H (0-2)

BIOCHEMISTRY: Total bilirubin 31 H (3-20)

Everything else seems to be sitting right within the normal range...

What kind of issues could this point toward?... thanks...

Looking at those bilirubin and white blood cell levels, I'd say you might be looking at some kind of liver inflammation.

I honestly think it's pretty unlikely if your AST and ALT levels are normal—since they are—because even your bilirubin would probably be elevated by now...

It could just be Gilbert's syndrome, which is a total pain but mostly harmless...

Lisa Scott42 said:Could be liver inflammation, based on those bilirubin and white blood cell levels.

Good grief, save us from statements like that. There isn't even a hint of hepatitis here.
It honestly smells more like some kind of bacterial infection. Why were the tests even ordered in the first place? What symptoms are we talking about?

Plus, a slightly elevated bilirubin could just be Gilbert's syndrome—which is totally harmless and super common—or it could even be a false positive. If you're worried, you should get the tests redone, making sure they check both direct and indirect bilirubin fractions, then go from there.

I ended up getting this test done because my blood pressure has been through the roof lately. I actually went to see a cardiologist for an ultrasound and an EKG since I’ve been feeling some minor chest discomfort too. The doctor gave me the good news that my heart seems fine, but my blood pressure? Not so much. It’s been hovering between 150 and 170 all day and night—I even did a Holter monitor test to be sure. Since I’m only 23, the whole situation feels a bit more daunting than it should be. There’s also a slight chance my kidneys might be involved, so on top of blood work and a urinalysis, the doc sent me for a kidney and adrenal gland ultrasound. I haven't actually gone yet, though, because I'm stuck in a bit of a loop over whether I should go for the ultrasound or a CT scan. I know one might be better than the other, but then there's the radiation to think about, and honestly, I'm just a bit overwhelmed by it all...

Jacob Lewis said:The tests were triggered by some high blood pressure I’ve been dealing with lately. I actually went to see a cardiologist for an ultrasound and an EKG because I was getting these weird little chest pains, but the doc said my heart is fine—it's just the blood pressure that's the issue. It's sitting at 150-170 all day and night, even with the Holter monitor tracking it. Since I'm only 23, the whole situation feels a bit more "sketchy." There’s also a small chance my kidneys might be involved, so after checking my blood work and urine samples, they sent me for a kidney and adrenal gland ultrasound. I haven't gone yet because I'm debating between that or a CT scan. A CT might give better results, but then there's the radiation to worry about, which sucks...

In a small percentage of cases, high blood pressure is caused by kidney issues, problems with the vessels supplying the kidneys, or certain adrenal gland adenomas (like pheochromocytoma or aldosterone) that leak substances into the system that spike your pressure. Definitely get the ultrasound done; once you have those results, your doctor will tell you if you need to follow up with a CT or an MRI. My suggestion? Ask for a test for vanillylmandelic acid, catecholamines, and metanephrines—that can help pinpoint those specific issues mentioned above. Also, take a quick scroll through the forum; we’ve got several threads on high blood pressure, so give them a read.

James Watson84 said:In a small percentage of cases, high blood pressure is caused by kidney issues, problems with the renal arteries, or adrenal gland tumors—like pheochromocytoma or aldosterone—that release substances which spike your pressure. You should definitely get an ultrasound; based on those results, your doctor will decide if you need a CT scan or an MRI. I’d also suggest getting tests for vanillylmandelic acid, catecholamines, and metanephrines, as those can point toward the issues mentioned above. Take some time to browse the forum; there are several threads on high blood pressure you should read through.

Is it a heart issue? A pheochromocytoma seems unlikely since their blood pressure is constantly elevated.
Maybe Gilbert and perhaps a mild bacterial infection...